Collapse of the nasal vestibule during inspiration is a frequently encountered symptom, often caused by weak or medially displaced lateral crura in the lower lateral cartilages. Numerous techniques are available for lateralizing and strengthening the lateral crura using cartilage grafts or suture techniques. In most cases, they involve an external rhinoplasty approach or additional incisions. An elegant endonasal method for widening and strengthening the lateral component of the nasal valve area is described herein. The basis of the procedure is a permanent submucosal spanning suture between the piriform aperture and the distal part of the lower lateral cartilage. The effect of this technique is 2-fold. First, it provides superolateral rotation of the lateral crura, increasing the cross-sectional area, and second, the spanning suture provides additional support for the lateral wall of the nasal vestibule.

译文

:吸气过程中鼻前庭塌陷是一种常见的症状,通常是由下侧软骨的内侧软小或内侧移位引起的。使用软骨移植物或缝合技术,可以使用多种技术来使外侧结骨侧向化和加固。在大多数情况下,它们涉及外部隆鼻方法或其他切口。本文描述了用于扩大和加强鼻瓣区域的侧向成分的优雅的鼻内方法。手术的基础是在梨状小孔和下部外侧软骨的远端之间的永久性粘膜下跨缝线。此技术的效果是2倍。首先,它提供了外侧小腿的上外侧旋转,增加了横截面积,其次,跨接缝线为鼻前庭的侧壁提供了额外的支撑。

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