Role of Rhinoplasty in Management of Nasal Valve Collapse

Abstract

Nasal valve collapse (NVC) is one of the most common but frequently underdiagnosed causes of chronic nasal obstruction. The condition arises from structural weakness, surgical disruption, trauma, or age-related tissue changes affecting the internal or external nasal valve. Patients often present with persistent nasal blockage, impaired airflow, snoring, and reduced quality of life. Accurate diagnosis requires a comprehensive assessment including clinical examination, anterior rhinoscopy, endoscopy, Cottle or modified Cottle maneuvers, and objective airflow measurements. Management options range from medical therapy targeting mucosal inflammation to a wide spectrum of surgical and minimally invasive interventions aimed at restoring structural support. Current advances include bioabsorbable implants and suture-based techniques, providing less invasive alternatives to traditional cartilage grafting. This review summarizes pathophysiology, evaluation strategies, and evidence-based therapeutic options to guide optimal management of nasal valve collapse.