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Fayad is a fellow of the European Academy of Facial Plastic Surgery, the Portmann Society of Otolaryngology and the Royal Society of Medicine, London.He is a fellow and governor of International College of Surgeons and his memberships include the American Academy of Oto-Laryngology, the British Association of ENT Surgeons, the British Rhinological Society, and the British Sleep Society.
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.
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.
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 ...
Nasal obstruction characterized by insufficient airflow through the nose can be a subjective sensation or the result of objective pathology. [10] It is difficult to quantify by subjective complaints or clinical examinations alone, hence both clinicians and researchers depend both on concurrent subjective assessment and on objective measurement of the nasal airway.
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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 ...