Management of the Nasal Valve in Facial Paralysis

Otolaryngol Clin North Am. 2025 Apr;58(2):379-386. doi: 10.1016/j.otc.2024.07.018. Epub 2024 Sep 2.

Abstract

Facial paralysis significantly impacts the form and function of patients. Assessment of the face in zones is important to ensure no functional area of the face is neglected. Nasal valve compromise in patients with facial paralysis, for example, is often overlooked yet should be addressed to correct nasal obstruction. In flaccid facial paralysis, inferomedial displacement of the alar base and lateral nasal sidewall insufficiency contribute to nasal valve compromise. For surgical candidates, static suspension of the nasal valve in a superolateral vector is an ideal technique to address the etiology of nasal obstruction in patients with facial paralysis.

Keywords: Facial paralysis; Nasal obstruction; Nasal valve compromise; Static suspension.

Publication types

  • Review

MeSH terms

  • Facial Paralysis* / surgery
  • Humans
  • Nasal Obstruction* / etiology
  • Nasal Obstruction* / surgery
  • Nose / surgery
  • Rhinoplasty / methods