How common is nasal valve collapse among patients who have undergone a rhinoplasty? What steps can a surgeon take to prevent weakening of the nasal valves?
February 10, 2015
Answer: Breathing problem prevention after a rhinoplasty It's important to examine the internal portion of the nose to make sure there is no pre-existing deviated septum, turbinate hypertrophy or valve collapse prior to any elective cosmetic nasal surgery. It is also important to prevent valve collapse from occurring at the time of surgery, such as a spreader graft placement. It's important to evaluate for both internal valve collapse and external nasal valve collapse. For more information about spreader grafts, please see the video below
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February 10, 2015
Answer: Breathing problem prevention after a rhinoplasty It's important to examine the internal portion of the nose to make sure there is no pre-existing deviated septum, turbinate hypertrophy or valve collapse prior to any elective cosmetic nasal surgery. It is also important to prevent valve collapse from occurring at the time of surgery, such as a spreader graft placement. It's important to evaluate for both internal valve collapse and external nasal valve collapse. For more information about spreader grafts, please see the video below
Helpful
February 10, 2015
Answer: Breathings problems after rhinoplasty It is probably more common than people think. However, I do see a disproportionate amount of patients with breathing problems since I am also an ENT physician. I have patients that seek out my services for other cosmetic issues who may have had rhinoplasty 10-15 years before and when asked they will admit to having breathing issues. Nasal valve collapse and a persistent deviated septum are probably the most common reasons for breathing problems after rhinoplasty. The nasal valve can be collapsed at either the external nasal valve (due to the tip cartilages being over-resected) or at the internal nasal valve when the bridge is lowered (dorsal hump removal). Preventing nasal valve collapse comes from understanding the structural anatomy and being conservative in the approach. Also, spreader grafts, flaring sutures and/or proper osteotomies to close an open roof deformity can be used during the time of surgery to prevent future problems.
Helpful
February 10, 2015
Answer: Breathings problems after rhinoplasty It is probably more common than people think. However, I do see a disproportionate amount of patients with breathing problems since I am also an ENT physician. I have patients that seek out my services for other cosmetic issues who may have had rhinoplasty 10-15 years before and when asked they will admit to having breathing issues. Nasal valve collapse and a persistent deviated septum are probably the most common reasons for breathing problems after rhinoplasty. The nasal valve can be collapsed at either the external nasal valve (due to the tip cartilages being over-resected) or at the internal nasal valve when the bridge is lowered (dorsal hump removal). Preventing nasal valve collapse comes from understanding the structural anatomy and being conservative in the approach. Also, spreader grafts, flaring sutures and/or proper osteotomies to close an open roof deformity can be used during the time of surgery to prevent future problems.
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