鼻阀功能不良的诊治进展
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摘要
鼻阀又称鼻瓣区(nasal valve),是鼻腔内最狭窄的区域,维持鼻阀功能的正常在鼻整形术及修正鼻腔功能手术中非常重要。鼻阀功能不良诊断缺乏金标准,主要依赖Cottle试验、影像学辅助检查,并排除其他相关疾病,其治疗方式多样。本文旨在回顾鼻阀的相关定义、解剖、生理及鼻阀功能不良的病因、诊断和手术治疗的研究进展,以提高对鼻阀功能不良的认识。
The nasal valve is also called the disc area(nasal valve), which is the narrowest region in the nasal cavity.The nasal valve is very important to keep the normal function of nasal valve in rhinoplasty and correction function of nasal surgery. The diagnosis of nasal valve compromise lacks gold standard, and mainly depends on the Cottle test,image-assisted examination, as well as exclusion of other related. The treatment methods are diverse. This article aims to review the definition, anatomy, physiology, etiology, diagnosis and surgical treatment of nasal valve compromise.
The nasal valve is also called the disc area(nasal valve), which is the narrowest region in the nasal cavity.The nasal valve is very important to keep the normal function of nasal valve in rhinoplasty and correction function of nasal surgery. The diagnosis of nasal valve compromise lacks gold standard, and mainly depends on the Cottle test,image-assisted examination, as well as exclusion of other related. The treatment methods are diverse. This article aims to review the definition, anatomy, physiology, etiology, diagnosis and surgical treatment of nasal valve compromise.
引文
[1] Mink PJ.Le nez comme voie respiratorie[J].Presse Otolarygol (Belg),1903:481-496.
[2] Solomon WR,Stohrer AW.Consideration in the measurement of nasal patency[J].Ann Otol Rhiol Laryngol,1965,74(4):978-990.
[3] Lang J.Clinical anatomy of the nose,nasal cavity,and paranasal sinuses[M].New York:Thieme Medical Publishers,1989:6-55.
[4] Bridger GP,Proctor DF.Maximum nasal inspiratory flow and nasal resistance[J].Ann Otol Rhinol Laryngol,1970:79:481-488.
[5] Teichgraeber JF,Wainwright DJ.The treatment of nasal valve obstruction[J].Plast Reconstr Surg,1994,93(6):1174-1182.
[6] Howard BK,Rohrich RJ.Understanding the nasal airway:Principles and practice[J].Plast Reconstr Surg,2002,109(3):1128-1146.
[7] Ghidini A,Dallari S,Marchioni D.Surgery of the nasal columella in external valve collapse[J].Ann Otol Rhinol Laryngol,2002,111(8):701-703.
[8] Bruintges TD,van Olphen AF,Hillen B.A functional anatomic study of the relationship of the nasal cartilages and muscles to the nasal valve area[J].Laryngoscope,1998,108(7):1025-1032.
[9] van Luteren E,Haxhiu MA,Cherniak NS.Effects of respiratory stimulation on alae nasi electromyograme and respiratory changes in length in dogs[J].Respiration,1987,51(1):58-67.
[10] Strohl KP,O’cain CF,Slutsky AS.Alae nasi activation and nasal resistance in health subjects[J].J Appl Physiol Respir Environ Exerc Physiol,1982;52(6):1432-1437.
[11] Kelly JT,Prasad AK,Wexler AS.Detailed flow patterns in the nasal cavity[J].J Appl Physiol,2000,89(1):323-337.
[12] Mlynski G,Grutzenmacher S,Plontke S,et al.Correlation of nasal morphology and respiratory function[J].Rhinology,2001,39(4):197-201.
[13] Bridger GP,Proctor DF.Maximum nasal inspiratory flow and nasal resistance[J].Ann Otol Rhinol Laryngol,1970,79:481-488.
[14] Garcia GJ,Rhee JS,Senior BA,et al.Septal deviation and nasal resistance:an investigation using virtual surgery and computational fluid dynamics[J].Am J Rhinol Allergy,2010,24(1):46-53.
[15] Goode RL.Surgery of the incompetent nasal valve[J].Laryngoscope,1985,95(5):546-555.
[16] Rhee JS,Arganbright JM,McMullin BT,et al.Evidence supporting functional rhinoplasty or nasal valve repair:a 25-year systematic review[J].Otolaryngol Head Neck Surg,2008,139(1):10-20.
[17] Rivron RP.Cross-sectional area as a measure of nasal resistance[J].Rhinology,1990,28(4):257-264.
[18] Cole P.Biophysics of nasal airflow:a review[J].Am J Rhinol,2000,14(4):245-249.
[19] Kim DM,Rodriguez-Bruno K.Functional rhinoplasty[J].Facial Plast Surg Clin North Am,2009,17(1):115-131.
[20] Gruber RP1,Lin AY,Richards T.Nasal strips for evaluating and classifying valvular nasal obstruction[J].Aesthetic Plast Surg,2011,35(2):211-215.
[21] Pownell PH,Minoli JJ,Rohrich RJ.Diagnostic nasal endoscopy[J].Plast Reconstr Surg,1997,99 (5):1451-1458.
[22] Yoshinami H,Kase Y,Iinuma T.Evaluation of nasal valve by CT imaging[J].Nippon Jibiinkoka Gakkai Kaiho,2001,104(1):24-32.
[23] Corey JP,Gungor A,Nelson R,et al.A comparison of the nasal cross-sectional áreas and volumes obtained with acoustic rhinometry and magnetic resonance imaging[J].Otolaryngol Head Neck Surg,1997,117(4):349-354.
[24] Clement PA.Committee Report on Standardization of Rhinomanometry[J].Rhinology,1984,22(3):151-155.
[25] 李琰,孙昌志,周丽枫,等.鼻声反射对特异性变应原皮下免疫治疗儿童变应性鼻炎的疗效评估[J].中国耳鼻咽喉颅底外科杂志,2016,22(4):320-322.Li Y,Sun CZ,Zhou LF,et al.Application of acoustic rhinometry in therapeutic evaluation of subcutaneous immunotherapy in children with allergic rhinitis[J].Chin J Otorhinolaryngol Skull Base Surg,2016,22(4):320-322.
[26] Nathan RA,Eccles R,Howarth PH.Objective monitoring of nasal patency and nasal physiology in rhinitis[J].J Allergy Clin Immunol,2005,115(3 Suppl 1):S442-S459.
[27] Stewart MG,Smith TL.Objective versus subjective outcomes assessment in rhinology[J].Am J Rhinol,2005,19(5):529-535.
[28] Stewart MG,Witsell DL,Smith TL,et al.Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale[J].Otolaryngol Head Neck Surg,2004,130(2):157-163.
[29] Englhard AS,Wiedmann M,Ledderose GJ,et al.Imaging of the internal nasal valve using long-range fourier domain optical coherence tomography[J].Laryngoscope,2016,126(3):E97-E102.
[30] Moche JA,Cohen JC,Pearlman SJ.Axial computed tomography evaluation of the internal nasal valve correlates with clinical valve narrowing and patient complaint[J].Int Forum Allergy Rhinol,2013,3(7):592-597.
[31] Stacey DH,Cook TA,Marcus BC.Correction of internal nasal valve stenosis:a single surgeon comparison of butterfly versus traditional spreader grafts[J].Ann Plast Surg,2009,63(3):280-284.
[32] Toriumi DM,Josen J,Weinberger M,et al.Use of alar batten grafts for correction of nasal valve collapse[J].Arch Otolaryngol Head Neck Surg 1997,123(8):802-808.
[33] Spielmann PM,White PS,Hussain SS.Surgical techniques for the treatmentof nasal valve collapse:a systematic review[J].Laryngoscope,2009,119(7):1281-1290.
[34] Page MS,Menger DJ.Suspension suture techniques in nasal valve surgery[J].Facial Plast Surg,2011,27(5):437-441.
[35] Pedmza F,Anjos GC,Patrocinio LG,et a1.Seagull wing graft:a technique for the replacement of lower lateral cartilages[J].Arch Facial Hast Surg,2006,8(6):396-403.
[36] Dutton Jm,Neidich MJ.Intranasal Z—plasty for internal nasal valve collapse[J].Arch Facial Plast Surg,2008,10(3):164-168.
[37] Dolan RW.Minimally invasive nasal valve repair:an evaluation using the NOSE scale[J].Arch Otolaryngol Head Neck Surg,2010,136(3):292-295.
[38] Gray VD.Physiologic returning of the upper lateral cartilages[J].Int Rhinology,1970,8(1):56-59.
[39] Dolan RW,Catalano PJ,Innis W,et al.In-office surgical repair of nasal valve stenosis[J].Am J Rhinol Allergy,2009,23(1):111-114.
[40] San Nicoló M,Stelter K,Sadick H,et a1.A 2-Year Follow-up Study of an Absorbable Implant to Treat Nasal Valve Collapse[J].Facial Plast Surg,2018,34(5):545-550.
[41] Chaban R,Cole P,Naito K.Simulated septal deviations[J].Arch Otolaryngol Head Neck Surg,1988;114(4):413-415.
[42] Cole P,Chaban R,Naito K,Oprysk D.The obstructive nasal septum.Effect of simulated deviations on nasal airflow resistance[J].Arch Otolaryngol Head Neck Surg,1988,114(4):410-412.
[2] Solomon WR,Stohrer AW.Consideration in the measurement of nasal patency[J].Ann Otol Rhiol Laryngol,1965,74(4):978-990.
[3] Lang J.Clinical anatomy of the nose,nasal cavity,and paranasal sinuses[M].New York:Thieme Medical Publishers,1989:6-55.
[4] Bridger GP,Proctor DF.Maximum nasal inspiratory flow and nasal resistance[J].Ann Otol Rhinol Laryngol,1970:79:481-488.
[5] Teichgraeber JF,Wainwright DJ.The treatment of nasal valve obstruction[J].Plast Reconstr Surg,1994,93(6):1174-1182.
[6] Howard BK,Rohrich RJ.Understanding the nasal airway:Principles and practice[J].Plast Reconstr Surg,2002,109(3):1128-1146.
[7] Ghidini A,Dallari S,Marchioni D.Surgery of the nasal columella in external valve collapse[J].Ann Otol Rhinol Laryngol,2002,111(8):701-703.
[8] Bruintges TD,van Olphen AF,Hillen B.A functional anatomic study of the relationship of the nasal cartilages and muscles to the nasal valve area[J].Laryngoscope,1998,108(7):1025-1032.
[9] van Luteren E,Haxhiu MA,Cherniak NS.Effects of respiratory stimulation on alae nasi electromyograme and respiratory changes in length in dogs[J].Respiration,1987,51(1):58-67.
[10] Strohl KP,O’cain CF,Slutsky AS.Alae nasi activation and nasal resistance in health subjects[J].J Appl Physiol Respir Environ Exerc Physiol,1982;52(6):1432-1437.
[11] Kelly JT,Prasad AK,Wexler AS.Detailed flow patterns in the nasal cavity[J].J Appl Physiol,2000,89(1):323-337.
[12] Mlynski G,Grutzenmacher S,Plontke S,et al.Correlation of nasal morphology and respiratory function[J].Rhinology,2001,39(4):197-201.
[13] Bridger GP,Proctor DF.Maximum nasal inspiratory flow and nasal resistance[J].Ann Otol Rhinol Laryngol,1970,79:481-488.
[14] Garcia GJ,Rhee JS,Senior BA,et al.Septal deviation and nasal resistance:an investigation using virtual surgery and computational fluid dynamics[J].Am J Rhinol Allergy,2010,24(1):46-53.
[15] Goode RL.Surgery of the incompetent nasal valve[J].Laryngoscope,1985,95(5):546-555.
[16] Rhee JS,Arganbright JM,McMullin BT,et al.Evidence supporting functional rhinoplasty or nasal valve repair:a 25-year systematic review[J].Otolaryngol Head Neck Surg,2008,139(1):10-20.
[17] Rivron RP.Cross-sectional area as a measure of nasal resistance[J].Rhinology,1990,28(4):257-264.
[18] Cole P.Biophysics of nasal airflow:a review[J].Am J Rhinol,2000,14(4):245-249.
[19] Kim DM,Rodriguez-Bruno K.Functional rhinoplasty[J].Facial Plast Surg Clin North Am,2009,17(1):115-131.
[20] Gruber RP1,Lin AY,Richards T.Nasal strips for evaluating and classifying valvular nasal obstruction[J].Aesthetic Plast Surg,2011,35(2):211-215.
[21] Pownell PH,Minoli JJ,Rohrich RJ.Diagnostic nasal endoscopy[J].Plast Reconstr Surg,1997,99 (5):1451-1458.
[22] Yoshinami H,Kase Y,Iinuma T.Evaluation of nasal valve by CT imaging[J].Nippon Jibiinkoka Gakkai Kaiho,2001,104(1):24-32.
[23] Corey JP,Gungor A,Nelson R,et al.A comparison of the nasal cross-sectional áreas and volumes obtained with acoustic rhinometry and magnetic resonance imaging[J].Otolaryngol Head Neck Surg,1997,117(4):349-354.
[24] Clement PA.Committee Report on Standardization of Rhinomanometry[J].Rhinology,1984,22(3):151-155.
[25] 李琰,孙昌志,周丽枫,等.鼻声反射对特异性变应原皮下免疫治疗儿童变应性鼻炎的疗效评估[J].中国耳鼻咽喉颅底外科杂志,2016,22(4):320-322.Li Y,Sun CZ,Zhou LF,et al.Application of acoustic rhinometry in therapeutic evaluation of subcutaneous immunotherapy in children with allergic rhinitis[J].Chin J Otorhinolaryngol Skull Base Surg,2016,22(4):320-322.
[26] Nathan RA,Eccles R,Howarth PH.Objective monitoring of nasal patency and nasal physiology in rhinitis[J].J Allergy Clin Immunol,2005,115(3 Suppl 1):S442-S459.
[27] Stewart MG,Smith TL.Objective versus subjective outcomes assessment in rhinology[J].Am J Rhinol,2005,19(5):529-535.
[28] Stewart MG,Witsell DL,Smith TL,et al.Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale[J].Otolaryngol Head Neck Surg,2004,130(2):157-163.
[29] Englhard AS,Wiedmann M,Ledderose GJ,et al.Imaging of the internal nasal valve using long-range fourier domain optical coherence tomography[J].Laryngoscope,2016,126(3):E97-E102.
[30] Moche JA,Cohen JC,Pearlman SJ.Axial computed tomography evaluation of the internal nasal valve correlates with clinical valve narrowing and patient complaint[J].Int Forum Allergy Rhinol,2013,3(7):592-597.
[31] Stacey DH,Cook TA,Marcus BC.Correction of internal nasal valve stenosis:a single surgeon comparison of butterfly versus traditional spreader grafts[J].Ann Plast Surg,2009,63(3):280-284.
[32] Toriumi DM,Josen J,Weinberger M,et al.Use of alar batten grafts for correction of nasal valve collapse[J].Arch Otolaryngol Head Neck Surg 1997,123(8):802-808.
[33] Spielmann PM,White PS,Hussain SS.Surgical techniques for the treatmentof nasal valve collapse:a systematic review[J].Laryngoscope,2009,119(7):1281-1290.
[34] Page MS,Menger DJ.Suspension suture techniques in nasal valve surgery[J].Facial Plast Surg,2011,27(5):437-441.
[35] Pedmza F,Anjos GC,Patrocinio LG,et a1.Seagull wing graft:a technique for the replacement of lower lateral cartilages[J].Arch Facial Hast Surg,2006,8(6):396-403.
[36] Dutton Jm,Neidich MJ.Intranasal Z—plasty for internal nasal valve collapse[J].Arch Facial Plast Surg,2008,10(3):164-168.
[37] Dolan RW.Minimally invasive nasal valve repair:an evaluation using the NOSE scale[J].Arch Otolaryngol Head Neck Surg,2010,136(3):292-295.
[38] Gray VD.Physiologic returning of the upper lateral cartilages[J].Int Rhinology,1970,8(1):56-59.
[39] Dolan RW,Catalano PJ,Innis W,et al.In-office surgical repair of nasal valve stenosis[J].Am J Rhinol Allergy,2009,23(1):111-114.
[40] San Nicoló M,Stelter K,Sadick H,et a1.A 2-Year Follow-up Study of an Absorbable Implant to Treat Nasal Valve Collapse[J].Facial Plast Surg,2018,34(5):545-550.
[41] Chaban R,Cole P,Naito K.Simulated septal deviations[J].Arch Otolaryngol Head Neck Surg,1988;114(4):413-415.
[42] Cole P,Chaban R,Naito K,Oprysk D.The obstructive nasal septum.Effect of simulated deviations on nasal airflow resistance[J].Arch Otolaryngol Head Neck Surg,1988,114(4):410-412.