Effect of intranasal stents(AlaxoLito, AlaxoLito Plus and AlaxoLito Xtreme) on the nasal airway:A case report  

作　　者：Henry Zhang Bhik Kotecha 

机构地区：[1]Otolaryngology, Royal National Throat Nose and Ear Hospital

出　　处：《World Journal of Otorhinolaryngology》2019年第1期4-11,共8页世界耳鼻咽喉科杂志

摘　　要：BACKGROUND The study of intranasal stents on the nasal airway is limited in the medical literature. The authors aim to provide objective measurements on their effects on the nasal airway. The aim is to study the feasibility of three novel intranasal stenting devices, AlaxoLito, AlaxoLito Plus, and AlaxoLito Xtreme, as treatment for nasal obstruction.CASE SUMMARY A 58-year-old man, who had right sided nasal obstruction, used stents during sporting activities intermittently for four years and subsequently in addition to intermittent sports use regularly for sleep for another two years. Magnetic resonance imaging(MRI) of the nasal passages and rhinomanometric measurements were taken with and without stents in situ. The stents tested are all braided from thin nitinol wires. The AlaxoLito Nasal Stent has a length of 35 mm.The AlaxoLito Plus and AlaxoLito Xtreme Nasal Stents have a length of 60 mm.Both have a diameter of about 10 mm in unloaded state and comprise a widened,ball-shaped section(which is positioned at the nasal alar) of about 11 and 14 mm,respectively. Rhinomanometric nasal airflow after application of the stents improved 1.11, 1.23, and 1.38 fold, respectively, with application of the AlaxoLito,AlaxoLito Plus and AlaxoLito Xtreme stents. MRI showed that after application of the stents, the nasal passage increased in diameter.CONCLUSION Intranasal stenting shows improvement in nasal airflow. Intermittent and regular longterm use had been shown to be safe, with no discomfort and no side effects.BACKGROUND The study of intranasal stents on the nasal airway is limited in the medical literature. The authors aim to provide objective measurements on their effects on the nasal airway. The aim is to study the feasibility of three novel intranasal stenting devices, AlaxoLito, AlaxoLito Plus, and AlaxoLito Xtreme, as treatment for nasal obstruction.CASE SUMMARY A 58-year-old man, who had right sided nasal obstruction, used stents during sporting activities intermittently for four years and subsequently in addition to intermittent sports use regularly for sleep for another two years. Magnetic resonance imaging(MRI) of the nasal passages and rhinomanometric measurements were taken with and without stents in situ. The stents tested are all braided from thin nitinol wires. The AlaxoLito Nasal Stent has a length of 35 mm.The AlaxoLito Plus and AlaxoLito Xtreme Nasal Stents have a length of 60 mm.Both have a diameter of about 10 mm in unloaded state and comprise a widened,ball-shaped section(which is positioned at the nasal alar) of about 11 and 14 mm,respectively. Rhinomanometric nasal airflow after application of the stents improved 1.11, 1.23, and 1.38 fold, respectively, with application of the AlaxoLito,AlaxoLito Plus and AlaxoLito Xtreme stents. MRI showed that after application of the stents, the nasal passage increased in diameter.CONCLUSION Intranasal stenting shows improvement in nasal airflow. Intermittent and regular longterm use had been shown to be safe, with no discomfort and no side effects.

关 键 词：INTRANASAL stent Airway OBSTRUCTIVE sleep APNOEA RHINOMANOMETRY Magnetic resonance imaging 

分 类 号：R[医药卫生]