Nasal obstruction is one of the most common nose complaints. Internal nasal valve dysfunction is an important cause of nasal obstruction, particularly in patients who have a previous history of nasal trauma or reduction rhinoplasty. Correct assessment is crucial for accurate diagnosis and appropriate management planning. Various surgical and nonsurgical modalities for addressing the problem of internal nasal valve collapse are being reviewed in this paper. Each technique have their own advantages and disadvantage, and the choice depends on the underlying pathology, patient preference, availability of graft material. The rhinoplasty surgeon should have a thorough understanding of the available options as part of his/her armamentarium in dealing with internal nasal valve pathology.
