ABSTRACT
Impaired nasal breathing or collapse of the lateral side wall of the nasal valve region
during inspiration is a frequently encountered symptom. In general, this is caused
by a cross-sectional area that is too small, a weak lateral side wall, or a combination
of both. Over the years, many techniques have been described to improve the nasal
patency in these patients with the use of nasal grafts, repositioning techniques,
devices, or suspension suture techniques. This article presents a systematic overview
of different suspension suture techniques in nasal valve surgery.
KEYWORDS
Rhinoplasty - nasal valve - suspension - sutures
REFERENCES
1 Mink P J. Physiologie der Obern Luftwege. Leipzig, Germany: Vogel; 1920
2
Haight JSJ, Cole P.
The site and function of the nasal valve.
Laryngoscope.
1983;
93
49-55
3
Bridger G P, Proctor D F.
Maximum nasal inspiratory flow and nasal resistance.
Ann Otol Rhinol Laryngol.
1970;
79
481-488
4
Bridger G P.
Physiology of the nasal valve.
Arch Otolaryngol.
1970;
92
543-553
5
Sheen J H.
Spreader graft: a method of reconstructing the roof of the middle nasal vault following
rhinoplasty.
Plast Reconstr Surg.
1984;
73
230-239
6
Guyuron B, Michelow B J, Englebardt C.
Upper lateral splay graft.
Plast Reconstr Surg.
1998;
102
2169-2177
7
Hage J.
Collapsed alae strengthened by conchal cartilage (the butterfly cartilage graft).
Br J Plast Surg.
1965;
18
92-96
8
Toriumi D M, Josen J, Weinberger M, Tardy Jr M E.
Use of alar batten grafts for correction of nasal valve collapse.
Arch Otolaryngol Head Neck Surg.
1997;
123
802-808
9
Rettinger G, Masing H.
Rotation of the alar cartilage in collapsed ala.
Rhinology.
1981;
19
81-86
10
Turegun M, Acarturk T O, Ozturk S, Sengezer M.
Aesthetic and functional restoration using dorsal saddle shaped Medpor implant in
secondary rhinoplasty.
Ann Plast Surg.
2008;
60
600-603
11
Paniello R C.
Nasal valve suspension. An effective treatment for nasal valve collapse.
Arch Otolaryngol Head Neck Surg.
1996;
122
1342-1346
12
Lee D S, Glasgold A I.
Correction of nasal valve stenosis with lateral suture suspension.
Arch Facial Plast Surg.
2001;
3
237-240
13
Friedman M, Ibrahim H, Syed Z.
Nasal valve suspension: an improved, simplified technique for nasal valve collapse.
Laryngoscope.
2003;
113
381-385
14
Friedman M, Ibrahim H, Lee G, Joseph N J.
A simplified technique for airway correction at the nasal valve area.
Otolaryngol Head Neck Surg.
2004;
131
519-524
15
Nuara M J, Mobley S R.
Nasal valve suspension revisited.
Laryngoscope.
2007;
117
2100-2106
16
Rizvi S S, Gauthier M G.
Lateralizing the collapsed nasal valve.
Laryngoscope.
2003;
113
2052-2054
17
Park S S.
The flaring suture to augment the repair of the dysfunctional nasal valve.
Plast Reconstr Surg.
1998;
101
1120-1122
18
Schlosser R J, Park S S.
Surgery for the dysfunctional nasal valve. Cadaveric analysis and clinical outcomes.
Arch Facial Plast Surg.
1999;
1
105-110
19
Sciuto S, Bernardeschi D.
Upper lateral cartilage suspension over dorsal grafts: a treatment for internal nasal
valve dynamic incompetence.
Facial Plast Surg.
1999;
15
309-316
20
Mendelsohn M S, Golchin K.
Alar expansion and reinforcement: a new technique to manage nasal valve collapse.
Arch Facial Plast Surg.
2006;
8
293-299
21
Hommerich C P.
The lateral rhinopexy: results of an alternative technique to treat nasal valve collapse.
Otorhinolaryngologia Nova.
2001;
11
162-167
22
Menger D J.
Lateral crus pull-up: a method for collapse of the external nasal valve.
Arch Facial Plast Surg.
2006;
8
333-337
Dirk J Menger
Department of Otorhinolaryngology–Head and Neck Surgery, Center for Facial Plastic
and Reconstructive Surgery, Meibergdreef 9
1105 AZ Amsterdam, The Netherlands
Email: D.J.Menger@amc.uva.nl