Middle nasal valve collapse: A way to resolve

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Dunja Milicic

Hospital da Luz Arrabida, Portugal

: J Otol Rhinol

Abstract

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Middle nasal valve collapse is a partial or complete collapsing of soft structures of nasal pyramid, due to negative intranasal pressures resulting in complete anterior nasal obstruction of air-flow. Even though is relatively common, it is often misdiagnosed or neglected in diagnosis. There are too many suggestions of surgical resolution of the problem, giving an idea that all of them are actually only partially or insufficiently resolving the problem. In this paper a possible solution of middle nasal vault collapse was presented. A triangle cartilage grafting with respecting of anatomical and functional principles was suggested. An open rhinoplasty approach by its large exposure was, in our hands, the election method for resolving the problem.\ Keywords: nasal valve, cartilage, rhinoplasty

Biography

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Dunja Milicic graduated at Medical School University of Zagreb in 1984. 1988 Master of Science degree in Otorhinolaryngology, Maxillo-facial Surgery, Audiology and Phoniatrics by School of Medicine University of Zagreb, Croatia. 1991 Specialist in Otorhinolaryngology , Head & Neck Surgery; Medical School University of Zagreb. Fellowship with Prof. Ivo Padovan who introduced and promoted Open Rhinoplasty (1985-1988). Fellowship in Facial Plastic Surgery with Dr. Eugene Tardy, Jr. University of IIlinois, Chicago, USA (1988). Fellowship with Prof. Ksenija Ribaric with application in Otology, Otosurgery and Otoneurology (1985-1991). Fellowship with prof. Petar Guberina in Verbotonal SUVAG method for hearing impaired rehabilitation (1985-1991). From 1994 practicing as Consultant Otorhinolaryngologist in Portugal ( Lusiadas SA, Hospital da Luz Arrabida, SAMS). Lecturing Otorhinolaryngology to Undergraduate e Postgraduate students in Croatia and Portugal ( Medical School University of Zagreb until 1991 and University of Porto 1996-1999, Politecnico do Porto 2007-2009). Member of British Audiologic Society (1997- 1999), Sociedade Portuguesa de ORL, Associação Portuguesa de Otoneurologia, European Academy of Facial Plastic Surgery, Interamerican Association of Pediatric Otorhinolaringology, Rhinoplasty Society of Europe.