An Adjustable Implant for the Nasal Valve: 3‐Year Experience

Hurbis, Charles G.

doi:10.1016/j.otohns.2008.05.233

Cited by 6 publications

(11 citation statements)

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“…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 ( Due to these essential differences, along with the material, both procedures are difficult to compare.…”

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

Broek

Heerbeek

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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Section: Discussionsupporting

confidence: 51%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Broek

Heerbeek

2018

Rhin

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“…More recently, Friedman et al ., in a large case series of 100 patients treated with butterfly grafts, presented encouraging results regarding an improvement in INV function and nasal aesthetics . As an alternative to cartilage butterfly grafts, titanium nasal implants have been recently introduced, having promising results regarding their effectiveness in the correction of INV dysfunction …”

Section: Discussionmentioning

confidence: 99%

A systematic review of the surgical techniques for the treatment of internal nasal valve collapse: where do we stand?

Goudakos

Fishman

Patel

2016

Clinical Otolaryngology

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Proper evaluation and identification of the cause of the internal nasal valve collapse is paramount prior to selection of the preferred surgical solution. The three-dimensional construction of the nasal valve implies that many pathologies cannot be restored by a single solution. Treatment approaches should be directed at specific involved sites. Present systematic review of the literature revealed that the available evidence is based on low-level studies and focuses more on the description of various surgical techniques rather than on patient-reported outcome measures. Future studies are needed, including homogenous patient groups, comparing different surgical techniques and incorporating patient-reported outcome measures.

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“…Hurbis described a similar procedure using the Monarch Nasal Implant, made of either an expanded polytetrafluoroethylene or a silicone casing surrounding a titanium core. 28,29 Various other alternatives to using a cartilage graft have been described, including the use of grafts made of synthetic materials such as nonresorbable high-density porous polyethylene 9 and resorbable polymer of polyglycolic and polylactic acid. 10 The objective of this study is to evaluate patient-reported outcomes after placement of the titanium implants, in place of cartilage grafts alone, in nasal valve reconstruction.…”

mentioning

confidence: 99%

Nasal Valve Reconstruction Using a Titanium Implant: An Outcomes Study

Goldman

Richard

Sandoval

et al. 2017

Craniomaxillofacial Trauma & Reconstruction

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Septoplasty alone is not always sufficient to correct nasal obstruction. Various techniques have been employed to repair nasal valve collapse and improve airflow. This article aimed to evaluate outcomes and quality of life following nasal valve reconstruction using a titanium implant in patients with nasal valve collapse. This is a single-center retrospective study that consisted of a telephone questionnaire of 37 quality-of-life measures and questions related to the surgical procedure and recovery process to evaluate postsurgical outcomes. Fifteen patients completed the survey. There was a significant improvement in nasal blockage/obstruction, breathing through the nose, sleeping, breathing through nose during exercise, the need to blow nose, sneezing, facial pain/pressure, fatigue, productivity, and restlessness/irritability after surgery. Overall, 100% of patients were satisfied with the results and would recommend this procedure. The most common postoperative complaints were pain (33%) and difficulty breathing (33%). Patients noticed no increase (20%) or a slight increase (73%) in the size of their nose. Sixty percent of patients cannot see the implant and 13% report the implant is barely noticeable. Nasal valve repair with a titanium implant was successful at improving symptoms of nasal obstruction and other quality-of-life issues. Satisfaction was high among all patients. The implants are palpable, thought to be visible by some patients, yet accepted by the majority of patients. This approach may be especially important in patients with prior nasal surgery but continue to experience refractory symptoms.

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An Adjustable Implant for the Nasal Valve: 3‐Year Experience

Cited by 6 publications

References 0 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

A systematic review of the surgical techniques for the treatment of internal nasal valve collapse: where do we stand?

Nasal Valve Reconstruction Using a Titanium Implant: An Outcomes Study

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