Facial Plast Surg 2011; 27(5): 437-441
DOI: 10.1055/s-0031-1288932
© Thieme Medical Publishers

Suspension Suture Techniques in Nasal Valve Surgery

Meile S. Page1 , Dirk J. Menger2
  • 1Department of General and Paediatric Surgery, Haga Hospital, The Hague, The Netherlands
  • 2Department of Otorhinolaryngology–Head and Neck Surgery, Center for Facial Plastic and Reconstructive Surgery, Academic Medical Center, Amsterdam, The Netherlands
Further Information

Publication History

Publication Date:
25 October 2011 (online)

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.

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

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