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Nasal surgery is a specialty including the removal of nasal obstruction that cannot be achieved by medication and nasal reconstruction. Currently, it comprises four approaches, namely rhinoplasty, septoplasty, sinus surgery, and turbinoplasty, targeted at different sections of the nasal cavity in the order of their external to internal positions.
Established by Maurice H. Cottle (1898–1981), the Cottle maneuver is a principal diagnostic technique for detecting an internal nasal-valve disorder; whilst the patient gently inspires, the surgeon laterally pulls the patient's cheek, thereby simulating the widening of the cross-sectional area of the corresponding internal nasal valve.
The major symptoms of ENS include a sensation of suffocation, nasal dryness, nasal burning, nasal crusting, and an impaired sense of airflow through the nose in patients who have had surgery or injury to nasal turbinates. [13] ENS can greatly reduce a patient's quality of life and many patients struggle to complete activities of daily living.
The external nasal valve is bounded medially by the columella, laterally by the lower lateral nasal cartilage, and posteriorly by the nasal sill. [26] The internal nasal valve is bounded laterally by the caudal border of the upper lateral cartilage, medially by the dorsal nasal septum, and inferiorly by the anterior border of the inferior ...
Patients may have other anatomical abnormalities that can cause UARS such as deviated septum, inferior turbinate hypertrophy, a narrow hard palate that reduces nasal volume, enlarged tonsils, or nasal valve collapse. [10] [2] UARS affects equal numbers of males and females. [1]
Killian's nasal bone gouge: bayonet shaped; removing parts of the nasal septum: Myringotome: used to cut the ear drum: Grommet stapedectomy set: used in surgeries of the ear drum: Tracheostomy tube: used in tracheostomy to bypass the airway above its point of insertion, due to any reason •Fuller's bi-valve type
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With a collapse of the lateral nasal cartilage, the inner nasal valve could become obstructed and prevent the movement of airflow throughout. [6] A new surgical technique to reposition the lateral nasal cartilage has been constructed to relieve the site of obstruction within the inner nasal valve and regain maximal airflow throughout the nose ...