J Cosmet Med 2021; 5(2): 67-73
Published online December 31, 2021
Joo Yeon Kim , MD, PhD, Gi Yoon Nam
, MD, Jae Hwan Kwon
, MD, PhD
Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Rep. of Korea
Correspondence to :
Jae Hwan Kwon
E-mail: entkwon@hanmail.net
© Korean Society of Korean Cosmetic Surgery and Medicine (KSKCS & KCCS)
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: Nasal obstruction due to internal and/or external nasal valve collapse can be occurred sometimes. To overcome internal nasal valve obstruction, spreader grafts, butterfly grafts, flaring sutures and suspension sutures have been described to be effective. The correction of the external valve collapse can be done by alar batten, alar rim graft, and various other methods. Objective: We report successful results for the patients with severe nasal valve collapse during respiration using appropriate surgical techniques for individual causes.
Methods: We undertook a retrospective study of 8 patients diagnosed with nasal valve collapse. Each patient underwent one or multiple procedures according to individual problems regard to their nasal obstruction. The visual analogue scale (VAS) and Nasal Obstruction Symptom Evaluation (NOSE) validated survey was used to measure a patient’s subjective postoperative change in nasal obstruction. Facial photography and video for estimating alar collapse were taken to compare the change of pre- and postoperative nasal breathing and shape.
Results: Four out of eight patients had a static collapse of the nasal valves, while the other four had a dynamic collapse. The remaining six patients had no previous nasal trauma or surgical history. Each patient underwent surgeries such as alar batten graft, alar rim graft, and debulking operation according to their respective deformities. The endonasal and open approaches were used in five and three patients, respectively. After surgery, patient satisfaction (VAS) improved from 6.6 to 2.5 points, and the NOSE scale scores improved from 15.1 to 7.1 points.
Conclusion: Nasal obstruction due to nasal valve collapse can be effectively treated with various surgical techniques. After a thorough examination and analysis, the underlying cause of the nasal obstruction should be analyzed, and one or multiple procedures should be chosen according to each individual problem to get good results.
Keywords: nasal valve collapse, nasal valve surgery, rhinoplasty
J Cosmet Med 2021; 5(2): 67-73
Published online December 31, 2021 https://doi.org/10.25056/JCM.2021.5.2.67
Copyright © Korean Society of Korean Cosmetic Surgery and Medicine (KSKCS & KCCS).
Joo Yeon Kim , MD, PhD, Gi Yoon Nam
, MD, Jae Hwan Kwon
, MD, PhD
Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Rep. of Korea
Correspondence to:Jae Hwan Kwon
E-mail: entkwon@hanmail.net
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: Nasal obstruction due to internal and/or external nasal valve collapse can be occurred sometimes. To overcome internal nasal valve obstruction, spreader grafts, butterfly grafts, flaring sutures and suspension sutures have been described to be effective. The correction of the external valve collapse can be done by alar batten, alar rim graft, and various other methods. Objective: We report successful results for the patients with severe nasal valve collapse during respiration using appropriate surgical techniques for individual causes.
Methods: We undertook a retrospective study of 8 patients diagnosed with nasal valve collapse. Each patient underwent one or multiple procedures according to individual problems regard to their nasal obstruction. The visual analogue scale (VAS) and Nasal Obstruction Symptom Evaluation (NOSE) validated survey was used to measure a patient’s subjective postoperative change in nasal obstruction. Facial photography and video for estimating alar collapse were taken to compare the change of pre- and postoperative nasal breathing and shape.
Results: Four out of eight patients had a static collapse of the nasal valves, while the other four had a dynamic collapse. The remaining six patients had no previous nasal trauma or surgical history. Each patient underwent surgeries such as alar batten graft, alar rim graft, and debulking operation according to their respective deformities. The endonasal and open approaches were used in five and three patients, respectively. After surgery, patient satisfaction (VAS) improved from 6.6 to 2.5 points, and the NOSE scale scores improved from 15.1 to 7.1 points.
Conclusion: Nasal obstruction due to nasal valve collapse can be effectively treated with various surgical techniques. After a thorough examination and analysis, the underlying cause of the nasal obstruction should be analyzed, and one or multiple procedures should be chosen according to each individual problem to get good results.
Keywords: nasal valve collapse, nasal valve surgery, rhinoplasty
Hyejeen Kim, MD, Young Jae Lee, MD, Ji Yun Choi, MD, PhD
J Cosmet Med 2023; 7(2): 81-83 https://doi.org/10.25056/JCM.2023.7.2.81Jun Kim, MD, PhD, Sue Jean Mun, MD, PhD, Tae Ui Hong, MD
J Cosmet Med 2023; 7(2): 77-80 https://doi.org/10.25056/JCM.2023.7.2.77Tae-Hoon Lee, MD, PhD, Jae Won Jang, MD, Soon Joon Kim, MD, Sang-Hyok Suk, MD, Jung Gwon Nam, MD, PhD
J Cosmet Med 2023; 7(2): 66-70 https://doi.org/10.25056/JCM.2023.7.2.66