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Nasal Valve Collapse (NVC) Surgery | Complete Treatment

If you're struggling with persistent nasal obstruction, reach out to Pristyn Care. Consult our expert otolaryngologists or facial plastic surgeons for a comprehensive evaluation and personalised treatment plan. Book your appointment today and take the first step towards regaining unrestricted breathing.

If you're struggling with persistent nasal obstruction, reach out to Pristyn Care. Consult ... Read More

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What Is Nasal Valve Collapse Surgery?

Nasal valve collapse surgery is a specialised surgical procedure performed to treat the narrowing or weakness of the nasal valve, which is the most constricted part of the nasal airway. This condition often results in difficulty breathing through the nose and is frequently caused by structural issues such as trauma, prior nasal operation (like rhinoplasty), or anatomical variances.

The surgery is usually suggested for those experiencing severe breathing troubles that conservative treatments like nasal strips or medicines have failed to resolve. The procedure primarily aims to improve airflow through the nasal passages and restore overall nasal function. It tackles both internal and external types of nasal valve collapse.

Performed by experienced otolaryngologists or facial plastic surgeons, the surgery involves various techniques such as cartilage grafting and suture techniques. Patients usually witness substantial improvement in their breathing, enhancing their quality of life post-surgery.

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Types Of Nasal Valve Collapse Surgery

Nasal valve collapse surgery employs various techniques to correct the structural problems that cause nasal valve collapse. Here are the primary types:

  • Spreader Grafts: Involves inserting small pieces of cartilage between the upper lateral cartilage and septum to widen the internal nasal valve area, stabilising the nasal valve and improving airflow.
  • Alar Batten Grafts: These grafts are placed into the lateral wall of the nose to support the external nasal valve, preventing collapse or narrowing.
  • Lateral Crural Strut Grafts: They reinforce the cartilage that shapes the nose tip and strengthen both internal and external nasal valves.
  • Turbinate Reduction: Reduces the size of enlarged turbinates within the nasal passages, alleviating nasal congestion and improving airflow.
  • Cartilage Grafting: Involves harvesting cartilage from other body parts (like the septum, ear, or rib) to reinforce weakened structures in the nose.
  • Absorbable Lateral Nasal Sidewall Implants: A minimally invasive procedure where a bioabsorbable implant is injected into the nose sidewall, providing temporary support to the nasal valve area.
  • Septoplasty: Often performed with other procedures, septoplasty corrects a deviated septum that may contribute to nasal obstruction.

Diagnosis Before Nasal Valve Collapse Surgery

The doctor thoroughly diagnoses the condition before proceeding with nasal valve collapse surgery. This requires a blend of clinical evaluation, physical examination, and specialised tests to assess the structure and function of the nasal passage. Here’s how it’s done:

  • Medical history review: The doctor takes a detailed medical history of the patient. This includes previous nasal surgeries and any injuries or conditions that might have led to nasal obstruction.
  • Physical examination: A thorough examination of the nose is conducted to assess both external and internal structures. This helps the doctor identify signs of nasal valve collapse.
  • Cottle manoeuvre: It involves gently pulling the cheek on the side of the affected nostril. If airflow improves through the nostril, it suggests a problem with the nasal valve area.
  • Nasal endoscopy: Here, a thin-tubed camera is inserted into your nasal passages to directly visualise the nasal valve and identify any abnormalities or collapse.
  • Rhinomanometry: It measures airflow and pressure in the nasal passages during breathing to check the degree of obstruction and assess nasal valve function.
  • Acoustic rhinometry: It uses sound waves to measure the cross-sectional area of your nasal passages to identify areas of collapse.
  • Anterior rhinomanometry: A pressure-sensing tube is inserted into one nostril to evaluate airflow resistance in the nasal passages.

What Is The Procedure For Nasal Valve Collapse Surgery?

The procedure for nasal valve collapse surgery involves several steps aimed at correcting breathing difficulties caused by structural issues leading to nasal valve collapse:

  • Anaesthesia: General or local anaesthesia is administered based on the condition and the extent of surgery for a pain-free experience.
  • Incision: The surgeon may make an incision either internally or externally based on the surgical technique.
  • Assessment and reshaping: The surgeon identifies areas of collapse or obstruction and determines how best to reshape and support the nasal valve.
  • Grafting: Cartilage is harvested from another part of your body to reinforce the nasal valve area.
  • Closure: After graft placements and necessary adjustments, all incisions made during the surgery are closed.
  • Monitoring: Post-surgery, you are monitored for a few hours to ensure there are no immediate complications.

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Who Is The Right Candidate For Nasal Valve Collapse Surgery?

The right candidate for nasal valve collapse surgery is the one who experiences significant breathing difficulties due to a dysfunctional nasal valve. It is determined based on several factors:

  • Breathing difficulties: If you experience breathing problems, such as difficulty breathing through your nose, nasal congestion, and snoring, you could benefit from this surgery.
  • Failed conservative treatments: If symptoms have not improved despite conservative treatments like nasal sprays and medications, surgery may be considered.
  • Positive test results: Tests such as the Cottle Manoeuvre, Nasal Endoscopy, Rhinomanometry, and Acoustic Rhinometry help identify the extent of nasal valve collapse. These results play a crucial role in deciding the candidacy for the surgery.
  • Impact on daily activities: Symptoms should be severe enough to interfere with daily activities or overall well-being, prompting the need for surgical intervention.
  • Structural abnormalities: Individuals with anatomical issues contributing to nasal valve collapse, such as a deviated septum, previous rhinoplasty, or trauma to the nose, are often suitable candidates.
  • Weak cartilage: Those with weakened nasal valve support structures due to ageing, congenital defects, or prior surgeries may benefit from surgical correction.

Benefits Of Nasal Valve Collapse Surgery

Nasal valve collapse surgery offers several significant benefits for patients experiencing breathing difficulties due to structural issues in the nasal passages. Here are the key advantages of this surgical procedure:

  • Improved breathing: This surgical procedure enhances airflow, significantly reducing nasal obstruction and improving breathing comfort. 
  • Reduction in symptoms: Patients report decreased symptoms associated with nasal valve collapse, such as chronic congestion, difficulty breathing during physical activities, and sleep disturbances. 
  • Enhanced quality of life: Improved nasal airflow can contribute to better overall well-being, allowing individuals to engage more fully in daily activities without the hindrance of breathing difficulties.
  • Aesthetic improvements: The surgery can enhance the appearance of the nose, improving symmetry and support for the nostrils.
  • Long-lasting results: Many patients experience sustained improvements in their symptoms following surgery, significantly reducing the need for ongoing treatments.
  • Minimally invasive options: Some techniques for correcting nasal valve collapse are minimally invasive, offering quicker recovery times.
  • Addressing underlying structural issues: The surgery not only corrects nasal valve collapse but also addresses other structural problems contributing to breathing difficulties.

By addressing both functional and structural issues within the nasal passages, this procedure can lead to lasting positive outcomes for patients suffering from nasal valve collapse.

How To Prepare For Nasal Valve Collapse Surgery?

Preparing for nasal valve collapse surgery involves several important steps to ensure a successful procedure and recovery. Here’s a comprehensive guide on how to prepare:

  • Consultation with your surgeon: Schedule a detailed consultation with your surgeon to discuss your medical history, symptoms, and the specifics of the surgery. Your surgeon will create a personalised care plan based on your specific needs and the nature of your nasal valve collapse.
  • Medications and supplements: Discontinue certain medications, such as blood thinners and anti-inflammatory drugs, at least one week before surgery.
  • Lifestyle adjustments: Maintain a healthy diet rich in nutrients to support healing. Stay well-hydrated leading up to the surgery.
  • Preoperative instructions: Adhere closely to any specific instructions provided by your surgeon’s office regarding preparation for the procedure.

Proper preparation for nasal valve collapse surgery is essential for optimal results. By following these steps and maintaining open communication with your doctor, you can ensure a smooth surgical experience and effective recovery.

Recovery Tips and Precautions To Follow After Nasal Valve Collapse Surgery?

Recovering from Nasal Valve Collapse Surgery requires careful attention:

  • Get plenty of rest: Ensure you have a comfortable and quiet space to rest. Sleep with your head elevated to minimise swelling.
  • Follow post-operative instructions: Adhere strictly to the post-operative care guidelines provided by your surgeon.
  • Use saline nasal sprays: Use saline nasal sprays as recommended by your surgeon to soothe and moisturise the nasal passages.
  • Stay hydrated and eat nutritious foods: Drink plenty of water and eat a balanced diet to support tissue repair.
  • Avoid strenuous activity: Refrain from vigorous exercise, heavy lifting, or any strenuous activities for at least two to three weeks post-surgery.
  • Monitor recovery: Keep all scheduled follow-up appointments with your surgeon to monitor healing progress and address any concerns that may arise during recovery.

By following these recovery tips and precautions after nasal valve collapse surgery, patients can help ensure a smooth healing process and achieve optimal results. 

Potential Risks Or Complications Associated With Nasal Valve Collapse Surgery

Like any surgical procedure, nasal valve collapse surgery has potential risks. Here are the key risks associated with this surgical procedure:

  • Bleeding: There is a risk of bleeding during and after the surgery. While minor bleeding is common, excessive bleeding may require additional medical intervention.
  • Infection: As with any surgical procedure, there is a risk of infection at the surgical site.
  • Persistent symptoms: Some patients may continue experiencing nasal valve collapse or incomplete resolution of symptoms despite surgery.
  • Changes in nasal appearance: There can be minor changes in the nose’s appearance following surgery.
  • Scarring: Although incisions are typically made inside the nose to minimise visible scars, there is still a risk of scarring that may be noticeable depending on individual healing responses.

Frequently Asked Questions

What is the success rate of nasal valve collapse surgery in India?

In India, nasal valve collapse surgery has been widely successful with an 85-90% success rate, as reported in various clinical studies. The success rate primarily depends on the expertise of the surgeon, the patient’s overall health, and adherence to post-operative care guidelines.

How long does it take to fully recover from nasal valve collapse surgery?

The recovery from nasal valve collapse surgery typically varies from patient to patient. However, most patients start feeling better within a week after surgery. A complete recovery, including total healing of the nasal tissues, may take around 3-6 months.

Is there a specific age limit for undergoing nasal valve collapse surgery?

No particular age limit is set for nasal valve collapse surgery. The most important factor is the need for surgery based on the diagnosis and the overall health of the patient. However, any surgical procedure must be approached with caution for young children and elderly patients.

Is nasal valve collapse surgery painful?

During the surgery, patients are usually under local or general anaesthesia, which means they do not feel any pain. Post-surgery, there might be some discomfort and slight pain, which is manageable with prescribed painkillers.

Can I return to work immediately after my nasal valve collapse surgery?

Returning to work post-surgery largely depends on your recovery and the nature of your job. If your job involves heavy physical activity or exposure to irritants like dust or fumes, it may be advisable to take some time off until you recover completely.

Will undergoing nasal valve collapse surgery change the shape of my nose?

The primary aim of nasal valve collapse surgery is to improve nasal airflow and not to alter the shape of the nose. However, due to structural adjustments made during surgery, slight changes in the shape of your nose might occur, which usually are insignificant.

Can I exercise after nasal valve collapse surgery?

Exercising after nasal valve collapse surgery is usually advisable only after a certain recovery period. Heavy exercises, weight lifting, and intense workouts should be avoided for at least 3-4 weeks post-surgery. Always consult your doctor before starting any physical activity after surgery.

Can nasal valve collapse surgery occur in children?

Yes, nasal valve collapse can occur in children as well as adults. However, it is more commonly seen in adults due to factors like ageing or injury.

Are there any lifestyle changes required after undergoing nasal valve collapse surgery?

Post-surgery, you will be advised to avoid strenuous activities for a couple of weeks and refrain from blowing your nose. It’s also essential to maintain good nasal hygiene to prevent infections. Your doctor will provide detailed instructions on lifestyle changes if necessary.

What should I ask my doctor before undergoing nasal valve collapse surgery?

Before you undergo nasal valve collapse surgery, it can be helpful to clear all your doubts with the doctor. Consider asking questions about the surgeon’s experience, potential risks and complications, post-surgery care, expected recovery time, and any lifestyle changes you may need to make.

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