Ann Chir Plast Esthet. 2014 Dec;59(6):508-21. doi: 10.1016/j.anplas.2014.06.010. Epub 2014 Jul 30.

[Middle third of the nose and internal valve. Alar wall and external valve].

[Article in French]

Duron JB¹, Nguyen PS², Jallut Y³, Bardot J⁴, Aiach G⁵.

Author information

1: Cabinet de chirurgie plastique, reconstructrice et esthétique, 76, avenue Raymond-Poincaré, 75116 Paris, France. Electronic address: jeanbriceduron@hotmail.com.
2: Service de chirurgie plastique, reconstructrice et esthétique, hôpital de la Conception, 147, boulevard Baille, 13005 Marseille, France; Clinique de Saint-Roch, 99, avenue Saint-Roch, 83000 Toulon, France.
3: Cabinet de chirurgie plastique, reconstructrice et esthétique, immeuble Convergence, 50, rue Berthy-Albrecht, 84000 Avignon, France.
4: Service de chirurgie plastique, reconstructrice et esthétique, hôpital de la Conception, 147, boulevard Baille, 13005 Marseille, France.
5: Cabinet de chirurgie plastique, reconstructrice et esthétique, 76, avenue Raymond-Poincaré, 75116 Paris, France.

Abstract

To many surgeons, nasal airway obstruction is synonymous with either septal deviation or inferior turbinate hypertrophy. The role of internal and external nasal valves is often less known by surgeons even if it is crucial in nasal breathing and strongly interrelated with esthetic of the middle third of the nose and alar wall. Therefore, precise examination of the two valves and conservative surgery should help to avoid many functional and esthetic problems.

KEYWORDS:

Alar graft; Cephalic lateral crura malposition; Collapsus nasal; External valve; Greffe alaire; Internal valve; Malposition des crus latérales; Nasal collapse; Spreader flap; Spreader graft; Valve externe; Valve interne