No2-3(2) 2019
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DOI 10.37219/2528-8253-2019-2-28 |
Makaryn-Kibak AS
Diagnosis and treatment of the nasal valve dysfunction in patients with
impaired nasal breathing |
Makaryn-Kibak Andrey S.
Scientific and Practical Center of Otolaryngology of the Republic of Belarus
Minsk, 220004, Belarus
E-mail: rnpc@lor.by |
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Abstract
Based on the analysis of indicators of 623 patients, factors that are
clinically and statistically significantly associated with the presence of
nasal valve pathology were identified (p<0.003); a method has been developed
to determine the nasal valve dysfunction. In patients with impaired nasal
breathing we have developed methods for the surgical treatment of stenosis
of the internal nasal valve considering the mobility of the side wall of the
nose.
As a result of the studies, an algorithm for the step-by-step diagnosis of
the pathology of the nasal valve in patients with impaired nasal breathing
was developed for a differentiated, comprehensive, personalized approach to
the choice of treatment method, taking into account the level of
obstruction, the degree of difficulty in nasal breathing, and concomitant
nasal pathology. |
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Keywords
nasal valve, nasal valve region, pathology of the nasal valve, inspiratory
collapse of the nasal valve, stenosis of the nasal valve. |
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Reference
- Rusetskiy YuYu, Sobolev VP, Lopatin AS, Ashirov PH, Sergeeva NV.
[Features of the structure and prevalence of nasal valve dysfunction in
the general population and among patients with nasal obstruction].
Russian Rhinology. 2013; 21(3):10-2.
[In Russian].
- Rusetskiy YuYu, Lopatin AS, Sobolev VP. [Nasal valve. Part I.
Anatomical and physiological essence, clinical manifestations and
diagnostic methods for its dysfunction]. Vestn Otorinolaringol.
2012;(2):79-84. [In Russian].
- Rusetskiy YuYu, Lopatin AS, Sobolev VP. [Nasal valve. Part II
Existing methods of conservative and surgical treatment for its
pathology]. Vestn Otorinolaringol. 2012;(2):85-90. [In Russian].
- Sobolev VP, Rusetskiy YuYu, Karapetyan LS. The results of a
comparative randomized study of the effectiveness of various methods of
correction of the nasal valve: an objective assessment. Vestn
Otorinolaringol. 2015;80(2):22-6. [In Russian].
- Rusetskiy YuYu, Sobolev VP, Makhambetova EA, Spiranskaya OA,
Krupochkina NV. [Nasal valve: terminology and classification issues].
Russian otorhinolaryngology. 2016;(3):81-4. [In Russian].
- Rusetskiy Yu.Yu., Sobolev VP, Karapetyan LS. [Aesthetic aspects of
nasal valve surgery]. Annals of plastic, reconstructive, and aesthetic
surgery. 2014;(2):8-15. [In Russian].
- Seren E. A new surgical method of dynamic nasal valve collapse. Arch
Otolaryngol Head Neck Surg.
2009 Oct;135(10):1010-4. doi: 10.1001/archoto.
2009.135.
- Rhee JS, Kimbell JS. The nasal valve dilemma: the
narrow straw vs the weak wall. Arch Facial Plast
Surg. 2012 Jan-Feb;14(1):9-10. doi: 10.1001/ archfacial.2011.1450.
- Dutton JM, Neidich MJ. Intranasal Z-plasty for
internal nasal valve collapse. Arch Facial Plast
Surg.
2008 May-Jun;10(3):164-8. doi: 10.1001/
archfaci.10.3.164.
- Gelardi M, Ciprandi G. The clinical importance of
the nasal valve. Acta Biomed. 2019 Jan 14;90(2-S).
doi: 10.23750/abm.v90i2-S.8105.
- Moss WJ. Is It Time to Rethink the Approach to
Internal Nasal Valve Stenosis? JAMA Otolaryngol
Head Neck Surg.
2019 Feb 1;145(2):105-106. doi:
10.1001/jamaoto.2018.3356.
- Samra S, Steitz JT, Hajnas N, Toriumi
DM. Surgical Management of Nasal Valve Collapse. Otolaryngol Clin North Am.
2018
Oct;51(5):929-944. doi: 10.1016/j.otc.2018.05.009.
- Tripathi PB, Elghobashi S, Wong BJF. The Myth
of the Internal Nasal Valve. JAMA Facial Plast
Surg.
2017 Jul 1;19(4):253-254. doi: 10.1001/ jamafacial.2017.0039.
- Xavier R. Internal nasal valve functional surgery.
Arch Facial Plast Surg. 2012 Nov;14(6):465; author reply 465-6.
doi: 10.1001/archfacial.
2012.1107.
- Weeks DM, Walker DD, Dutton JM. Anatomical
comparison of minimally invasive nasal valve procedures. Arch Facial Plast Surg. 2012 May-Jun;14(3):189-92. doi: 10.1001/archfacial.2012.24.
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