Immediate nasal valve reconstruction after facial nerve resection

Zachary M. Soler, Eben Rosenthal, Mark Wax

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objectives: To highlight the problem of valve collapse after facial paralysis and review the efficacy of performing immediate reconstruction at the time of initial oncologic resection, using a suture technique of suspending the soft tissue of the nasal valve to the inferior orbital rim. Methods: A review of all patients undergoing immediate nasal valve reconstruction was undertaken. There was a total of 18 patients, 15 men and 3 women, with a median age of 64 years. All patients had undergone facial nerve resection as part of their initial ablative procedure with immediate reconstruction of the nasal valve. A suture technique was used that secured the nasal valve area to the inferior orbital rim periosteum. These patients were compared with a cohort of 10 patients who underwent similar oncologic and reconstructive procedures but had no nasal valve reconstruction. Results: Patients were evaluated with the Nasal Obstruction Septoplasty Evaluation tool. In patients who underwent reconstruction, there was no evidence of valve collapse on clinical examination. Patients who did not undergo reconstruction demonstrated significantly more symptoms of (1) congestion or stuffiness (1.8 vs 0.4; P

Original languageEnglish (US)
Pages (from-to)312-315
Number of pages4
JournalArchives of Facial Plastic Surgery
Volume10
Issue number5
DOIs
StatePublished - Sep 2008

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Facial Nerve
Nose
Suture Techniques
Periosteum
Nasal Obstruction
Facial Paralysis

ASJC Scopus subject areas

  • Surgery

Cite this

Immediate nasal valve reconstruction after facial nerve resection. / Soler, Zachary M.; Rosenthal, Eben; Wax, Mark.

In: Archives of Facial Plastic Surgery, Vol. 10, No. 5, 09.2008, p. 312-315.

Research output: Contribution to journalArticle

Soler, Zachary M. ; Rosenthal, Eben ; Wax, Mark. / Immediate nasal valve reconstruction after facial nerve resection. In: Archives of Facial Plastic Surgery. 2008 ; Vol. 10, No. 5. pp. 312-315.
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