Intranasal Z-plasty to Correct Internal Nasal Valve Stenosis: A Case Report
Year: 2014
Type: article
Study design: Case Report
Abstract: The nasal valve plays a crucial role in determining airflow characteristics of the nasal airway. In addition to respiration, the airflow turbulence created in this region regulates temperature, humidification, and filtration of inspired air. Stenosis of the nasal valve is not only esthetic but also a functional problem for the patient. Even mild stenosis can result in significant and problematic changes in airflow. There are several surgical approaches available to treat and improve constriction in the nasal valve region, from minimally invasive suture techniques to considerably more invasive open rhinoplasty approaches. Surgical correction is often not attempted because conventional surgical techniques require significant surgical dissection or cartilage grafting and have a high risk of relapse and external nasal deformity. Several patients with nasal valve stenosis do not desire a complex procedure, do not need cartilage augmentation, or do not want nose reshaping. For these patients, intranasal Z-plasty, a minimally invasive approach, has been well described to achieve true stenosis within the nasal valve, repair of cleft lip nasal deformities, and repair of narrowing and collapse of the internal nasal valve angle. We present the case of a 25-year-old female who had left-side internal nasal valve stenosis after facial trauma at childhood that was corrected by intranasal Z-plasty 1 year previously. Follow-up has shown that the stenosing process has not recurred and that an esthetically symmetrical aspect of the alar wings and nostrils was achieved.
Source: 童綜合醫學雜誌
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2199224265