JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2018, Vol. 32 ›› Issue (1): 28-32.doi: 10.6040/j.issn.1673-3770.1.2017.057

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Use of a spreader graft for treatment of nasal valve dysfunction

CHEN Xiaomeng1, ZHOU Peng1, FANG Jia1, ZHANG Weitian1, SU Kaiming1,2   

  1. Department of Otolaryngology, South Hospital of Affiliated Six Peoples Hospital, Shanghai Jiao Tong University, Shanghai 201400, China
  • Received:2017-12-05 Online:2018-01-20 Published:2018-01-20

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Abstract: Objective To explore the treatment of nasal valve compromise by using a spreader graft. Methods Two cases of patients with nasal valve compromise treated by using a spreader graft were analyzed, and a literature review was performed. Results Preoperatively, the main complaint of the two patients was nasal obstruction, and the lateral wall of the nasal cavity was found to collapse during quiet breathing. After surgery using a spreader graft, the symptom of nasal obstruction in both patients resolved, and the lateral nasal wall did not collapse even during deep inspiration. Conclusion Surgery using a spreader graft is effective for patients with nasal valve dysfunction. The long-term effects of this technique were favorable.

Key words: Nasal valve, Spreader graft, Nasal obstruction, Nasal valve compromise

CLC Number: 

  • R765
[1] Mink PJ. Le nez comme voie respiratorie[J]. Presse Otolaryngol(Belg), 1903: 481-496.
[2] Constantian MB, Brian CR. The relative importance of septal and nasal valvular surgery in correcting airway obstruction in primary and secondary rhinoplasty[J]. Plast Reconstr Surg, 1996, 98(1):38-54
[3] Anand VK, Isaacs R. Nasal physiology and treatment of turbinate disorders[M] // Rees TD, La-Treata GS, Stilwell D, eds. Aesthetic Plastic Surgery. Philadelphia: WB Saunders, 1994.
[4] Lee J, White WM, Constantinides M. Surgical and nonsurgical treatments of the nasal valves[J]. Otolaryngol Clin North Am, 2009, 42(3):495-511.
[5] Rhee JS, Weaver EM, Park SS, et al. Clinical consensus statement: diagnosis and management of nasal valve compromise[J]. Otolaryngol Head Neck Surg, 2010, 143(1):48-59.
[6] Solomon WR, Stohrer AW. Consideration in the measurement of nasal patency[J]. Ann Otol Rhiol Laryngol, 1965, 74(4):978-990.
[7] Poetker DM, Rhee JS, Mocan BO, et al. Computed tomography technique for evaluation of the nasal valve[J]. Arch Facial Plast Surg, 2004, 6(4):240-243.
[8] Moche JA, Cohen JC, Pearlman SJ. Axial computed tomography evaluation of the internal nasal valve correlates with clinical valve narrowing and patient complaint[J]. Int Forum Allergy Rhinol, 2013, 3(7):592-597.
[9] Englhard AS, Wiedmann M, Ledderose GJ, et al. Imaging of the internal nasal valve using long-range fourier domain optical coherence tomography[J]. Laryngoscope, 2016, 126(3): E97-E102.
[10] Pawar SS. Mechanical nasal dilators to treat nasal valve compromise[J]. JAMA, 2017, 317(16):1684-1685.
[11] Paccoi P, Di Peco V. Septal cartilage graft for nasal valve incompetence associated with deviated septum[J]. Am J Rhinol, 2007, 21(5):622-625.
[12] Hurbis CG. An adjustable, butterfly-design, titanium-expanded polytetrafluoroethylene implant for nasal valve dysfunction: a pilot study[J]. Arch Facial Plast Surg, 2006, 8(2):98-104.
[13] Menger DJ, Swart KM, Georgalas C, et al. Surgery of the external nasal valve: the correlation between subjective and objective measurents[J]. Clin Otolaryngol, 2014, 39(3):150-155.
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