ALL ABOUT NASAL VALVE COLLAPSE

For correcting collapsed alae, blunt dissection of the septal mucoperi chondrium through the transfixion incision is extended on both sides u p to the vault of the upper lateral cartilages, which are severed from their insertion. I remodel the lower lateral cartilage and secure the lateral crus together with the upper alar groove in a less concave po sition with mattress sutures in cases of anterior valvular disturbance . The upper lateral cartilages are also fixed in a more convex positio n, particularly in cases of posterior valvular disturbance. In both an omalies a slightly convex septal or auricular slice cartilage graft pl aced over the concerned cartilage helps to keep the valve more open an d the lateral wall in proper position. If necessary, in extreme second ary cases, one needs the help of bilateral cartilaginous or bony suppo rts embedded subperiostally at the nasal bones.