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KMID : 1160320210050020067
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Journal of Cosmetic Medicine
2021 Volume.5 No. 2 p.67 ~ p.73
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Surgical correction of nasal valve collapse
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Kim Joo-Yeon
Nam Gi-Yoon
Kwon Jae-Hwan
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Abstract
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Background: Nasal obstruction due to internal and/or external nasal valve collapse can be occurred sometimes. To overcome internal nasal valve obstruction, spreader grafts, butterfly grafts, flaring sutures and suspension sutures have been described to be effective. The correction of the external valve collapse can be done by alar batten, alar rim graft, and various other methods.
Objective: We report successful results for the patients with severe nasal valve collapse during respiration using appropriate surgical techniques for individual causes.
Methods: We undertook a retrospective study of 8 patients diagnosed with nasal valve collapse. Each patient underwent one or multiple procedures according to individual problems regard to their nasal obstruction. The visual analogue scale (VAS) and Nasal Obstruction Symptom Evaluation (NOSE) validated survey was used to measure a patient’s subjective postoperative change in nasal obstruction. Facial photography and video for estimating alar collapse were taken to compare the change of pre- and postoperative nasal breathing and shape.
Results: Four out of eight patients had a static collapse of the nasal valves, while the other four had a dynamic collapse. The remaining six patients had no previous nasal trauma or surgical history. Each patient underwent surgeries such as alar batten graft, alar rim graft, and debulking operation according to their respective deformities. The endonasal and open approaches were used in five and three patients, respectively. After surgery, patient satisfaction (VAS) improved from 6.6 to 2.5 points, and the NOSE scale scores improved from 15.1 to 7.1 points.
Conclusion: Nasal obstruction due to nasal valve collapse can be effectively treated with various surgical techniques. After a thorough examination and analysis, the underlying cause of the nasal obstruction should be analyzed, and one or multiple procedures should be chosen according to each individual problem to get good results.
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KEYWORD
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nasal valve collapse, nasal valve surgery, rhinoplasty
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