Clinical and ultrastructural study after partial inferior turbinectomy

Bandos, Rogério Dutra; Mello, Valder Rodrigues de; Ferreira, Maria Dolores Seabra; Rossato, Maria; Anselmo‐Lima, Wilma Terezinha

doi:10.1016/s1808-8694(15)31016-8

Cited by 12 publications

(10 citation statements)

References 6 publications

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“…(Lindemann et al, 2005b) The assumption is made that post-operative mucosa behaves similarly to non-operated mucosa since total recovery of the morphologic and functional components of the regenerated epithelium is likely. (Bandos et al, 2006;Hegazy et al, 2014) The flow disturbance caused by small vortices and sideways motions within the narrow nasal valve probably already allows for intensive air-mucosa contact regardless of the absence of the head of the inferior turbinate. (Keck et al, 2001;Lindemann et al, 2002a;Na et al, 2012;Wiesmiller et al, 2007) Small differences in temperature associated with the extent of turbinate resection began to manifest around the level of the midinferior turbinate.…”

Section: Discussionmentioning

confidence: 99%

Nasal air conditioning following total inferior turbinectomy compared to inferior turbinoplasty – A computational fluid dynamics study

Siu

Inthavong

Dong

et al. 2021

Clinical Biomechanics

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Background: The aim of this study was to use computational fluid dynamics (CFD) to investigate the effects on nasal heat exchange and humidification of two different surgical techniques for reducing the inferior turbinate under different environmental conditions. Methods: Virtual surgery using two techniques of turbinate reduction was performed in eight nasal airway obstruction patients. Bilateral nasal airway models for each patient were compared: 1) Pre-operative 2) Post inferior turbinoplasty 3) Post total inferior turbinate resection (ITR). Two representative healthy models were included. Three different environmental conditions were investigated 1) ambient air 2) cold, dry air 3) hot, humid air. CFD modelling of airflow and conditioning was performed under steady-state, laminar, inspiratory conditions. Findings: Nasal conditioning is significantly altered following inferior turbinate reduction surgery, particularly with ITR under cold, dry inspired air (CDA). The degree of impairment is minor under the simulated range of environmental conditions (temperature = 12-40 • C; relative humidity = 13-80%). Streams of significantly colder air are found in the nasopharynx and more prevalent under CDA in ITR. These are related to high velocity flow streams, which remain cool in their centre throughout the widened inferior nasal cavity. Interpretation: Reduced air-mucosal heat exchange and moisture carrying capacity occurs under cooler temperatures in patients following inferior turbinate surgery. The clinical impact in extremely cold and dry conditions in groups with poor baseline respiratory function, respiratory illness, or endurance athletes is of special interest.

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Section: Discussionmentioning

confidence: 99%

Nasal air conditioning following total inferior turbinectomy compared to inferior turbinoplasty – A computational fluid dynamics study

Siu

Inthavong

Dong

et al. 2021

Clinical Biomechanics

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“…7 Study by Bandos et al, stated that improvement in relief of nasal obstruction was seen in 90% cases undergone by septoplasty with partial inferior turbinectomy. 8 Study by Stolzel et al, stated that septoplasty with turbinectomy is an ideal treatment choice in relief of nasal obstruction symptoms than septoplasty alone. 9 Study by Elwany et al, Bambirra et al reassessed their study cases one year after PIT, obtained 82.72% and 75% improvement in nasal obstruction respectively.…”

Section: Discussionmentioning

confidence: 99%

Septoplasty and septoplasty with inferior turbinoplasty in the management of nasal septal deviation with inferior turbinate hypertrophy

Rajashekhar

Parameshwar

Goud

2020

Int J Otorhinolaryngol Head Neck Surg

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Background: Nasal obstruction is a highly prevalent problem caused by nasal septal deviation, with or without inferior turbinate hypertrophy. Nasal septoplasty and inferior turbinoplasty can improve the nasal airways. This study was designed to assess the efficacy of septoplasty alone and septoplasty with inferior turbinoplasty in cases having nasal septal deviation with inferior turbinate hypertrophy.Methods: A total 70 cases clinically diagnosed with the deviated nasal septum and inferior turbinate hypertrophy were randomly divided into two groups. Group 1 cases were under septoplasty alone and group 2 cases were under septoplasty with inferior turbinoplasty. Symptom improvement scores was assessed by sino nasal outcome test-20 (SNOT-20). Results: The mean reduction symptom score of nasal obstruction was 1.73 in septoplasty with inferior turbinoplasty group, while in septoplasty group it was 1.06. The mean reduction symptom score in group 2 was statistically significant. All the cases of group 2 had adequate first pass diagnostic nasal endoscopy (DNE). While in group 1, majority cases had inadequate first pass DNE. Conclusions: First pass DNE findings were favourable in the cases under septoplasty with inferior turbinoplasty Septoplasty with inferior turbinoplasty is effective in the reduction of nasal obstruction, facial pain, sleep difficulty, decrease in attentiveness and irritability in cases having deviated nasal septum with inferior turbinate hypertrophy.

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“…Most studies analyses image data from CT images of patients presenting clinical problems related to the nasal cavity 5,8,10,13,14 . The literature also reports a robust association between nasal concha hypertrophy and the side to which the nasal septum is diverted 1,4,11,13,14 . In the present research, we found statistically significant results for a left CB and NSD to the right side, strengthening the findings reported in various studies on nasal cavity alterations.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, chronic nasal obstruction can affect facial and whole skeletal development, resulting in an undeveloped maxilla, abnormal tooth positioning, lips that do not seal properly and induce functional changes in process as chewing, swallowing, suction and speech [10][11][12] . The symptoms and skeletal variations due to NSD and CB are applicable and useful in the forensic context.…”

Section: Introductionmentioning

confidence: 99%

“…The symptoms and skeletal variations due to NSD and CB are applicable and useful in the forensic context. These traits are common and have a complex pattern, as the literature reports a strong association between nasal concha hypertrophy and the side to which the nasal septum is diverted 4,11,13,14 . This research also aimed to verify and correlate the presence of CB and the possible correlation with NSD.…”

Section: Introductionmentioning

confidence: 99%

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Frequency of Nasal Septum Deviation and Concha Bullosa: Forensic Anthropological Implications

Santos¹,

Prado²

2017

BJFS

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Abstract. Concha bullosa (CB) and nasal septum deviation (NSD) can be a congenital trait or be linked to respiratory pathologies. Symptoms include snoring, sleep apnea, and other respiratory disorders that can be easily recognized by relatives and partners. CB and NSD are easy to identify and can be very applicable in the human identification process during routine forensic anthropological investigations. A physical-anthropological analysis was carried out by observing the presence of NSD and CB in 57 skulls from a Brazilian skull collection. Of the 57 skulls, 14 (24.6%) showed septal deviation, 19.3% to the right side and 5.3% to the left side. Regarding CB, this trait was observed in 16 skulls (34.8%) unilaterally and bilaterally in 9 skulls (19.6%). Our results are compatible with the literature and we suggest that CB influences contralateral NSD. The frequency and clinical aspects of these traits may be considered in a forensic investigation.

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Clinical and ultrastructural study after partial inferior turbinectomy

Abstract: Surgery proved to be effective on a short-term but not on a long-term basis, and histological recovery did not accompany improvement of clinical signs and symptoms.

Cited by 12 publications

References 6 publications

Nasal air conditioning following total inferior turbinectomy compared to inferior turbinoplasty – A computational fluid dynamics study

Nasal air conditioning following total inferior turbinectomy compared to inferior turbinoplasty – A computational fluid dynamics study

Septoplasty and septoplasty with inferior turbinoplasty in the management of nasal septal deviation with inferior turbinate hypertrophy

Frequency of Nasal Septum Deviation and Concha Bullosa: Forensic Anthropological Implications

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