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Facial Plast Surg 2022; 38(05): 461-467
DOI: 10.1055/a-1786-8498
Original Article

Titanium Implants in the Nose: State of the Art

Daniel F. àWengen
1   Department of ENT, University Hospital Basel, Basel, Switzerland
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Abstract

Titanium implants in the head have been used widely for decades. Dental implants as well as titanium plates, screws, and mesh have been an integral part of dental and maxillofacial surgery. In the nose, titanium implants were started in 2003. Their purpose is to increase structure and stiffness to nasal cartilages widening the airway. This overview describes the use of titanium implants in the various locations in the nose. We concentrate on three locations: Breathe Implants on the upper lateral cartilage to widen the internal nasal valve, modified breathe implants in the lower lateral nasal wall fixed to the piriform aperture as batten grafts to widen the external nasal valve, and flattened breathe implants as titanium septum plates to straighten and strengthen the nasal septum.

Keywords

rhinoplasty - nasal obstruction - titanium implants - internal nasal valve - external nasal valve

You Tube Videos

1. Titanium Implants in the Nose: Stabilization of Soft Tissue Structures for better breathing


https://youtu.be/YKfqw2telEM


2. Titanium Batten Grafts to stabilize the External Nasal Valve


https://youtu.be/QkXqI5cT0oM


3. Titanium Septum Plate from Breathe Implant àWengen Presentation 6 2020 Rhinoplasty Society of Europe


https://youtu.be/F37pBr1kYPk


Note

The author receives royalties from the KURZ company for Breathe Implant.




Publication History

Accepted Manuscript online:
03 March 2022

Article published online:
13 September 2022

© 2022. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Wexler DB, Davidson TM. The nasal valve: a review of the anatomy, imaging, and physiology. Am J Rhinol 2004; 18 (03) 143-150
    CrossrefPubMedGoogle Scholar
  • 2 Friedman O, Cook TA. Conchal cartilage butterfly graft in primary functional rhinoplasty. Laryngoscope 2009; 119 (02) 255-262
    CrossrefPubMedGoogle Scholar
  • 3 àWengen DF. Alternatives to flaring spreader flaps and upper lateral advancement for the internal nasal valve. HNO 2012; 60 (07) 595-596
    CrossrefPubMedGoogle Scholar
  • 4 Bitik O, Kucukguven A, Konas E. Posterior cephalic soft triangle of the nose: surgical implications. Aesthetic Plast Surg 2021; 45 (02) 628-637
    CrossrefPubMedGoogle Scholar
  • 5 Becker DG, Becker SS. Treatment of nasal obstruction from nasal valve collapse with alar batten grafts. J Long Term Eff Med Implants 2003; 13 (03) 259-269
    CrossrefPubMedGoogle Scholar
  • 6 André RF, D'Souza AR, Kunst HP, Vuyk HD. Sub-alar batten grafts as treatment for nasal valve incompetence; description of technique and functional evaluation. Rhinology 2006; 44 (02) 118-122
    PubMedGoogle Scholar
  • 7 Chua DY, Park SS. Alar batten grafts. JAMA Facial Plast Surg 2014; 16 (05) 377-378
    CrossrefPubMedGoogle Scholar
  • 8 Wengen DF. Titanium septum plate: a novel technique to straighten and to stabilize the nasal septum using a modified titanium Breathe-Implant. Arch Otolaryngol Rhinol 2019; 5 (02) 5-580
    PubMedGoogle Scholar
  • 9 Gubisch W, Hacker S, Neumann J, Haack S. 40 years of total extracorporeal septal reconstruction: the past, present, and future. Plast Reconstr Surg 2020; 146 (06) 1357-1367
    CrossrefPubMedGoogle Scholar
  • 10 Gubisch W, Sinha V. Extracorporeal septoplasty-how we do it at marienhospital stuttgart germany. Indian J Otolaryngol Head Neck Surg 2008; 60 (01) 16-19
    CrossrefPubMedGoogle Scholar
  • 11 Most SP, Rudy SF. Septoplasty: basic and advanced techniques. Facial Plast Surg Clin North Am 2017; 25 (02) 161-169
    CrossrefPubMedGoogle Scholar
  • 12 Sinkler MA, Wehrle CJ, Elphingstone JW, Magidson E, Ritter EF, Brown JJ. Surgical management of the internal nasal valve: a review of surgical approaches. Aesthetic Plast Surg 2021; 45 (03) 1127-1136
    CrossrefPubMedGoogle Scholar
  • 13 van den Broek SJAC, van Heerbeek N. The effect of the titanium butterfly implant on nasal patency and quality of life. Rhinology 2018; 56 (04) 364-369
    CrossrefPubMedGoogle Scholar
  • 14 Hurbis CG. An adjustable, butterfly-design, titanium-expanded polytetrafluoroethylene implant for nasal valve dysfunction: a pilot study. Arch Facial Plast Surg 2006; 8 (02) 98-104
    CrossrefPubMedGoogle Scholar
  • 15 Godoy S JM, Godoy JM, Godoy A, Revelo C. A straight choice: avoiding septal re-deviation using titanium plates. A 16 year retrospective patient follow-up evaluation. Rhinology 2017; 55 (04) 369-375
    CrossrefPubMedGoogle Scholar
  • 16 Manuel A, Fishman JM, Majumdar A, Draper MR. Titanium mini-plate for securing septal cartilage: a case of high-impact nasal trauma. Ann R Coll Surg Engl 2009; 91 (05) 433-434
    CrossrefPubMedGoogle Scholar