Nasal Valve Stenosis

Nasal valve stenosis, also known as nasal valve collapse, occurs when the nasal valve, which is the narrowest part of the airway, weakens and falls into the airway during breathing. This may affect one or both sides of the nose and causes a blockage and difficulty breathing.

Causes of Nasal Valve Stenosis

Nasal valve stenosis may be caused by a previous rhinoplasty or nose job that removed some of the supporting tissue of the nose, which may lead to collapse. It also may be the result of a deviated septum in the nose. Most often however, it is the result of congenital weakness to the lateral nasal wall.

Treatment of Nasal Valve Stenosis

Conservative treatments for nasal valve stenosis consist of BreatheRight nasal strips or the Rhinomed Mute devices. However, they require long term use with potential adverse effects on the nasal skin. Therefore, surgery is often needed to achieve long term results. There are several different surgical techniques that may be used depending on each patient’s individual condition and may vary based on the severity of the tissue that has collapsed.

Cartilage Graft

Supporting and spreading the existing cartilage with a cartilage graft. The graft widens the nasal passageway and prevents future collapse. It also supports the passageway to restore easier breathing.

Nasal Ridge Broadening

Broadening the nasal ridge with a graft. This graft also widens the nasal passageway, making breathing easier.

Sutures

The valves can be repaired with a suture from the valve area to the bone just under the eye. When the suture is tied, it stretches the valve open.

The Latera Implant

The LATERA nasal implant is used to support upper and lower lateral cartilage in the nose, reinforcing the nasal wall like traditional cartilage and polymer grafts. Supporting the cartilage in this manner may reduce nasal airway obstruction symptoms and help patients breathe better.16
The LATERA implant supports the upper and lower lateral cartilage by anchoring above the maxilla to provide cantilever support. Dr. Gerencer was the first surgeon in New Mexico to provide this treatment to his patients.

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