Устранение дисфункции клапана носа с помощью стента крыла носа ALAR nasal valve stent

Abstract

Despite the abundance and varying complexity of valve repair methods as well as the lack of guaranteed positive results, the problem of guaranteed elimination of nasal valve dysfunction remains unresolved. The article discusses the experience of treating a patient with this disease by installing an ALAR nasal valve stent. Previously, the patient underwent a standardized examination as well as rhinomanometry and rhinoresistometry. In the operating room, under local anesthesia, after performing intercartilaginous access and exposing the lateral surface of the triangular cartilage of the nose and the medial surface of the lateral pedicle of the cartilage of the alar nose, a stent of the alar nose was installed. The duration of the operation did not exceed 15 minutes, it was performed without bloodshed, and it did not require nasal tamponade. A positive effect in the form of improved nasal breathing was obtained on the operating table. The presence of a stent allowed the formation of an immature postoperative scar and reinforced the lateral wall of the nasal valve in the correct position. The presence of a stent did not negatively affect the appearance of the external nose. There were no complications. After 14 days, the stent was removed, a second cycle of studies of the respiratory function of the nose was carried out. Since it is minimally invasive, safe, cheap, and effective, the technique can be considered promising and requires further development.