Update on the Evaluation and Management of Nasal Valve Collapse

Purpose of Review This review covers the etiology, diagnosis, and management of nasal valve collapse (NVC). Particular attention is directed toward recent advances in office-based procedural treatment options. Recent Findings While intervention for NVC has traditionally focused on graft and suture maneuvers performed via open functional septorhinoplasty, recent innovations include the use of radiofrequency energy and bioaborbable implants to strengthen the nasal valve and reduce dynamic collapse. Studies have demonstrated comparable long-term outcomes to conventional surgery in properly selected patients. Dynamic NVC is an important but often overlooked contributor to nasal obstruction. Innovative devices offer the option of in-office treatment without the costs and risks associated with general anesthesia in the operative setting. Along with the further development of new surgical techniques and office-based procedural device options, the validation of objective measures will be necessary to assess response to therapy and determine which interventions are most appropriate for individual patients.