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The procedure described by CPT® Code 30468 involves the surgical repair of nasal valve collapse through the implantation of subcutaneous or submucosal lateral wall implants. The nasal valve is a critical structure within the nasal cavity that plays a significant role in regulating airflow. It is defined by the anterior tip of the inferior turbinate, the septum, and the upper lateral cartilage, extending down to the lower end of the septum and lower lateral cartilage. When the nasal valve collapses, it can lead to significant breathing difficulties, discomfort, and conditions such as snoring. This collapse may be attributed to various factors, including aging, congenital anatomical variations, inflammation resulting from trauma, or as a consequence of previous nasal surgeries. To address this issue, a small incision is made at the base of the nose, allowing for the implantation of a cartilage graft into the lateral wall of the nasal cavity. This graft serves to reshape the nasal valve, thereby restoring proper airflow and alleviating the symptoms associated with nasal obstruction. Various graft techniques may be employed during the procedure, including the vertical “V” shaped “spreader graft,” which helps to extend the internal nasal passage away from the septum, and the “butterfly graft,” which crosses the septum to enhance the breathing area of both nostrils. The graft material can be harvested from different donor sites, such as the ear, rib, or the nasal tissue itself, depending on the specific requirements of the surgical repair.
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