Nasal Valve Reconstruction Using a Titanium Implant: An Outcomes Study

• Published in: Craniomaxillofacial trauma & reconstruction Vol. 10; no. 3; pp. 175 - 182
• Main Authors: Goldman, Neal D., Alexander, Richard, Sandoval, Laura F., Feldman, Steven R.
• Format: Journal Article
• Language: English
• Published: London, England SAGE Publications 01.09.2017; Thieme Medical Publishers
• Subjects: Original; Original Article; patient satisfaction; nasal valve reconstruction; nasal valve collapse; titanium implant
• ISSN: 1943-3875; 1943-3883
• DOI: 10.1055/s-0037-1600900

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.