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Intranasal Flaring Suture for Nasal Valve Repair

This study of patients undergoing surgical correction of nasal valve stenosis reports favorable
results with the intranasal flaring suture technique.

The nasal valve may be described as the aperture created by the nasal floor inferiorly, upper lateral
cartilages (ULCs) superiorly, nasal alar and bony pyriform apertures laterally, and the cartilaginous
septum medially.1 The external and internal nasal valves should be considered separately when
assessing the cause of valvular dysfunction, with the most common cause being nasal septal
deviation. The next most frequent cause is iatrogenic valvular collapse after rhinosurgery, especially
after removal of the nasal roof and overresection of the lower lateral cartilages. Hypertrophy of the
inferior turbinates can also significantly increase inspiratory nasal airway resistance. Among many
suture and graft techniques used to augment the internal nasal valve angle, 1 possible solution is
using flaring sutures, also known as Park sutures.2


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