ABSTRACT
Background: Nasal obstruction due to deviated septum is commonly treated with conventional septoplasty. This surgery however is inadequate in cases of compromised nasal valves and leads to persistent symptoms. Hence, we stressed the evaluation of nasal valves before septal surgery & studied the outcome of the patients with valve area correction. Aim:To prove the signi?cance of inner nasal valve in nasal surgery. Objective: To analyse the outcome of Open septoplasty. Methodology:A retrospective review of our patients undergoing Open septoplasty was analyzed from April 2016 to January 2021. The preoperative and post-operative evaluations were calculated & statistically analysed. Results :A total of 400 patients underwent Open septoplasty, out of which 392(98%)showed symptomatic improvement in breathing dif?culty. Also, 220 patients out of total 400 underwent cosmetic correction along with open septoplasty & 209 (95%) out of these220 were completely happy with the asthetic improvement. Conclusion:Open septoplasty and Spreader grafts is best solution to improve Internal Nasal valve angle. Rim graft to improve external valve collapse. Spreader graft also gives asthetic along with functional improvement.
ABSTRACT
The borders of the internal nasal valve are defined by the caudal edge of the upper lateral cartilage supero-laterally, the cartilaginous septum medially, and the nostril floor inferiorly. It is the narrowest portion of the nasal airway and one of the primary regulator of nasal air flow. internal nasal valve collapse is a serious problem associated with prior nasal surgery, previous trauma, aging, or primary weakness of the upper lateral cartilage. We report a case of the internal nasal valve obstruction due to an uncommon mucocutaneous scarring. A 55-year-old male patient complained of headache, severe nocturnal snoring and unilateral nasal obstruction. He had a linear depressed 1.5cm in length scar on the nose dorsum, caused by a lacerated wound. The intranasal examination revealed a concentric narrowing of the left internal nasal valve area by mucocutaneous scar constriction and a left sided septal deviation, but inferior turbinate hypertrophy was not seen. After an open rhinoplasty incision, the nasal airway obstruction was relieved by scar release with the five flap Z-plasty, submucosal resection of deviated septal cartilage and unilateral spreader graft using autogenous septal cartilage. He was pleased with a significant relief of nasal obstructive symptoms. The cross- sectional size of the internal nasal valve area was maintained until postoperative 8 months. Correction of internal nasal valve obstruction must involve surgery on all the structures that make up the valve: septum, upper and lower lateral cartilage, intranasal mucosa, and the inferior turbinate.