HealthWatch: LATERA Nasal Implant


SAN ANTONIO, TX (Ivanhoe Newswire) — More than 20 million Americans suffer from nasal obstruction, which restricts breathing and impacts quality of life.  Whether it’s caused by allergies, a deviated septum or swelling inside your nose, people need relief. Now a look at a new procedure, a dissolving nasal implant, called LATERA.  
“When I would try to jog or run, I would not turn red, I would actually turn purple. It was just exhausting,” said Courtney Bade.
Bade had no stamina and wasn’t sleeping well so she sought help.
Bade continued, “He noticed that when I did breathe, the side of my nose would cave in.” 
Structures inside in her nose blocked nasal passages, limiting her oxygen supply.  The doctor recommended a new device.
Jose Barrera, MD, FACS, at the Texas Center for Facial Plastic and Laser Surgery said, “LATERA is an implant made out of polylactic acid: it’s dissolvable, and it’s a bioactive stimulator of collagen.” 
Which helps keep the airways open.
Dr. Barrera shared, “and then, once it dissolves, which it will dissolve over two years, it leaves behind a little collagen track, which supports the sidewall.” 
The implant surgery takes only 20 minutes, under local anesthesia, with a minimal recovery time of one week.  
“They can actually resume normal activities the next day, no splints, no packing; they can breathe better right away,” said Dr. Barrera.
After about a month, Bade saw a marked improvement in her breathing.
She said, “I was actually able to jog.  I didn’t turn different colors.” 
Dr. Barrera advised, “if you feel during the daytime that you have nasal obstruction; you feel congested, you feel blocked; you feel like you can’t breathe out of one side compared to the other, then it’s time for an evaluation.” 
“I did not know that I had a problem, but having it fixed is amazing,” Bade said.
The FDA approved the medical implant for use at the end of 2016.  It is covered on a case-by-case basis by most health insurance companies.
Contributors to this news report include: Donna Parker, Field Producer; Larry Burns, Videographer; Cyndy McGrath, Supervising Producer; Hayley Hudson, Assistant Producer; Roque Correa, Editor.
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REPORT:    MB #4397

BACKGROUND: Nasal obstruction refers to blockage of the nose or nasal cavity and can be caused by an array of reasons. Some common causes are a deviated nasal septum, where the septum is crooked which results in difficulty breathing and a runny nose. Inferior turbinate hypertrophy is when bony structures in the nose, called turbinates, are irritated by dust or allergies and start to swell. Foreign bodies in the nose and swelling of the lining of the nose from allergies are other common causes. To diagnose the issue, doctors may perform a nasal examination and an allergy evaluation. Often, nasal obstruction can be treated with medications or a nasal spray to decrease inflammation. But if these methods do not alleviate the symptoms, your doctor may recommend a surgical procedure.  

DIAGNOSING: While some choose to get rhinoplasty for cosmetic reasons, others may require it to help with breathing problems.  Jose Barrera, MD, a Clinical Professor of the Uniform Services University in Washington DC and a Clinical Associate Professor at the University of Texas Health Sciences Center, describes rhinoplasty as an operation of opening up the skin of the nose and restructuring the cartilages to support collapsibility. But now there is another option that can be done in the clinic without anesthesia and an operating room called LATERA.
(Source: Jose Barrera, MD)
NEW TECHNOLOGY: LATERA is an implant made out of polylatic acid, that is dissolvable and a bio active stimulator collagen. LATERA supports the weak side of the walls and then once it dissolves over two years, it leaves behind a collagen track which supports the sidewall. Dr. Barrera says while the patient is awake, doctors numb the internal lining of the nose with nasal spray or gel.  After applying numbing medicine on the side wall of the nose, they deploy the LATERA implant through a small cannula. The LATERA implant is a small device the size of an ear bud. It goes through the cannula and has a small polymer in it that prevents it from backing out. It gets deployed to sit right above the nasal bone and on the side wall and cannot be seen. Dr. Barrera states that 90 percent of physicians who deploy the LATERA implant report that there is no aesthetic change.  Ninety-five percent of patients also report that they’re happy with the implant.
(Source: Dr. Jose Barrera, MD)


José Barrera, MD

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