The Anterior Spreader Flap: A Minimally Invasive Alternative to the Auto Spreader Flap in the Treatment of Patients with Nasal Valve Dysfunction

We present a new method of treatment for nasal valve dysfunction caused by insufficiency or stenosis in a patient who refused open septum revision despite a significant degree of septum deviation

Stephan Bessler


Scholarcy highlights

  • Obstruction of nasal breathing is commonly multifactorial and can be caused by impairment of airflow at distinct narrow anatomic sites
  • Negative pressure is generated at the site of the nasal valve which leads to medialization of the lateral nasal wall and an increase in nasal airway resistance
  • Based on the “auto spreader” technique described by Fomon and Gruber, we developed a new, minimally invasive variant which we have named the “Anterior Spreader Flap”
  • In this article we describe the surgical technique of the ASF and illustrate the effects on nasal breathing by means of computational fluid dynamics
  • The main advantage of the ASF technique is that the nasal dorsum can be preserved over its full length
  • If there are no additional cause for nasal obstruction, or if septum revision is not possible for any reason, the ASF may be performed as a single procedure

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