Evidence map›Paper›PMID 31226238›Full record

Trial reportInternational forum of allergy & rhinology2019

Assessment of bioabsorbable implant treatment for nasal valve collapse compared to a sham group: a randomized control trial.

Pablo Stolovitzky, Brent Senior, Randall A Ow, Neelesh Mehendale, Nadim Bikhazi, Douglas M Sidle

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International forum of allergy & rhinology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03400787 (Latera Randomized Controlled Trial), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03400787 nacompletednot on this map

Latera Randomized Controlled Trial (RCT) - Latera® Absorbable Nasal Implant vs. Sham Control for Lateral Nasal Valve Collapse

TypeinterventionalSponsorSpirox, Inc.Ran2017 to 2020Enrolled137ConditionsNasal Valve Collapse, Nasal BreathingArmsLatera Implant, Sham Procedure
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
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  4. Functional nasal surgery in the office-based setting.World journal of otorhinolaryngology - head and neck surgery · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 1 country.

Pablo StolovitzkyDepartment of Otolaryngology, Emory University School of Medicine, Atlanta, GA.
Brent SeniorDepartment of Otolaryngology-Head and Neck Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Randall A OwSacramento Ear Nose and Throat Medical and Surgical Group, Roseville, CA.
Neelesh MehendaleENT Associates of Texas, McKinney, TX.
Nadim BikhaziOgden Clinic, Ogden, UT.
Douglas M SidleDepartment of Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.
Arnot Ogden Medical Center · USEar Medical Group · USEmory University · USKidney Associates · USNorthwestern University · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDynamic nasal valve collapse (NVC) is a common factor contributing to nasal obstruction; however, it is often underdiagnosed and untreated. An in-office, minimally invasive procedure addressing dynamic NVC uses a bioabsorbable implant (Latera) to support the lateral nasal wall. This study aimed to evaluate the safety and effectiveness of the treatment in a randomized controlled trial (RCT) with sham control.

methodsIn this prospective, multicenter, single-blinded RCT, 137 patients from 10 clinics were randomized into 2 arms: treatment arm (70 patients) and sham control arm (67 patients). Outcome measures were followed through 3 months after the procedure. The primary endpoint was the responder rate (percentage of patients with reduction in clinical severity by ≥1 category or ≥20% reduction in Nasal Obstruction Symptom Evaluation [NOSE] score).

resultsBefore the procedure, there were no statistically significant differences in patient demographics and nasal obstruction symptom measures between the 2 arms. Three months after the procedure, responder rate was significantly higher for the treatment arm compared to the control (82.5% vs 54.7%, p = 0.001). Patients in the treatment arm also had a significantly greater decrease in NOSE score (-42.4 ± 23.4 vs -22.7 ± 27.9, p < 0.0001) and significantly lower visual analogue scale (VAS) scores (-39.0 ± 29.7 vs -13.3 ± 30.0, p < 0.0001) than the sham control arm. Seventeen patients reported 19 procedure/implant-related adverse events, all of which resolved with no clinical sequelae.

conclusionOur study shows the safety and effectiveness of the bioabsorbable implant in reducing patients' nasal obstruction symptoms.

Indexed as

Absorbable ImplantsAdultAgedFemaleHumansMaleMiddle AgedNasal ObstructionNasal Surgical ProceduresPlastic Surgery ProceduresSingle-Blind MethodTreatment Outcomedisease severityevidence-based medicinenasal airway obstruction in-office proceduresquality of lifesham-control

Identifiers

PMID31226238
PMCPMC6771676
OpenAlexW2953247287

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.