Video Endoscopic-Guided Nasal Valve Surgery with Spreader Graft in Snoring
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- Category: Vol. 78, June 2010
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Video Endoscopic-Guided Nasal Valve Surgery with Spreader Graft in Snoring,AHMAD M.M. AL BASSIOUNY
Abstract
Objective: To evaluate the effect on snoring of endoscopic nasal valve dilatation with spreader graft in patients with nasal valve insufficiency with previous history of palatal surgery.
Material and Methods: Following Institutional Review Board approval, 17 patients who were referred to our institution complaining from snoring, nasal blockage and fitting certain preoperative criteria were treated with this technique between March 2007 and November 2009, with minimum follow-up period of six months.
Results: 14 (82 %) patients had significant improvement in nasal airway, 3 (18%) patients had slight improvement. Snoring was cured or improved as regards both loudness and frequency. 12 (70.5%) patients was cured, 3 (17.5%) patients were improved and failure occurred in 2 (12%) patients. 3 of the patients had significant improvement of nasal airway but had 40% improvement in their snoring were later found to have some degree of OSA. One of the patients had slight improvement in nasal airway had 50% snoring improvement. Two patients had slight improvement in nasal airway but with failure in snoring improvement.
Conclusion: Nasal valve assessment should not be over-looked as a cause of nasal blockage in all cases of snoring for better outcome results.