A Follow-up Study of the Monarch Adjustable Implant for Correction of Nasal Valve Dysfunction

Hurbis, Charles G.

doi:10.1001/archfaci.10.2.142

“…Additionally, in both this study and Hurbis' studies, there were no to minimal side effects reported (11)(12)(13) . This combined evidence appears to favor the titanium butterfly implant over the cartilaginous graft as a superior procedure for nasal valve repair.…”

Section: Discussionsupporting

confidence: 51%

“…The cartilaginous butterfly graft does, however, have some disadvantages including the loss of elasticity and strength over time, fullness of the cartilaginous nasal dorsum, and inability to adjust the graft later. In order to correct some of these limitations, Hurbis (11)(12)(13) developed a titanium-expanded polytetrafluoroethylene (PTFE) butterfly implant and demonstrated efficacy for improving nasal obstruction. Since 2003 a full titanium butterfly implant (Breathe-Implant, Heinz Kurz GmbH, Dusslingen, Germany) is available and implanted in patients with nasal valve repair.…”

Section: Introductionmentioning

confidence: 99%

“…Although widely used in nasal valve repair, there is, however, a lack of evidence to support these claims. The studies of Hurbis (11)(12)(13) have shown promising results but a different kind of implant was studied and their outcome measurements (acoustic rhinomanometry, inspiration photographs and self-developed questionnaires) have significant limitations. Acoustic rhinomanometry only partially measures the benefit of the butterfly implant, neglecting any dynamic nasal valve collapse.…”

Section: Introductionmentioning

confidence: 99%

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The effect of the titanium butterfly implant on nasal patency and quality of life

Broek¹,

Heerbeek²

2018

Rhin

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Objective: The titanium butterfly implant seems to be a powerful technique to repair nasal valve insufficiency. However, the effect of these implants on nasal patency and quality of life has been controversial due to a lack of evidence. The purpose of this study is to evaluate the objective and subjective effect of the titanium butterfly implant on nasal patency and corresponding quality of life. Methods: Nasal patency and quality of life of 32 patients undergoing a titanium butterfly implant were evaluated by measuring peak nasal inspiratory flow (PNIF) and completing three validated questionnaires: the NOSE, SNOT-22 and GBI, before surgery, six weeks and six months after surgery. Results: The mean PNIF increased significant after 6 weeks, as well as after 6 months. Both the NOSE and SNOT-22 questionnaire scores showed a significant decrease at both post-operative measurements. The GBI indicated a significant increase at 6 weeks and 6 months. There were no significant differences between both of the post-operative measurements. Conclusion: This is the first study indicating that the titanium butterfly implant provides a significant and clinically relevant increase in nasal patency and corresponding quality of life in patients with nasal valve insufficiency.

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“…These adjustments can be made during or after surgery in the office setting. A recent follow-up study by Hurbis [5 ] demonstrated significant improvement in daytime snoring and nighttime nasal airway ratings on questionnaire data at 1 month after surgery, with slight improvement in questionnaire ratings at 6 months after surgery. Rhinometry data revealed increased static nasal valve area at both 1 and 6 months after surgery, with minimal or no adverse effects.…”

Section: Internal Nasal Valvementioning

confidence: 95%

Trends in functional rhinoplasty 2008

Lee

¹

,

Constantinides

²

2009

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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“…The cartilaginous butterfly graft does, however, have some disadvantages including the loss of elasticity and strength over time, fullness of the cartilaginous nasal dorsum, and inability to adjust the graft later. In order to correct some of these limitations, Hurbis (11)(12)(13) developed a titanium-expanded polytetrafluoroethylene ( Due to these essential differences, along with the material, both procedures are difficult to compare.…”

Section: Introductionmentioning

confidence: 99%

The effect of the titanium butterfly implant on nasal patency and quality of life

Broek

¹

,

Heerbeek

²

2018

Rhin

View full text Add to dashboard Cite

Objective: The titanium butterfly implant seems to be a powerful technique to repair nasal valve insufficiency. However, the effect of these implants on nasal patency and quality of life has been controversial due to a lack of evidence. The purpose of this study is to evaluate the objective and subjective effect of the titanium butterfly implant on nasal patency and corresponding quality of life. Methods: Nasal patency and quality of life of 32 patients undergoing a titanium butterfly implant were evaluated by measuring peak nasal inspiratory flow (PNIF) and completing three validated questionnaires: the NOSE, SNOT-22 and GBI, before surgery, six weeks and six months after surgery. Results: The mean PNIF increased significant after 6 weeks, as well as after 6 months. Both the NOSE and SNOT-22 questionnaire scores showed a significant decrease at both post-operative measurements. The GBI indicated a significant increase at 6 weeks and 6 months. There were no significant differences between both of the post-operative measurements. Conclusion: This is the first study indicating that the titanium butterfly implant provides a significant and clinically relevant increase in nasal patency and corresponding quality of life in patients with nasal valve insufficiency.

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A Follow-up Study of the Monarch Adjustable Implant for Correction of Nasal Valve Dysfunction

Cited by 10 publications

References 3 publications

The effect of the titanium butterfly implant on nasal patency and quality of life

The effect of the titanium butterfly implant on nasal patency and quality of life

Trends in functional rhinoplasty 2008

The effect of the titanium butterfly implant on nasal patency and quality of life

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