• Kantas I.
  • Balatsouras D.
  • Vafiadis M.
  • Apostolidou M.
  • Korres S.
  • Danielides V.

Υπό δημοσίευση στο περιοδικό The Journal of Otolaryngology.

Manuscript ID: JOTO-Sep-2006-0162.R1.

Κλινικό-ερευνητική εργασία.

Objective: To determine the efficacy of the upper lateral caudal edge management in treating patients with inner nasal valve insufficiency and collapse.

Design: This was a prospective study in a group of patients suffering from nasal obstruction owed to a nasal valve insufficiency. A total of 43 patients, previously operated by septoplasty and inferior turbinectomy were included. All patients presented with nasal obstruction resulting in persistent functional problems. Anatomically narrow nasal valve, valve collapse or both were found during clinical examination.

Setting: A tertiary referral center.

Methods: A revision was undertaken using a new technique to restore the nasal valve, based on upper lateral caudal edge management.

Main outcome measures: Improvement of nasal airway patency evidenced by patient questioning, by clinical inspection of the nose and by rhinomanometric results.

Results: None of the patients had major complications. In 28 (65,1%) patients symmetrically improved nasal airway patency and elimination of the subjective sensation of inspiratory collapse were found. In 12 (27,9%) patients remarkable asymmetrically improvement of nasal obstruction was evident. Two (4,6%) patients reported a moderately breathing improvement and in only 1 (2,3%) patient revision was needed. The meantime of follow-up was 18 months.

Conclusions: Οur proposed method is an effective therapeutic approach in the management of inner nasal valve insufficiency. It reconstitutes the normal tension of the inner nasal valve and reestablishes stiffness and resistance of the lateral nasal wall. It can be performed under local anesthesia in cooperative patients, with minimal morbidity and a high rate of success.