Departement of Otorhinolaryngology, Radboudumc Nijmegen, the Netherlands.
Rhinology. 2018 Dec 1;56(4):364-369. doi: 10.4193/Rhin.17.213.
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.
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.
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.
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.
钛蝴蝶植入物似乎是修复鼻阀功能不全的有效技术。然而,由于缺乏证据,这些植入物对鼻通气和生活质量的影响一直存在争议。本研究旨在评估钛蝴蝶植入物对鼻通气和相应生活质量的客观和主观效果。
通过测量峰值鼻吸气流量(PNIF)和完成三个经过验证的问卷:NOSE、SNOT-22 和 GBI,评估 32 例接受钛蝴蝶植入物的患者的鼻通气和生活质量,分别在手术前、术后 6 周和 6 个月进行评估。
术后 6 周和 6 个月时,PNIF 均值均显著增加。NOSE 和 SNOT-22 问卷评分在两次术后测量时均显著降低。GBI 在 6 周和 6 个月时均显著增加。两次术后测量之间无显著差异。
这是第一项表明钛蝴蝶植入物可显著改善鼻阀功能不全患者鼻通气和相应生活质量的研究。