The nasal valve: new insights on the static and dynamic NV with MR-imaging

  • Marion San NicolóEmail author
  • Alexander Berghaus
  • Christian Jacobi
  • Ulrich Kisser
  • Mareike Haack
  • Wilhelm Flatz



We assessed the static nasal valve angle with MR imaging in healthy subjects and evaluated the complex mechanism of nasal valve dynamics during physiologic and forced inspiration.


In 17 healthy subjects, measurements of the static nasal valve angle were conducted on MR scans, using a TSE Axial T2-weighted sequence and a 3 mm slice thickness. The dynamic changes of nasal valve movement were detected using MR Cine-imaging techniques.


The static median angle of the nasal valve was found to be 28.6° with a range of 12.7°–39.3°. The median degree of nasal valve collapse during forced inspiration was 68% (range 20–99%) of the baseline (static nasal valve angle). In the moderately forced inspiration (3 s) the median nasal valve angle declined to 76% of the baseline angle (range 42–100%). In the physiologic or unforced inspiration, the median nasal valve angle was reduced to 86.3% of the baseline angle (range 52–100%).


MRI, as a non-invasive tool, is a reliable method for evaluation of the static nasal valve angle and for the illustration of the complex nasal valve dynamics.


Nasal valve NVC MR NV angle 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee (Ethikkommission der Medizinischen Fakultät der LMU München) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology, Head and Neck SurgeryLudwig Maximilian University of MunichMunichGermany
  2. 2.Department of Otorhinolaryngology, Head and Neck SurgeryTechnical University of MunichMunichGermany
  3. 3.Department of Otorhinolaryngology, Head and Neck SurgeryUniversity Clinic Halle (Saale)Halle (Saale)Germany
  4. 4.Private PracticeRosenheimGermany
  5. 5.Department of RadiologyLudwig Maximilian University of MunichMunichGermany

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