Surgery of the Nasal Valve

Surgery of the Nasal Valve

Scott B. Roofe, MD, FACSFacial Plastic and Reconstructive Surgery

Tripler Army Medical Center

From: Nasal Valve Reconstruction: Experience in 53 Consecutive Patients

Arch Facial Plast Surg. 2004;6(3):167-171. doi:10.1001/archfaci.6.3.167

Internal valve

Nasal surgery

10-15 degrees

Internal Nasal Valve

From: Nasal Valve Reconstruction: Experience in 53 Consecutive Patients


Evaluation

Physician AAO-HNS#:____________Patient ID: __________________ Today’s date: __ __/__ __/__ __ __ __

Nasal Obstruction and Septoplasty Effectiveness Scale

Over the past ONE month, how much of a problem were the following conditions for you?

Please circle the most correct response

Not a Problem

Very Mild Problem

Moderate problem

Fairly Bad Problem

Severe problem

1. Nasal congestion or stuffiness 0

1 2

3 4

2. Nasal blockage or obstruction 0

1 2

3 4

3. Trouble breathing through my nose 0

1 2

3 4

4. Trouble sleeping 0

1 2

3 4

5. Unable to get enough air through my nose during exercise or exertion

0

1 2

3 4

To the Patient: Please help us to better understand the impact of nasal obstruction on your quality of life by completing following survey. Thank You!

NOSE Scale

TECHNIQUESSPREADER GRAFTS

LATERAL FLARING SUTURE

AUTO-SPREADER

ALAR BATTEN GRAFTS

NASAL VALVE SUSPENSION

The Nasal Valve DilemmaThe Narrow Straw vs the Weak Wall

ARCH FACIAL PLAST SURG/VOL 14 (NO. 1), JAN/FEB 2012 WWW.ARCHFACIAL.COM

Spreader Grafts

Intranasal Placement

From: Endonasal placement of spreader grafts: experience in 41 consecutive patients. Arch Facial Plast Surg. 2012 Sep-Oct;14(5):318-22. doi: 10.1001/archfacial.2012.173.

From: Surgery for the Dysfunctional Nasal Valve: Cadaveric Analysis and Clinical Outcomes


Lateral Flaring Suture



Lateral Flaring Suture

From: Nasal Airway Preservation Using the Autospreader Technique: Analysis of Outcomes Using a Disease-Speci c Quality-of-Life

Instrument

Arch Facial Plast Surg. 2011;13(4):231-233.

Autospreader

From: Nasal Airway Preservation Using the Autospreader Technique: Analysis of Outcomes Using a Disease-Speci c Quality-of-Life Instrument

Arch Facial Plast Surg. 2011;13(4):231-233. doi:10.1001/archfacial.2011.7

rererererereseseseses rvatioi n Using the Autospreader Technique: Analysis of Outcom ses UUUUUUUUUU isisisisisiiiisin

Alar Batten GraftBatten



From: Nasal Batten Grafts: Are Patients Satis ed?


Alloplastic Implants

From: Placement of a Lateral Nasal Suspension Suture Via an External Rhinoplasty Approach


..

Nasal Valve Suspension

From: Placement of a Lateral Nasal Suspension Suture Via an External Rhinoplasty Approach


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Nasal Valve Suspension• Before and after………………..••••••••••••••••••••• BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeefffffffffffffffffffffffffffffffffffffffffffoooooooooooooooooooooooooooooooooooooooooorrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrreeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaannnnnnnnnnnnnnnnnnnnnnnnnddddddddddddddddddddddddd aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaffffffffffffffffffffffffffffffftttttttttttttttttteeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeerrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….........

Nasal Valve Suspension

From: Intraoperative Suction-Assisted Evaluation of the Nasal Valve in Rhinoplasty


CONCLUSION

• LOCALIZE

• SUPPORT

• WIDEN

• TURBINATES AND SEPTUM

Documents

Surgery of the Nasal Valve