Enlargement of the Bone Component in Different Parts of Compensatorily Hypertrophied Inferior Turbinate

Uzun, Lokman; Savranlar, Ahmet; Beder, Levent Bekir; Uğur, Mehmet Birol; Çınar, Fikret; Özdemir, Hüseyin; Gündoğdu, Sadi

doi:10.1177/194589240401800612

Cited by 25 publications

(26 citation statements)

References 16 publications

(28 reference statements)

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“…Increase in the bony layer accounts for 75% of the entire growth of the inferior turbinate. CT scanning suggests this increase in the bony layer takes place in the anterior and middle thirds of the turbinate compared with the contralateral side (30) . As Farmer and Eccles have pointed out, an appreciation of the relative enlargement of the bony and soft tissue constituents of the inferior turbinate is important when deciding on which type of surgical intervention is most appropriate (15) .…”

Section: Pathophysiology Of Turbinate Enlargementmentioning

confidence: 96%

The evidence for reducing inferior turbinates

Willatt¹

2009

Rhin

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Nasal obstruction is commonly due to enlargement of the inferior turbinate. This review discusses the pathophysiology of turbinate enlargement, the indications for, and methods and outcome of turbinate reduction. All techniques are successful but vary in their long-term efficacy, their propensity for complications and the degree to which they may adversely affect nasal function. Newer techniques under local anaesthetic and often endoscopic control offer outpatient treatment with satisfactory outcomes. However selecting a particular technique should take account of the individual patient's features, the surgeon's experience and judgement and informed patient choice.

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Section: Pathophysiology Of Turbinate Enlargementmentioning

confidence: 96%

The evidence for reducing inferior turbinates

Willatt¹

2009

Rhin

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“…Prolonged nasal obstruction leads to chronic mouth breathing causing dry mouth, snoring and/or sore throat. In the literature, the mucosal layer of the inferior turbinate is frequently implicated as the structure responsible for turbinate enlargement [8,9].…”

Section: Introductionmentioning

confidence: 99%

Computed Tomographic Evaluation of Inferior Turbinate Hypertrophy in Adult Indo-Dravidian Patients With Deviated Nasal Septum

Sahu

Mohapatra

Rath

et al. 2017

Asian J Pharm Clin Res

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Objective: Aim of the study was to evaluate the prevalence and significance of inferior turbinate hypertrophy (ITH) in adult indo-dravidian patients with deviated nasal septum (DNS).Methods: Analysis of sinonasal computerized tomography (CT) images of 86 patients having DNS was done during October 2015-December 2016 for evaluation of severity of the associated ITH. Values of maximum width of medial mucosa, bone and total width of the turbinate were measured. Patients with inflammatory or expansile sinonasal masses were excluded.Results: Total 86 patients with varying degrees of septal deviation with ages ranging from 18 to 72 years (mean age of 42.8 years) were distributed as: Group I, mild cases and Group II, moderate and severe DNS cases. Patients having ITH on the contralateral side of deviation were included in the study group. The dimensions of the ITH were evaluated. The medial mucosal component of the ITH underwent maximum hypertrophy as compared to bone and lateral mucosa components. The average medial mucosa, bone and total turbinate widths of the inferior nasal concha as well as lateral offset in Group II DNS cases were 5.21 mm, 1.76 mm, 9.96 mm and 8.74 mm, respectively. Total width and width of medial mucosa of ITH in relation to the severity of septal deviation was statistically significant (p=0.0001 and 0.0098). Conclusion:Present study evaluated the relationship between DNS and compensatory ITH. The findings support the decision to excise the inferior turbinate at the time of septoplasty, because of the significant mucosal expansion.

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“…7,12,13 Some authors have suggested that the septal body mucosa may be identified using the following criteria: (1) the epithelium is composed of pseudostratified, columnar epithelium with goblet cells; (2) the epithelium is 60-100 mm thick; (3) many seromucinous glands are present; and (4) numerous blood sinusoids are present. 7,12,13 Some authors have suggested that the septal body mucosa may be identified using the following criteria: (1) the epithelium is composed of pseudostratified, columnar epithelium with goblet cells; (2) the epithelium is 60-100 mm thick; (3) many seromucinous glands are present; and (4) numerous blood sinusoids are present.…”

Section: Introductionmentioning

confidence: 99%

The septal body revisited

et al. 2008

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The present study determined the morphometric characteristics of the septal body as well as its location and surface area. The intimate relationship of the septal body to the internal nasal valve and the histological characteristics of its mucosa should stimulate research into its potential role in modifying nasal airflow pattern and resistance, and its role in changing the humidity and temperature of the inspiratory air stream.

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Enlargement of the Bone Component in Different Parts of Compensatorily Hypertrophied Inferior Turbinate

Abstract: Skeletal enlargement is prominent in anterior and middle thirds of CHIT in patients with pronounced septal deviation.

Cited by 25 publications

References 16 publications

The evidence for reducing inferior turbinates

The evidence for reducing inferior turbinates

Computed Tomographic Evaluation of Inferior Turbinate Hypertrophy in Adult Indo-Dravidian Patients With Deviated Nasal Septum

The septal body revisited

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