Understanding Nasal Valve Compromise in Nasal Airway Obstruction: A New Classification System

J Craniofac Surg. 2023 Jan-Feb;34(1):112-119. doi: 10.1097/SCS.0000000000008997. Epub 2022 Sep 8.

Abstract

Objectives: A key aspect of rhinoplasty is integrity of nasal valves area because of its fundamental role in patent nasal airway. furthermore, nasal obstruction is a dominant feature in patient with nasal valves dysfunction (NVD) which can be devastating outcome after rhinoplasty.

Methods: Nonetheless, NVD has been widely investigated regarding their etiologies and management. However, it has been assumed that the anatomical complexity and interplay between its structures causing a confusion for a beginner surgeon to diagnose and treat NVD. This study was approved by the institutional review board of Chosun University Hospital, Gwangju, Korea (2022-11-005).

Results: To date, the lack of consensus on nasal valve pathologies and corrective procedures has led to its underestimations during analysis and management. As result, we proposed a classification system based on its affected anatomical part, location, and their management. Thus, implementing a classification system for NVD will help guide the practice of rhinoplasty and introduce a more structured approach.

Conclusion: This approach will prove useful in expanding our understanding of how important to locate the pathology of NVD and apply the most relevant management options, particularly for a beginner surgeons.

Level of evidence: V.

MeSH terms

  • Catheters
  • Humans
  • Nasal Obstruction* / diagnosis
  • Nasal Obstruction* / etiology
  • Nasal Obstruction* / surgery
  • Nasal Septum / surgery
  • Nose / surgery
  • Rhinoplasty* / methods