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Obstruction of the nasal valve

Published online by Cambridge University Press:  29 June 2007

Samy Elwany*
Affiliation:
Department of Otolaryngology, Alexandria Medical School, Alexandria, Egypt.
Hossam Thabet
Affiliation:
Department of Otolaryngology, Alexandria Medical School, Alexandria, Egypt.
*
Address for correspondence: Samy Elwany, M.D., P.O. Box 267, Sidi Gaber, Alexandria, Egypt.

Abstract

Obstruction of the nasal valve is an important cause of chronic nasal obstruction in adults. In a series of 500 patients, obstruction at the level of the nasal valve was diagnosed in 65 of them (13 per cent). The obstruction was unilateral in 57 patients (88 per cent). Forty-seven patients (72 per cent) had history of previous nasal surgery of accidental trauma. Causes of obstruction of the nasal valve included high septal deviations, a weak or deformed upper lateral cartilage, adhesions, and alar collapse. All patients underwent corrective nasal surgery and the surgical procedures were tailored according to the existing pathology. Post-operatively, the mean nasal patency score increased from 2.9 to 8.6, the mean nasal airflow increased from 579.5 to 727 cm/sec (at 150 Pa), and the mean nasal resistance decreased from 0.31 to 0.23 Pa/cm3 sec-1.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1996

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