main signs and symptoms of ankyloglossia with deviation of the epiglottis and
larynx (ADEL) are sleep disorders caused by respiratory restraint. The author
contrived the surgical procedure of correction of the glosso-larynx (CGL) and
expansion of the vestibular oris (EVO) for the cure of ADEL. CGL increases
vital capacity (VC) and forced expiratory volume in 1 second (1% FEV). EVO
reduces nasal airflow resistance. The most important component of nasal
airflow resistance is the nasal valve. Purpose: Our purpose was to measure how
wide the nares were dilated after EVO. Method: The width of the nares, height
of the nose, length of the philtrum and width of the lip were measured in
patients who had signs and symptoms of ADEL, before and after EVO. Result:
Significant increases were observed in the width of the nares, height of the
nose and length of the lip after EVO. Conclusion: This study confirmed that the
nares dilate after EVO. Not only the amelioration of nasal respiration by EVO increases
immunity, but also aesthetic effects are obtained after EVO.
Cite this paper
Mukai, S. (2013) Dilatation of the nasal valve by expansion of the vestibular oris (EVO). Health, 5, 21-25. doi: 10.4236/health.2013.58A2004.
 Mukai, S., Mukai, C. and Asaoka, K. (1991) Congenital ankyloglossia with deviation of the epiglottis and larynx. Annals of Otolaryngology, 100, 1-20.
 Mukai, S., Mukai, C., Asaoka, K., et al. (1992) Postoperative changes in infant with ADEL (in Japanese with English abstract). Zetuyuchalushou Kenkyuukai Kaiho (Annals ADEL), 1, 35-45.
 Mukai, S., Mukai, C., Asaoka, K. and Nagasugi, S. (1992) Digit sucking. Lancet, 339, 1545-1546.
 Mukai, S., Mukai, C. and Asaoka, K. (1993) Congenital ankyloglossia with deviation of the epiglottis and larynx: Symptoms and respiratory function in adult. Annals of Otolaryngology, 102, 620-624.
 Mukai, S., Mukai, C., Asaoka, K. and Nagasugi, S. (1994) Nearmiss for sudden infant death syndrome seen in infants who have ankyloglossia with deviation of the epiglottis and larynx (in Japanese). Zetuyuchakusho Kenkyuukai Kaihou (Annals ADEL), 4, 156-167.
 Mukai, S, Nagasugi, S. and Higashino, Y. (1997) Sound analysis through subject evaluation of colic crying—First report (in Japanese). Jpn J Logop Phoniatr, 38, 1-10. doi:10.5112/jjlp.38.1
 Mukai, S. and Nagasugi, S. (1999) Sound analysis through subject evaluation of colic crying—Second report: Colic. Jpn J Logop Phoniatr, 40, 349-356.
 Mukai, S. and Nitta, N. (2004) Expansion of the vestibular oris (EVO) (in Japanese). Annals of Ankyloglossia with Deviation of the Epiglottis and Larynx, 12, 1-9.
 Nitta, M. and Muka, S. (2004) Hight of nose, ala nasi and lips widen by expansio of vestibular oris (EVO) (in Japanese). Annals of the Ankyloglossia with Deviation of the Epiglottis and Larynx, 12, 10-4.
 Mukai, S. and Nitta, M. (2002) Correction of the glossolarynx (CGL) and resultant positional changes of the hyoid bone and cranium. Acta Oto-Laryngologica (Sweden), 122, 644-650. doi:10.1080/000164802320396330
 Mukai, S. and Yamamoto, I. (2010) Patial genioglossectomy leading to an increase in respiratory rate—Surgery for ankyloglossia with deviation of the epiglottis and larynx. Nihon Zetuyuchalusho Gakkaishi (Annals ADEL), 16, 5-31.
 Mukai, S. (2010) Expansion of the vestibular oris (EVO) —Esthetic facial changes and expansion of the nasal cavity. Nihon Zetuychakusho Gakkai Kaishi (Annals ADEL), 16, 32-41.
 Bridger, G.P. (1970) Physiology of the nasal valve. Archives of Otolaryngology, 92, 543-553.
 Wexler, D.B. and Davidson, T.M. (2004) The nasal valve: A review of the anatomy, imaging, and physiology. American Journal of Rhinology, 18, 143-150.
 Cole, P. (1997) Nasal airflow resistance: A survey of 2500 assesment. American Journal of Rhinology, 11, 415-419.
 Cole, P. (200) The four components of the nasal valve. American Journal of Rhinology, 17, 107-110.
 Cottle, M.H. (1955) The structure and function of the nasal vestibule. Archives of Otolaryngology, 62, 173-181.
 Heinberg, C.E. and Kern, E.B. (1973) The cottle sign: An aid in the physical diagnose of nasal airflow disturbances. 3rd Congress of the International Rhinologic Society, Bordeaux, 89-94.
 Ohki, M. (1991) Dimensions and resistances of the human nose: Racial differences. Laryngoscope, 101, 276-278. doi:10.1288/00005537-199103000-00009
 Ohki, M. and Hasegawa, M. (1986) Studies of transnasal pressure and airflow in a Japanese population. Rhinology, 24, 277-282.
 Paniello, R.C. (1996) Nasal valve suspension: An effective treatment for nasal valve collapse. Archives of Otolaryngology, 122, 1342-1346.
 Toriumi, D.M., Josen, J., Weiberger, M. and Eugene Tardy, M. (1997) Use of alar batten grafts for correction of nasal valve collapse. Archives of Otolaryngology, 123, 802-808. doi:10.1001/archotol.1997.01900080034002
 Sciuto, S. and Bernardeschi, D. (1999) Upper lateral cartilage suspension over dorsal grafts: A treatment for internal nasal valve dynamic incompetence. Facial Plastic Surgery, 15, 309-316. doi:10.1055/s-2008-1064332
 Rhee, J.S., Poetker, D.M., Smith, T.L., et al. (2005) Nasal valve surgery improves disease-specific quality of life. Larygoscope, 115, 437-440.
 Khosh, M.M., Honrado, C. and Peariman, S.J. (2004) Nasal valve reconstruction. Archives of Facial Plastic Surgery, 6, 167-171.
 Rouviére, H., Delmas, A., du Nez, M. and des Léves, M. (2002) Anatomie humaine, Descriptive, topographie et fonctionelle. MaSSON, Paris, 172-179.
 Figallo, E.E. and Acosta, J.A. (2001) Nose mascular dynamics: The tip trigonum. Plastic & Reconstructive Surgery, 108, 1118-1126.