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
Arch Facial Plast Surg. 2004;6(3):167-171. doi:10.1001/archfaci.6.3.167
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
Arch Facial Plast Surg. 1999;1(2):105-110. doi:10.1001/archfaci.1.2.105
Lateral Flaring Suture
From: Surgery for the Dysfunctional Nasal Valve: Cadaveric Analysis and Clinical Outcomes
Arch Facial Plast Surg. 1999;1(2):105-110. doi:10.1001/archfaci.1.2.105
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: Surgery for the Dysfunctional Nasal Valve: Cadaveric Analysis and Clinical Outcomes
Arch Facial Plast Surg. 1999;1(2):105-110. doi:10.1001/archfaci.1.2.105
From: Nasal Batten Grafts: Are Patients Satis ed?
Arch Facial Plast Surg. 2012;14(1):14-19. doi:10.1001/archfacial.2011.1187
Alloplastic Implants
From: Placement of a Lateral Nasal Suspension Suture Via an External Rhinoplasty Approach
Arch Facial Plast Surg. 2007;9(3):214-216. doi:10.1001/archfaci.9.3.214
..
Nasal Valve Suspension
From: Placement of a Lateral Nasal Suspension Suture Via an External Rhinoplasty Approach
Arch Facial Plast Surg. 2007;9(3):214-216. doi:10.1001/archfaci.9.3.214
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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
Arch Facial Plast Surg. 2012;14(1):34-38. doi:10.1001/archfacial.2011.1111
CONCLUSION
• LOCALIZE
• SUPPORT
• WIDEN
• TURBINATES AND SEPTUM