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Reconstruction of the Internal Nasal Valve: Modified Splay Graft Technique With Endonasal Approach

Authors

  • Ahmet Islam MD,

    Corresponding author
    1. Department of Otorhinolaryngology and Head and Neck Surgery, Ministry of Health Ankara Training and Research Hospital, Ankara, Turkey
    • Ahmet Islam, MD, Department of Otorhinolaryngology and Head and Neck Surgery, Fakulteler mah.Oba sok.No 32/5 Ic Cebeci, Postcode 06590, Ankara, Turkey
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  • Necmi Arslan MD,

    1. Department of Otorhinolaryngology and Head and Neck Surgery, Ministry of Health Ankara Training and Research Hospital, Ankara, Turkey
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  • Sevim Aslan Felek MD,

    1. Department of Otorhinolaryngology and Head and Neck Surgery, Ministry of Health Ankara Training and Research Hospital, Ankara, Turkey
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  • Hatice Celik MD,

    1. Department of Otorhinolaryngology and Head and Neck Surgery, Ministry of Health Ankara Training and Research Hospital, Ankara, Turkey
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  • Munir Demirci MD,

    1. Department of Otorhinolaryngology and Head and Neck Surgery, Ministry of Health Ankara Training and Research Hospital, Ankara, Turkey
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  • Haldun Oguz MD

    1. Department of Otorhinolaryngology and Head and Neck Surgery, Ministry of Health Ankara Training and Research Hospital, Ankara, Turkey
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Abstract

Objective/Hypothesis: The aim of this study was to determine the reliability and feasibility of modified splay graft technique in the surgical correction of internal nasal valve (INV) incompetence and nasal valve collapse.

Study Design: Eleven patients operated with the diagnosis of INV incompetence were followed for 6 to 30 months after operation.

Methods: Between 2004 and 2007, 11 patients with the complaint of shortness of breath, and in whom nasal valve incompetence was detected, and who were positive for Cottle and modified Cottle tests were operated. In the operation, splay graft was used endonasally with the technique we describe. Before and at least 6 months after the operation, patients were evaluated with acoustic rhinometry, linear symptom scale, and nasal obstruction symptom evaluation scale in addition to endoscopic examination, and the results were compared.

Results: In 10 of 11 (90.9%) patients operated with modified splay graft technique, marked improvement was observed in INV region with endoscopic examination and acoustic rhinometry. In the evaluation made with linear symptom scale and nasal obstruction symptom evaluation scale, partial improvement was seen in nasal obstruction in one patient and marked improvement in 10 patients. No complications developed.

Conclusions: Modified splay technique is an effective graft method that can be easily applied and has minimal complications and morbidity.

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