Mitek Suspension of the Lateral Nasal Wall

Abstract

The nasal valve has long been described as the anatomical boundary most likely to inhibit nasal airflow and lead to subsequent nasal obstruction. Although many procedures can address this area to improve the nasal airway, for over 20 years, suture lateralization of the external nasal valve has been described as a minimally invasive technique that can improve nasal breathing. We report our modification of the standard technique in which we lateralize the placement of the bone-anchored suture and incorporate Gore-Tex within the nasal vestibular incision to prevent tissue migration.

Keywords

Mitek - suspension - nasal valve - suture lateralization - Gore-Tex - nasal obstruction

• References

• 1 André RF, Vuyk HD. Nasal valve surgery; our experience with the valve suspension technique. Rhinology 2008; 46 (1) 66-69
• 2 Lee DS, Glasgold AI. Correction of nasal valve stenosis with lateral suture suspension. Arch Facial Plast Surg 2001; 3 (4) 237-240
• 3 Paniello RC. Nasal valve suspension. An effective treatment for nasal valve collapse. Arch Otolaryngol Head Neck Surg 1996; 122 (12) 1342-1346
• 4 Friedman M, Ibrahim H, Syed Z. Nasal valve suspension: an improved, simplified technique for nasal valve collapse. Laryngoscope 2003; 113 (2) 381-385
• 5 Friedman M, Ibrahim H, Lee G, Joseph NJ. A simplified technique for airway correction at the nasal valve area. Otolaryngol Head Neck Surg 2004; 131 (4) 519-524
• 6 Rizvi SS, Gauthier MG. Lateralizing the collapsed nasal valves simplified: 10-year survey of a simple concealed suture technique. Laryngoscope 2011; 121 (3) 558-561
• 7 Manickavasagam J, Iqbal I, Wong S, Raghavan U. Alar suspension sutures in the management of nasal valve collapse. Ann Otol Rhinol Laryngol 2015; 124 (9) 740-744
• 8 Nuara MJ, Mobley SR. Nasal valve suspension revisited. Laryngoscope 2007; 117 (12) 2100-2106