Wayoff M, Tisserant J
Service ORL, CHU, Hôpital Central, Nancy.
Ann Otolaryngol Chir Cervicofac. 1989;106(7):496-501.
The nasal valve is anatomically well defined, but, on a clinical point of view, it is more appropriate to talk about the nasal valve area. If the valve itself represents a three-step dynamic structure, its air-flow regulating function may be disturbed by minor adjacent structures deformations. It is of utmost importance to recognize the nasal valve dysfunction among patients with nasal obstruction complaints and to avoid any iatrogenic action at this level during rhinoplastic procedures. The various abnormalities of the nasal valve area described. Some general rules are outlined to repair this very delicate structure. In severe cases, good results are difficult to be reached. It is far better to adopt preventive rhinoplastic procedures.
鼻瓣膜在解剖学上有明确的定义,但从临床角度来看,谈论鼻瓣膜区更为合适。如果瓣膜本身代表一个三步动态结构,其气流调节功能可能会因相邻结构的轻微变形而受到干扰。在有鼻塞主诉的患者中识别鼻瓣膜功能障碍,并在鼻整形手术期间避免在此水平进行任何医源性操作至关重要。文中描述了鼻瓣膜区的各种异常情况。概述了一些修复这个非常精细结构的一般规则。在严重的情况下,很难取得良好的效果。采用预防性鼻整形手术要好得多。