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Research Letter |

Use of Intranasal Flaring Suture for Dysfunctional Nasal Valve Repair

Ivan Rasic, MD1; Alan Pegan, MD1; Andro Kosec, MD1; Boris Ivkic, MD1; Vladimir Bedekovic, MD, PhD1
[+] Author Affiliations
1Department of Otorhinolaryngology and Head and Neck Surgery, Clinical Hospital Centre Sestre Milosrdnice, University of Zagreb School of Medicine, Zagreb, Croatia
JAMA Facial Plast Surg. 2015;17(6):462-463. doi:10.1001/jamafacial.2015.1116.
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Extract

This study of patients undergoing surgical correction of nasal valve stenosis reports favorable results with the intranasal flaring suture technique.

The nasal valve may be described as the aperture created by the nasal floor inferiorly, upper lateral cartilages (ULCs) superiorly, nasal alar and bony pyriform apertures laterally, and the cartilaginous septum medially.1 The external and internal nasal valves should be considered separately when assessing the cause of valvular dysfunction, with the most common cause being nasal septal deviation. The next most frequent cause is iatrogenic valvular collapse after rhinosurgery, especially after removal of the nasal roof and overresection of the lower lateral cartilages. Hypertrophy of the inferior turbinates can also significantly increase inspiratory nasal airway resistance. Among many suture and graft techniques used to augment the internal nasal valve angle, 1 possible solution is using flaring sutures, also known as Park sutures.2

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Figure 1.
Schematic View of the Endonasal Flare Suture Positioning
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Figure 2.
Endoscopic Intraoperative Images of Nasal Valve Angle Widening

At left, preoperative view; at right, postoperative view.

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