Seyidova Nargiz, Chen Austin D, Kazei Darya, Lin Samuel J
Division of Plastic Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass.
Plast Reconstr Surg Glob Open. 2020 Jun 17;8(6):e2887. doi: 10.1097/GOX.0000000000002887. eCollection 2020 Jun.
Persistent nasal airway obstruction (NAO) due to midvault soft tissue collapse in patients following rhinoplasty or nasal surgery is a clinical challenge for surgeons. An absorbable lateral nasal wall implant is one option available to help treat midvault soft tissue collapse and to improve NAO symptoms. Previous studies have not investigated its use in complex revision functional rhinoplasty with respect to patient-reported outcomes. Data were collected on all patients with a history of previous nasal procedures who underwent Latera implant placement in conjunction with functional rhinoplasty from January to December 2018. The Nasal Obstructive Symptom Evaluation and Visual Analogue Scale were used to evaluate functional outcomes. Eight implants were placed in 6 revision functional rhinoplasty patients with midvault collapse. All patients responded to the survey. Mean follow-up was 16 ± 4 months. There were no implant-related adverse events. Mean Nasal Obstructive Symptom Evaluation score was 33 ± 33, and mean Visual Analogue Scale score was 20 ± 9. In total, 1 patient reported complete resolution of NAO, whereas 2 patients reported mild, 1 reported moderate, 1 reported severe, and 1 reported extreme symptoms. Four of the 6 patients reported nasal obstruction improvement, with all reporting improvement in midvault soft tissue collapse. Apart from being used in nasal valve collapse treatment, a lateral nasal wall implant is a potentially useful solution that may help surgeons improve patients' NAO symptoms in complex functional rhinoplasty cases. However, in certain cases, a patient's nasal obstructive symptoms may continue to be multifactorial.
隆鼻或鼻腔手术后患者因中鼻道软组织塌陷导致的持续性鼻气道阻塞（NAO）对外科医生来说是一项临床挑战。可吸收性鼻侧壁植入物是一种可用于帮助治疗中鼻道软组织塌陷并改善NAO症状的选择。以往的研究尚未就患者报告的结果调查其在复杂的功能性鼻整形修复术中的应用。收集了2018年1月至12月期间所有有既往鼻腔手术史且在功能性鼻整形术中同时植入Latera植入物的患者的数据。使用鼻阻塞症状评估和视觉模拟量表来评估功能结果。在6例中鼻道塌陷的功能性鼻整形修复患者中植入了8枚植入物。所有患者均对调查做出了回应。平均随访时间为16±4个月。没有与植入物相关的不良事件。平均鼻阻塞症状评估评分为33±33，平均视觉模拟量表评分为20±9。总共有1例患者报告NAO完全缓解，2例报告症状轻微，1例报告中度，1例报告重度，1例报告极重度症状。6例患者中有4例报告鼻阻塞有所改善，所有患者均报告中鼻道软组织塌陷有所改善。除了用于治疗鼻瓣膜塌陷外，鼻侧壁植入物是一种潜在有用的解决方案，可能有助于外科医生在复杂的功能性鼻整形病例中改善患者的NAO症状。然而，在某些情况下，患者的鼻阻塞症状可能仍然是多因素的。
