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Obstruction of the nasal valve

Published online by Cambridge University Press:  29 June 2007

Samy Elwany  and
Hossam Thabet
Samy Elwany*
Affiliation:
Department of Otolaryngology, Alexandria Medical School, Alexandria, Egypt.
Hossam Thabet
Affiliation:
Department of Otolaryngology, Alexandria Medical School, Alexandria, Egypt.
*
Address for correspondence: Samy Elwany, M.D., P.O. Box 267, Sidi Gaber, Alexandria, Egypt.
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Abstract

Obstruction of the nasal valve is an important cause of chronic nasal obstruction in adults. In a series of 500 patients, obstruction at the level of the nasal valve was diagnosed in 65 of them (13 per cent). The obstruction was unilateral in 57 patients (88 per cent). Forty-seven patients (72 per cent) had history of previous nasal surgery of accidental trauma. Causes of obstruction of the nasal valve included high septal deviations, a weak or deformed upper lateral cartilage, adhesions, and alar collapse. All patients underwent corrective nasal surgery and the surgical procedures were tailored according to the existing pathology. Post-operatively, the mean nasal patency score increased from 2.9 to 8.6, the mean nasal airflow increased from 579.5 to 727 cm/sec (at 150 Pa), and the mean nasal resistance decreased from 0.31 to 0.23 Pa/cm3 sec-1.

Keywords

Nasal obstruction
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 3 , March 1996 , pp. 221 - 224
Copyright
Copyright © JLO (1984) Limited 1996

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References

Bridger, G. P., Proctor, D. F. (1970) Maximum nasal inspiratory flow and nasal resistance. Annals of Otology, Rhinology and Laryngology 79: 481–488.CrossRefGoogle ScholarPubMed
Clement, P. (1984) Committee report on standardization of rhinomanometry. Rhinology 22: 151–155.Google ScholarPubMed
Cole, P., Hoves, H. E. (1986) Resistance to respiratory airflow. comparison between different common methods of calculation. Rhinology 24: 163–173.Google ScholarPubMed
Dishoeck, V. (1965) The part of the nasal valve and turbinate in total nasal resistance. Rhinology 3: 19–26.Google Scholar
Haight, S. J. (1983) The site and function of the nasal valve. Laryngoscope 93: 49–55.CrossRefGoogle ScholarPubMed
Kasperbauer, B., Kern, B. (1987) Nasal valve physiology. Otolaryngologic Clinics of North America 20: 4–21.CrossRefGoogle ScholarPubMed
Kern, B. E. (1978) Surgical approaches to abnormalities of the nasal valve. Rhinology 16: 156–189.Google ScholarPubMed
Jeppesen, F., Jeppesen, S. J. (1992) tnsufficiency of the nasal valve and its treatment. Ear, Nose and Throat Journal 71: 27–37.CrossRefGoogle ScholarPubMed
Ogura, J. H. (1977) Fundamental understanding of nasal obstruction. Laryngoscope 87: 1225–1232.CrossRefGoogle ScholarPubMed
Perry, C. J. (1981) Nasal resistance before and after rhinoplasty. British Journal of Plastic Surgery 34: 105–111.Google Scholar
Prez, J. D. (1975) Valvular obstruction of nasal airway. Plastic Reconstructive Surgery 56: 307–313.Google Scholar
Robinson, J. K., Buzet, G. C. (1990) Nasal valve malfunction resulting from resection of cancer. Archives of Otolaryngology. Head and Neck Surgery 110: 1419–1424.Google Scholar
Sulsenti, G., Palma, A. (1989) A new technique for functional surgery of the nasal valve area. Rhinology (Suppl. 10), 1–19.Google ScholarPubMed
Viani, L., Jones, A. S. (1990) Nasal airflow in inspiration and expiration. Journal of Laryngology and Otology 104: 473–476.CrossRefGoogle ScholarPubMed
Williams, H. L. (1972) A reconstruction of the relation of the mechanism of the nasal airflow to the function of the nose in respiration. Rhinology 10: 145–161.Google Scholar