Lateral Nasal Valve Suspension: Nasal Valve Collapse with Facial Palsy / 대한이비인후과학회지

ABSTRACT

The nasal problems following facial paralysis could be due to nasal obstruction and asymmetric change of the mid face contour. They can occur because of the collapse in the alar sidewall of the adjacent soft tissue ptosis and the loss of intrinsic dilator naris tone. A number of procedures including face-lift are available to correct this problem. We present the case of a 52-year-old woman with unilateral nasal obstruction and mid face asymmetry after Bell's palsy. The site of nasal obstruction was nasal valve area that weakened secondary to facial paralysis. We used lateral suspension technique to correct nasal valve collapse by providing a lateral vector of pull on the nasal sidewall and nostril. Battery-operated Stryker drill and the Mitek drill bit were used for suspension. Immediately after operation, nasal obstruction and facial asymmetry were released. This procedure was simple and highly effective for correcting nasal valve collapse.