A 49-YEAR-OLD PATIENT was seen in consultation for evaluation of chronic nasal airway obstruction. In 1967, he underwent a septorhinoplasty with significant skeletal reduction to improve the form and function of his nose. His airway was worse postoperatively. The patient noted improvement in his breathing with lateral traction on the soft tissues of the cheek. He has inhalant allergies to dust, mold, and pollen. He takes oral antihistamines with only minimal improvement of his breathing. He notes total nasal airway obstruction with sniffing.
Orten SS, Hilger PA. Surgical Solution: Nasal Valve Collapse. JAMA Facial Plast Surg. 1999;1(1):55-57. doi:10.1001/archfaci.1.1.55