Comparative study of the effects of submucosal cauterization of the inferior turbinate with or without outfracture

Filho, Antonio Celso Nunes Nassif; Ballin, Carlos Roberto; Maeda, Carlos Augusto Seiji; Nogueira, Gustavo; Moschetta, Matheus; Campos, Danielle Salvatti de

doi:10.1016/s1808-8694(15)30039-2

Cited by 11 publications

(15 citation statements)

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“…The literature contains limited and ambiguous information about this technique's predictability and durability. 9,11,13,17,23,27,32,37 There are only a few studies that have specifically addressed the effectiveness of inferior turbinate outfracture. Goode 9 stated on the basis of his clinical experiences that outfracture of the inferior turbinate usually pro- Volume 123, Number 6 • Outfracture of the Inferior Turbinate vides only minor improvement because of the tendency of repositioning, and this clinical observation has been cited by many authors.…”

Section: Discussionmentioning

confidence: 99%

“…1,3,6 -21 None of these procedures is completely effective owing to several short-and long-term complications, such as necrosis of the turbinate bone, sparing of turbinate mucosa, eschar formation, synechia, prolonged crusting, empty nose syndrome, rhinitis sicca, epiphora, and bleeding. [1][2][3]5,11,13,14,17,22 The variety of available surgical techniques also points out the lack of general agreement on the optimal technique.…”

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confidence: 99%

“…1,3,9,13,17 As defined by Goode, 9 the turbinate is first fractured upward and inward toward the septum; the instrument is then placed on the free lateral edge of the turbinate and subsequently is outfractured toward the lateral wall.…”

mentioning

confidence: 99%

“…This technique is easy to do and has minimal surgical risk of bleeding; it does not result in crusting, infection, or necrosis. 3,9,13 Some authors 1,10,11,23 have modified this procedure as lateral displacement of the inferior turbinate by only performing greenstick outfractures. A review of the literature, however, contains very limited information on outfracture techniques that have been based solely on clinical observations 3,9 -11,13,17,24 -27 or cadaver examinations.…”

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Outfracture of the Inferior Turbinate: A Computed Tomography Study

Büyüklü

Cakmak

Hızal

et al. 2009

Plastic and Reconstructive Surgery

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BACKGROUND: Various surgical treatment modalities are available for inferior turbinate (IT) hypertrophy. Each is related with well-established complications, but still there is a lack of consensus on the optimal technique. Outfracture of the IT is thought to be a minimal destructive procedure among all other reductive turbinate interventions. Our aim was to assess the long term effects of IT outfracture technique in patients with mild or moderate IT hypertrophies. METHODS: Twenty ITs in 10 patients were outfractured during a septoplasty procedure. The distance of the IT bone to the lateral nasal wall was compared at 3 different levels of the nasal passage before and after (at 9 months) surgery with computed tomography scans of each patient at (1) the first section in which the IT bone could be seen entirely (anterior portion), (2) the level of the maxillary sinus ostium (middle portion), (3) the last section in which the IT bone could be seen entirely (posterior portion). RESULTS: A statistically significant degree of lateralization was observed at all levels in all patients. The mean lateralization rates were 15%, 26%, and 23% for the right side, and 26%, 29%, and 25% for the left side at first, second, and third levels, respectively. There was no bleeding, edema, or crusting due to the outfracture procedure in any patient. CONCLUSIONS: Our results suggest that outfracture of the IT is an effective and durable technique, which can be performed easily to enlarge the nasal airway in mild and moderate IT hypertrophies with minimal morbidity.

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confidence: 99%

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Outfracture of the Inferior Turbinate: A Computed Tomography Study

Büyüklü

Cakmak

Hızal

et al. 2009

Plastic and Reconstructive Surgery

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“…Passàli et al 8 analyzed the longterm (6-year follow-up period) efficacy of 6 surgical techniques and found that the additional lateral outfracture of the IT improved the long-term results compared with submucosal resection alone. Nassif Filho et al 9 compared the effects of submucosal electrocautery ablation with or without lateral outfracture of IT and concluded that the submucosal cauterization of IT with outfracture was better than the procedure without outfracture.…”

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confidence: 99%

Combined radiofrequency volumetric tissue reduction and lateral outfracture of hypertrophic inferior turbinate in the treatment of chronic rhinitis: short‐term and long‐term outcome

Assanasen

Banhiran

Tantilipikorn

et al. 2014

Int Forum Allergy Rhinol

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Comparative Study of the Effectiveness of sub mucosal Partial Inferior Turbinectomy and Out fracture of Inferior Turbinate in the Nasal Respiratory Function of Rhinoplasty Patients

et al. 2019

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IntroductionThe inferior turbinate is a critical and dynamic structure during rhinoplasty in the internal valve. Many surgeons try to preventively reduce its resistance against the path in the post-rhinoplasty period. To this end, the two methods of “sub mucosal partial inferior turbinectomy” and “inferior turbinate out fracture” are compared in the present study.MethodsIn this clinical study, 110 rhinoplasty candidates were randomly divided into two groups, namely sub mucosal partial inferior turbinectomy and out fracture of the inferior turbinate. To assess the complications, the Sino-Nasal Outcome Test (SNOT-22) was used prior to surgical intervention, and 1, 2, 3, 6, and 12 months following the rhinoplasty procedures.ResultsBased on the results of this clinical study and according to the SNOT-22 questionnaire, there was no significant difference between the two groups prior to surgery and a month following the surgery (P > 0.05). However, the average SNOT-22 score for the sub mucosal partial inferior turbinectomy group was significantly lower than that of the group with the out fracture of the inferior turbinate, 2, 3, 6, and 12 months following the surgery.ConclusionBoth “sub mucosal partial inferior turbinectomy” and “out fracture of inferior turbinate” are effective methods in improving the respiratory function of rhinoplasty patients, yet the former method is more effective than the latter as regards improving the respiratory function of patients.Level of Evidence IVThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Comparative study of the effects of submucosal cauterization of the inferior turbinate with or without outfracture

Cited by 11 publications

References 12 publications

Outfracture of the Inferior Turbinate: A Computed Tomography Study

Outfracture of the Inferior Turbinate: A Computed Tomography Study

Combined radiofrequency volumetric tissue reduction and lateral outfracture of hypertrophic inferior turbinate in the treatment of chronic rhinitis: short‐term and long‐term outcome

Comparative Study of the Effectiveness of sub mucosal Partial Inferior Turbinectomy and Out fracture of Inferior Turbinate in the Nasal Respiratory Function of Rhinoplasty Patients

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