Management of the Nasal Valve - 10/07/16

Doi : 10.1016/j.fsc.2016.03.001

Dane M. Barrett, MD ^a,^⁎ , Fernando J. Casanueva, MD ^b, Ted A. Cook, MD ^c,^⁎
^a Department of Otolaryngology, Head and Neck Surgery, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, SJH01, Portland, OR 97239, USA
^b Department of Otolaryngology, Head and Neck Surgery, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Portland, OR 97239, USA
^c Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology, Head and Neck Surgery, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, SJH01, Portland, OR 97239, USA

^∗Corresponding authors.

Résumé

The nasal valve is an important consideration in patients presenting with nasal obstruction. Controversy exists regarding the anatomy, terminology, evaluation, and management of the nasal valve. Innumerable techniques with variable effects have been described in the literature. The evidence qualifying these techniques has been plentiful, though often lacking in quality. This article reviews the controversial aspects of nasal valve management applying the best available evidence to help clarify potential areas of confusion. Future research using standardized definitions, consistent methodologies, and validated outcome measures are necessary to improve the quality of evidence and impact surgical decision-making.

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Keywords : Nasal obstruction, Functional rhinoplasty, Nasal valve, External valve, Internal valve, Spreader grafts, Butterfly graft, Batten grafts