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Nasal valve collapse is the most commonly missed diagnosis in patients with persistent nasal obstruction. This is especially true in patients who fail allergy treatment or do not experience relief after deviated septum surgery. The nose is a complicated organ with many structural parts that determine the shape and function of our nose. The patency of the external and internal nasal valves determines the resistance to airflow as we breathe. Nose job specialist Dr. Tadros specializes in nasal valve collapse surgery in NJ & NYC.
by Monica Tadros, M.D., F.A.C.S.
Nasal valve collapse also known as vestibular stenosis refers to the loss of cartilage support that keeps the sidewalls of the nose open during breathing.
The internal and external nasal valves are defined by the lateral nasal walls. These sidewalls (the lower and upper lateral cartilages) can be thought of like the roof of a house in relation to the supporting beams (the septum).
The external nasal valve involves the lower third of the nose and is formed by the alar subunit (the rim of soft tissue surrounding our nostrils). During inhalation, the nasalis muscle expands the external valve and can be tested by flaring your nostrils.
The internal nasal valve involves the middle third of the nose and lies deep within the nose. The internal nasal valve is responsible for most of the resistance to airflow in the nose. The angle between the upper lateral cartilage and septum is normally 15 degrees. So even a small decrease in this angle can cause a significant breathing problem.
Anything that decreases support to the tip of the nose can lead to nasal valve collapse. The most common cause of nasal valve collapse is trauma. Most commonly this is from an undetected cartilage fracture of the nose or from prior reduction rhinoplasty surgery. Aging can also lead to progressive weakness, droopy tip heaviness and narrowing of the nasal valves. Nasal valve collapse may be fixed or dynamic. Patients with dynamic nasal valve collapse may only notice symptoms during exercise or sleep.
To consult with the best Board Certified Facial & Plastic surgeons or to schedule an appointment with the top END doctors in NYC & NJ, please contact one of our locations. We have two convenient locations in both New York and New Jersey. Our office located Park Avenue in Manhattan can be reached at +1 (212) 532-4590 and you can contact our Bergen County office in Englewood, NJ by number +1 (201) 408-5430.
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Working Hours NJ & NY:
Monica Tadros, MD, FACS
New York Office:
911 Park Ave Suite 1C,
New York, NY 10021
New Jersey Office:
300 Grand Ave #104,
Englewood, NJ 07631