2021 Minimally Invasive Nasal Valve Repair: New Techniques/CPT Codes/Reimbursement (AMW)
2021 AAO-HNSF Annual Meeting & OTO Experience
Nasal valve collapse has long been recognized as an important cause of nasal obstruction despite corrective measures that address the septum and turbinates. Many patients who have had previous nasal surgery are reluctant to undergo further major reconstructive surgery and are seeking shortcut procedures to improve vestibular function and to correct nasal valve collapse. In January 2021, new CTP codes have been released that are designated for simplified nasal valve repair with a variety of minimally invasive office techniques. This course will review the presenters' experience with these techniques. The course will also discuss the expected reimbursement for these new codes. This course will review the presenters' experience with three minimally invasive techniques. The orbital suspension technique for reconstruction of the nasal valve is a simplified technique utilizing a soft tissue anchor embedded in the orbital rim to support the nasal valve area. Dr. Michael Friedman will demonstrate this technique and discuss his experience over 15 years and over 1000 patients. Complications and corrections will be discussed in detail. Surgical video will demonstrate the technique. A more recent technique using a small absorbable implant has been popularized. Dr. Pablo Stolovitzky will present his experience treating nasal valve collapse with this technique. He will discuss advantages, disadvantages, and potential complications. Moreover, the latest innovation, a system which allows remodeling of the nasal valve area, creates stiffening and increased airway with the use of radiofrequency will be reviewed and described. This system remodels the inferior turbinate, the swell body, and the valve area with a single disposable instrument. Experience with this technique will be discussed by Dr. Paul Schalch. Finally, all the experts will discuss their experience and their thoughts on the alternative techniques and why they prefer each technique.
Credits
CME:1.0, MOC:1.0