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Update on the evidence for functional rhinoplasty techniques.

David Chan1, Taha Z Shipchandler

  • 1Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology, Indiana University School of Medicine, Indianapolis, Indiana, USA.

Current Opinion in Otolaryngology & Head and Neck Surgery
|July 2, 2015
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Summary

Functional rhinoplasty addresses nasal valve collapse using various techniques to improve breathing. Patient-specific approaches are key, with growing evidence supporting surgical correction for better nasal airflow.

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Area of Science:

  • Otolaryngology
  • Plastic Surgery
  • Rhinology

Background:

  • Nasal obstruction in the nasal valve region is a common issue.
  • Nasal valve collapse can stem from various causes, including idiopathic factors, trauma, previous surgery, or cartilage weakness.
  • Internal and external valve collapse have distinct etiologies and associations.

Purpose of the Study:

  • To review current and emerging techniques in functional rhinoplasty for nasal valve collapse.
  • To highlight the increasing body of evidence supporting surgical interventions for nasal obstruction.
  • To emphasize the trend towards objective assessment in evaluating surgical outcomes.

Main Methods:

  • Review of popular and novel functional rhinoplasty techniques.
  • Discussion of objective testing and validated assessment scales for postoperative evaluation.
  • Synthesis of current literature supporting nasal valve correction.

Main Results:

  • Functional rhinoplasty employs diverse techniques to manage nasal valve collapse.
  • Objective testing and validated scales are increasingly used to assess outcomes.
  • Evidence supports nasal valve correction for improving nasal breathing.

Conclusions:

  • Functional rhinoplasty offers multiple surgical options for nasal valve collapse.
  • While high-level data is limited, literature supports nasal valve correction for improved nasal breathing.
  • The optimal surgical technique is individualized for each patient.