Kirurško liječenje insuficijencije valvule nosne šupljine

master's thesis

• Title (english): Surgical treatment of nasal valve insufficiency
• Author: Anton Šerić
• Mentor: Ivan Rašić (mentor)
• Committee member: Alan Pegan (predsjednik povjerenstva)
• Committee member: Mihael Ries (član povjerenstva)
• Committee member: Ivan Rašić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Othorhinolaryngology and Head and Neck Surgery); Zagreb
• Defense date and country: 2021-09-02, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Otorhinolaryngology

Abstract

Nosna valvula definira se kao najuži segment nosne šupljine i smještena je distalno od piriformnog otvora. Stoga ukoliko dođe do razvoja insuficijencije nosne valvule (NVI) često je posljedica opstrukcija nosa. Najčešći uzrok NVI je primarna rinoplastika, a ostali česti uzroci su traumatski, kongenitalni i anatomski. Nosna valvula dijeli se na svoju unutarnju i vanjsku komponentu. Insuficijencija unutarnje valvule uglavnom nastaje zbog anatomskog suženja što se naziva statičkom opstrukcijom, dok insuficijencija vanjske valvule uglavnom nastaje kao posljedica negativnog tlaka koji nastaje prilikom inspiracije što se naziva dinamičkom opstrukcijom. Dijagnoza NVI najuspješnije se postavlja temeljitom anamnezom i kliničkim pregledom. Dodatne pretrage koje mogu pomoći su rinomanometrija, akustična rinometrija te CT snimka paranazalnih sinusa. Kirurški zahvat primarni je način liječenja NVI, iako postoji nekoliko nekirurških metoda za pacijente koji ne mogu pristupiti kirurškom liječenju. Ovaj rad donosi pregled najkorištenijih i nekih novijih kirurških metoda koje se koriste pri liječenju NVI te uspoređuje njihove prednosti i nedostatke kako bi odabir optimalne kirurške tehnike za pojedinog pacijenta bio što jednostavniji.

Abstract (english)

The nasal valve is defined as the narrowest segment of the nasal cavity and is located distal to the piriform opening. Therefore, if nasal valve insufficiency (NVI) develops, nasal obstruction is often the result. The most common cause of NVI is primary rhinoplasty, and other common causes are traumatic, congenital, and anatomical. The nasal valve is divided into its internal and external component. Insufficiency of the internal valve occurs mainly due to anatomical narrowing which is called static obstruction, while insufficiency of the external valve is usually a result of negative pressure that occurs during inspiration which is called dynamic obstruction. The diagnosis of NVI is most successfully made by a thorough history and clinical examination. Additional tests that may help are rhinomanometry, acoustic rhinometry, and a CT scan of the paranasal sinuses. Surgery is the primary way to treat NVI, although there are several non-surgical methods for patients who cannot access surgical treatment. This paper provides an overview of the most common and some newer surgical methods used in the treatment of NVI and compares their advantages and disadvantages to make the selection of the optimal surgical technique for an individual patient as simple as possible.

• Keywords: insuficijencija nosne valvule; nosna opstrukcija; unutarnja nosna valvula; vanjska nosna valvula
• Keywords (english): nasal valve insufficiency; nasal obstruction; internal nasal valve; external nasal valve
• Language: croatian
• URN:NBN: urn:nbn:hr:105:397960
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2022-05-12 08:57:43