Identify Your Problems & Find Your Solutions
Nasal Valve Collapse
A nasal valve collapse may occur due to insufficient support from the nasal cartilage, particularly the lateral (side) cartilages of the nose. Sometimes over-resection or weakening of the nasal cartilage during rhinoplasty surgery can contribute to nasal valve collapse. Nasal injury, nasal trauma or congenital factors are other causes.
A Modified Cottle Test is a straightforward method to diagnose this condition:
Begin by breathing in and out normally. Then, gently pull the skin of your cheek outward to prevent it from collapsing inward. Breathe in again. If you notice improved airflow, it suggests that nasal valve collapse may be obstructing your nasal passage to some extent.
Fix-It
Spreader Grafts
Small pieces of cartilage are placed along the nasal sidewalls to widen and support the internal nasal valve. This helps to prevent collapse and improve airflow through the nose.
Lateral Crural Strut Grafts
These grafts provide additional support to the lateral cartilages of the nose, reinforcing the external nasal valve and preventing collapse.
Lateral crural turn-in-flap and lateral crural suspension with mitek have been very effective in patients having difficulty in nasal breathing related to paralysed nasal wall muscles, secondary to facial nerve paralysis.
Modified Alar Batten Grafts
Modified Alar Batten Grafts are used primarily in cases of dynamic collapse (collapse that occurs during inhalation) to stabilise the lateral nasal wall and maintain nasal patency.
Septal Reconstruction
Addressing any septal deviations or abnormalities through septoplasty can also contribute to improving nasal airflow and function, indirectly helping to stabilise the nasal valve.
Functional Rhinoplasty & Turbinoplasty
Functional Rhinoplasty & Turbinoplasty is a comprehensive approach that combines aesthetic refinements with functional improvements in nasal breathing.
