Author Affiliation: Department of Otolaryngology–Head and Neck Surgery, Hospital da Arrabida, Porto, Portugal.
Rhinoplasty is a surgical procedure that aims to improve the aesthetic appearance of the nose. It must be remembered, however, that every modification performed on the nasal pyramid will also modify the nasal airway, producing changes in the shape and in the dynamic properties of the nasal cavities that may alter the breathing capacity of the nose.
There are only a few studies addressing the functional effects of rhinoplasty or the effect of surgical techniques commonly used in rhinoplasty on nasal breathing. The article by Weeks et al,1 recently published in the Archives, is one of these studies. This is a well-designed study, drawing the reader's attention to a surgical technique that may increase the internal nasal valve surface area. From this study, it seems that Z-plasty of the internal nasal valve may be effective in improving the breathing capacity of the internal nasal valve.
Xavier R. Internal Nasal Valve Functional Surgery. Arch Facial Plast Surg. 2012;14(6):465-468. doi:10.1001/archfacial.2012.1107