Surgery of the Nasal Valve Scott B. Roofe, MD, FACS Facial Plastic - - PDF document

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Surgery of the Nasal Valve Scott B. Roofe, MD, FACS Facial Plastic and Reconstructive Surgery Tripler Army Medical Center From: Nasal Valve Reconstruction: Experience in 53 Consecutive Patients Nasal surgery Internal valve Arch Facial

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Surgery of the Nasal Valve

Scott B. Roofe, MD, FACS Facial Plastic and Reconstructive Surgery Tripler Army Medical Center

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From: Nasal Valve Reconstruction: Experience in 53 Consecutive Patients

Arch Facial Plast Surg. 2004;6(3):167-171. doi:10.1001/archfaci.6.3.167

Internal valve Nasal surgery

10-15 degrees

Internal Nasal Valve

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From: Nasal Valve Reconstruction: Experience in 53 Consecutive Patients

Arch Facial Plast Surg. 2004;6(3):167-171. doi:10.1001/archfaci.6.3.167

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Evaluation

SLIDE 5 Physician AAO-HNS#:____________Patient ID: __________________ Today’s date: __ __/__ __/__ __ __ __

Nasal Obstruction and Septoplasty Effectiveness Scale

Over the past ONE month, how much of a problem were the following conditions for you? Please circle the most correct response Not a Problem Very Mild Problem Moderate problem Fairly Bad Problem Severe problem

1. Nasal congestion or stuffiness

1 2 3 4

2. Nasal blockage or obstruction

1 2 3 4

3. Trouble breathing through my nose

1 2 3 4

4. Trouble sleeping

1 2 3 4

5. Unable to get enough air through my

nose during exercise or exertion 1 2 3 4 To the Patient: Please help us to better understand the impact of nasal obstruction on your quality of life by completing following survey. Thank You!

NOSE Scale

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TECHNIQUES

SPREADER GRAFTS LATERAL FLARING SUTURE AUTO-SPREADER ALAR BATTEN GRAFTS NASAL VALVE SUSPENSION

The Nasal Valve Dilemma

The Narrow Straw vs the Weak Wall

ARCH FACIAL PLAST SURG/VOL 14 (NO. 1), JAN/FEB 2012 WWW.ARCHFACIAL.COM

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Spreader Grafts

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Intranasal Placement

From: Endonasal placement of spreader grafts: experience in 41 consecutive patients. Arch Facial Plast Surg. 2012 Sep-Oct;14(5):318-22. doi: 10.1001/ archfacial.2012.173.

From: Surgery for the Dysfunctional Nasal Valve: Cadaveric Analysis and Clinical Outcomes

Arch Facial Plast Surg. 1999;1(2):105-110. doi:10.1001/archfaci.1.2.105

Lateral Flaring Suture

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From: Surgery for the Dysfunctional Nasal Valve: Cadaveric Analysis and Clinical Outcomes

Arch Facial Plast Surg. 1999;1(2):105-110. doi:10.1001/archfaci.1.2.105

Lateral Flaring Suture

From: Nasal Airway Preservation Using the Autospreader Technique: Analysis of Outcomes Using a Disease-Specic Quality-of-Life Instrument

Arch Facial Plast Surg. 2011;13(4):231-233.

Autospreader

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From: Nasal Airway Preservation Using the Autospreader Technique: Analysis of Outcomes Using a Disease-Specic Quality-of-Life Instrument

Arch Facial Plast Surg. 2011;13(4):231-233. doi:10.1001/archfacial.2011.7

re re re re re rese se se se s rvatio i n Using the Autospreader Technique: Analysis of Outcom s es U i si si si si si i sin

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Alar Batten Graft

Batten From: Surgery for the Dysfunctional Nasal Valve: Cadaveric Analysis and Clinical Outcomes

Arch Facial Plast Surg. 1999;1(2):105-110. doi:10.1001/archfaci.1.2.105

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From: Nasal Batten Grafts: Are Patients Satised?

Arch Facial Plast Surg. 2012;14(1):14-19. doi:10.1001/archfacial.2011.1187

Alloplastic Implants

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From: Placement of a Lateral Nasal Suspension Suture Via an External Rhinoplasty Approach

Arch Facial Plast Surg. 2007;9(3):214-216. doi:10.1001/archfaci.9.3.214 . .

Nasal Valve Suspension

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From: Placement of a Lateral Nasal Suspension Suture Via an External Rhinoplasty Approach

Arch Facial Plast Surg. 2007;9(3):214-216. doi:10.1001/archfaci.9.3.214

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Nasal Valve Suspension

Before and after………………..
Before and after………………..

Nasal Valve Suspension

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From: Intraoperative Suction-Assisted Evaluation of the Nasal Valve in Rhinoplasty

Arch Facial Plast Surg. 2012;14(1):34-38. doi:10.1001/archfacial.2011.1111

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CONCLUSION

LOCALIZE
SUPPORT
WIDEN
TURBINATES AND

SEPTUM