Repairing the Nasal Valve in Revision Surgery

Nasal airway obstruction is a frequent complaint in an otolaryngology clinic and is often multifactorial. Anatomic contributors may include a nasal septal deviation, inferior turbinate hypertrophy, and nasal valve compromise. Septoplasty and inferior turbinate reduction are one of the most common procedures performed by an otolaryngologist. A variety of techniques have been described to strengthen the lateral crura; however, the lateral crural strut graft should be considered in the revision rhinoplasty patient as studies have suggested it is more powerful than other methods without requiring other techniques to strengthen the lateral crura.