Abstract
This chapter will cover nasal obstruction caused by the narrowing of the nasal valve and hyperplasia of the inferior turbinates. Correct anatomical diagnosis is of key importance when assessing possible nasal valve dysfunction, and the applied anatomy of the external and internal nasal valve will be detailed. Nasal valve surgery is recognised as being challenging even in experienced hands, and the various procedures commonly used to correct external and internal valve dysfunction will be outlined.
The anatomy and pathophysiology of inferior turbinate hyperplasia will be outlined, together with the recommended assessment of patients presenting with this condition. The medical management of inferior turbinate hyperplasia will be discussed, and the various surgical techniques used to reduce the volume of the inferior turbinates will be discussed.
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References
O’Halloran LR. The lateral crural J-flap repair of nasal valve collapse. Otolaryngol Head Neck Surg. 2003;128(5):640–9.
Hamra ST. Repositioning of the lateral alar crus. Plast Reconstr Surg. 1993;92(7):1244–53.
Gunter JP, Friedman RM. Lateral crural strut grafts: technique and clinical applications. Plast Reconstr Surg. 1997;99(4):943–52.
Toriumi DM, Josen J, Weinberger M, Tardy ME. Use of alar batten grafts for correction of nasal valve collapse (1997). Arch Otolaryngol Head Neck Surg. 1997;123(8):802–8.
Sheen JH. Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty. Plast Reconstr Surg. 1984;73(2):230–9.
Teymoortash A, Fasunla JA, Sazgar AA. The value of spreader grafts in rhinoplasty: a critical review. Euro Arch Oto rhino laryngol. 2012;269:1411–6.
Roofe SB, Most SP. Placement of a lateral nasal suspension suture via and external rhinoplasty approach. Arch Facial Plast Surg. 2007;9(3):214–6.
Park SS. The flaring suture to augment the repair of the dysfunctional nasal valve. Plast Reconstr Surg. 1998;101(4):1120–2.
Toruimi DM. Facial Plast Surg Aesthet Med. 2020;22(1):10–24.
Clark JM, Cook TA. The “butterfly” graft in functional secondary rhinoplasty. Laryngoscope. 2002;112(11):1917–25.
Varadharajan K, Choudhury N, Saleh HA. Modified z-plasty of the internal nasal valve to treat mechanical nasal obstruction – how we do it. Clin Otolaryngol. 2019;44(6):1203–4.
Fokkens WJ, et al. European position paper of Rhinosinusitis and nasal polyps 2020. Rhinology. 2020;58(S29):1–464.
Mabry RL. Inferior turbinoplasty: patient selection, technique, and long-term consequences. Otolaryngol Head Neck Surg. 1988;98(1):60–6.
Barham HP, Knisely A, Harvey RJ, Sacks R. How I do it: medial flap inferior Turbinoplasty. Am J Rhin Allergy. 2015;29(4):314–5.
Barham HP, Thornton MA, Knisely A, Marcells GN, Harvey RJ, Sacks R. Are superior to submucosal electrocautery and submucosal powered turbinate reduction. Int Forum Allergy Rhinol. 2016;6(2):143–7.
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Carney, A.S., Woolford, T. (2023). Nasal Obstruction: The Role and Management of the Nasal Valve and Inferior Turbinates. In: Swift, A.C., Carrie, S., de Souza, C. (eds) Contemporary Rhinology: Science and Practice. Springer, Cham. https://doi.org/10.1007/978-3-031-28690-2_44
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DOI: https://doi.org/10.1007/978-3-031-28690-2_44
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