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Algorithm for Management of Nasal Valve Collapse

Abstract

Purpose of Review

Nasal obstruction is a very common challenge in daily ENT clinical and surgical practice. A common source of lack of satisfaction after septoplasty could be the impairment of the nasal valve area in both static and dynamic conditions.

Recent Findings

Currently there is no consensus to a standard diagnostic algorithm for nasal valve collapse. We performed a review of the last 10 years of literature focused on recent innovations regarding physical examination, radiological diagnosis, subjective, and objective measurement of nasal valve collapse. Finally, we try to formulate a pre-surgical protocol, based on our experience, as well as a model follow-up to evaluate surgical outcomes.

Summary

Though there are numerous surgical techniques for the treatment of nasal valve collapse, ENT surgeons would have difficulty selecting the most indicated one. A standardized pre-operative assessment should be mandatory to address a tailored surgery to patient clinical features.

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Correspondence to P. Greco.

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The studies relevant to this review that were performed by the authors are in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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This article is part of the Topical collection on FACIAL PLASTICS: Functional Rhinoplasty

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Greco, P., Caccamo, G. & Tasca, I. Algorithm for Management of Nasal Valve Collapse. Curr Otorhinolaryngol Rep 10, 140–147 (2022). https://doi.org/10.1007/s40136-022-00403-8

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Keywords

  • Nasal valve collapse
  • Rhinomanometry
  • Acoustic rhinometry
  • Septoplasty
  • Rhinoplasty