Lee Dong-Yun, Won Tae-Bin
Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Seoul, Korea.
Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, Korea.
Clin Exp Otorhinolaryngol. 2024 Aug;17(3):189-197. doi: 10.21053/ceo.2024.00073. Epub 2024 Jun 13.
Nasal valve dysfunction can substantially impact nasal airflow and overall quality of life. This review provides a comprehensive examination of nasal valve dysfunction, including its mechanisms, classification, and surgical management. The nasal valves include internal and external valves, each of which plays a crucial role in regulating nasal airflow. Subclassification of the external nasal valve into alar and rim valves helps specify the site of obstruction when present and informs the choice of surgical intervention. Dynamic nasal valve obstruction, often characterized by inspiratory collapse of the nasal valve, must be distinguished from static obstruction, which refers to nasal valve stenosis. Accurate identification of the location and mechanism of nasal valve dysfunction is essential for effective management. Various surgical procedures target specific components of the nasal valve and can produce favorable functional outcomes. The selection of surgical procedures, whether individually or in combination, should be tailored to the characteristics of nasal valve dysfunction and the external nasal characteristics of the patient. Strict adherence to proper surgical techniques is imperative for achieving optimal treatment outcomes.
鼻瓣功能障碍会对鼻气流和整体生活质量产生重大影响。本综述全面探讨了鼻瓣功能障碍，包括其机制、分类和手术治疗。鼻瓣包括内鼻瓣和外鼻瓣，二者在调节鼻气流方面均起着关键作用。将外鼻瓣进一步细分为鼻翼瓣和鼻缘瓣，有助于明确存在阻塞时的阻塞部位，并为手术干预的选择提供依据。动态鼻瓣阻塞通常表现为鼻瓣在吸气时塌陷，必须与静态阻塞（即鼻瓣狭窄）相区分。准确识别鼻瓣功能障碍的位置和机制对于有效治疗至关重要。各种手术方法针对鼻瓣的特定组成部分，可产生良好的功能效果。手术方法的选择，无论是单独使用还是联合使用，都应根据鼻瓣功能障碍的特点和患者的外鼻特征进行调整。严格遵循正确的手术技术对于实现最佳治疗效果至关重要。
