Lateralizing the collapsed nasal valves simplified: 10-Year survey of a simple concealed suture technique

Abstract

Objective/Hypothesis: A number of innovative surgical procedures have been devised to correct nasal obstruction resulting from the combined deformities of the internal and external nasal valves. Although successful, they can be complex and manipulative, requiring experience and expertise. We submit an alternative surgical procedure for the repair of isolated internal nasal valve collapse that is simple to execute in the office under local infiltration anesthesia and within the grasp of any otolaryngologist interested in its repair. The long-term success and durability of the procedure have been tested and confirmed by a 10-year survey of its effectiveness. Study Design: Retrospective review. Results: Fifty-two (89.9%) of 58 respondents who underwent surgical repair for nasal valve collapse between 1999 and 2009 reported complete satisfaction with the improvement in their nasal airway that remained effective over time. Failures (10.1%) resulted from sutures coming loose from a variety of reasons that could be remedied quite easily. Conclusions: The simplified concealed suture lateralization of the collapsed internal nasal valve is highly successful and remains effective over many years with minimal complications and without any alteration in the nasal profile. © 2010 The American Laryngological, Rhinological, and Otological Society, Inc.