Inferior Turbinate Hypertrophy: Review and Graduated Approach to Surgical Management

Brunworth, Joseph; Holmes, Janalee; Sindwani, Raj

doi:10.2500/ajra.2013.27.3912

Cited by 49 publications

(46 citation statements)

References 66 publications

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“…Lots of surgery procedures have found to treat the inferior turbinate hypertrophy such as lateral out-fracture, sub-mucose resection, turbinoplasty, radiofrequency assisted turbinate reduction etc. [13,14].…”

Section: Discussionmentioning

confidence: 99%

The Reason of Dissatisfaction of Patient after Septoplasty

Kuduban

Bingöl

Budak³

et al. 2015

Eurasian J Med

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Objective: The objective of this study was to evaluate the causes of persistent nasal obstruction of patients after septoplasty. Materials and Methods:After exclusion of allergic rhinitis, nonallergic rhinitis and nasal polyposis, this study included 90 patients with nasal breathing problem who underwent septoplasty at least 4 months ago. After taking full history and completing otorhinological and endoscopic examination, all patients graded their extent of obstruction using the Nasal Obstruction Symptoms Evaluation scale. Results:Our results showed only 45% of patients' persist septal deviation; besides other obstructive pathologies, 55% were detected after detailed otolaryngologic evaluation. Conclusion:Therefore, septal surgeons need to observe all obstructive causes of the nose carefully before planning the procedure.Keywords: Nasal obstruction, septoplasty, endoscopic, rhinitis Özet Amaç: Bu çalışmanın amacı septum cerrahisi geçirmiş olmasına rağ-men burun tıkanıklığı şikayeti devam eden hastalarda buna neden olan durumun veya durumların değerlendirilmesidir. Gereç ve Yöntem:Alerjik rinit, non-alerjik rinit ve nazal polipozis hastalığı olmayan ve septum cerrahisi geçirme hikayesine sahip 90 hasta çalışmaya dahil edildi. Hastalar anamnezleri alınıp otolaringolojik muayeneleri yapıldıktan sonra ''Nasal Obstruction Evaluation'' skalası ile değerlendirildiler. Bulgular:Hastaların %45'inde persiste eden nazal septum deviasyonu saptandı. Diğer %55'inde de obstrüksiyona yapan diğer nedenler gözlemlendi.Sonuç: Sonuç olarak septum cerrahisi ile uğraşan cerrahların ameliyat öncesi obstrüksiyona neden olabilecek tüm nedenleri saptaması ve cerrahi planlamanın buna göre yapılması hastayı ikinci bir nazal cerrahiden koruyacaktır.

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Section: Discussionmentioning

confidence: 99%

The Reason of Dissatisfaction of Patient after Septoplasty

Kuduban

Bingöl

Budak³

et al. 2015

Eurasian J Med

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“…However, PIT is still commonly used at present since it provides effective turbinate reduction and does not require additional equipment. [2,9] Postoperative pain control is quite important for nasal, as for all other surgeries. Nasal packing has the highest level of postoperative pain scores compared to splints and suturing.…”

Section: Discussionmentioning

confidence: 99%

The comparison of trans-septal suture, Merocel nasal packing and septal splint following septoplasty combined with inferior turbinate surgery

Tatar¹

2016

KBB Uygulamaları

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Bulgular: Septoplasti ile eşzamanlı yapılan RFTA sonrası splint, Merocel tampon ve trans-septal sütür alt gruplarında, ameliyat sonrası ağrı hariç diğer araştırma parametrelerinde istatistiksel farklılık yoktu. Parsiyel inferior turbinektomi yapılan grupta Merocel tampon uygulanan beş, trans-septal sütür uygulanan altı, splint uygulanan bir hastada nazal sineşi gelişmesine rağmen sineşi ve diğer araştırma parametreleri arasındaki fark istatistiksel olarak anlamlı bulunmadı. Splint, trans-septal sütür ve Merocel tampon uygulanan gruplarda, ameliyat sonrası ağrı düzeyi en yüksek tampon gruplarında ve en düşük trans-septal sütür gruplarında tespit edildi.Sonuç: Septoplasti ile kombine RFTA cerrahilerinde trans-septal sütür uygulamasının, septoplasti ile kombine PİT cerrahilerinde ise splint kullanımının nazal tampon uygulamasına tercih edilmesi, tamponun neden olduğu ağrı, rahatsızlık ve komplikasyonların engellenmesine ve hastalara daha konforlu ameliyat sonrası dönem sunulmasına katkı sağlayacaktır.Anahtar sözcükler: Merocel nazal tampon; nazal splint; parsiyel inferior türbinektomi; radyofrekans termal ablasyon; septoplasti; trans-septal sütür. ABSTR ACTObjectives: This study aims to investigate the efficacy of nasal splint, Merocel nasal packing and trans-septal suturing applications in septoplasty combined with inferior turbinate surgeries in the prevention of postoperative pain and complications. Patients and Methods:Between January 2014 and October 2015 a total of 180 patients (129 male, 51 female; mean age 31.32±10.27 years; range 18 to 55 years) for which septoplasty concurrent with inferior turbinate surgery was planned were included in this study. Following septoplasty, patients were divided into two equal groups to apply Radiofrequency Thermal Ablation (RFTA) and Partial Inferior Turbinectomy (PIT). Both patient groups were separated into three subgroups in themselves to apply nasal splint, Merocel packing and trans-septal suturing, so that each group would have 30 patients. The duration of surgery, minor and major hemorrhage, postoperative pain evaluated at the 6 th hour, on the 1 st , 2 nd and 3 rd day, and postoperative complications in the 6 th week (septal perforation, hematoma, infection, crusting, nasal synechiae) were compared.Results: There was no statistical difference in research parameters except for the postoperative pain in three subgroups applied splint, Merocel packing, and trans-septal suture after RFTA concurrent with septoplasty surgery. Although nasal synechia developed in five patients who were applied Merocel packing, in six patients who were applied trans-septal suture and in one patient who was applied splint in the group in which PIT was performed, the difference between synechiae and other research parameters was statistically insignificant. The highest level of postoperative pain was determined in the Merocel packing groups, and the lowest level was determined in the groups that were applied trans-septal suture at the groups in which splint, Merocel packing, and trans-septal s...

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“…By removing portions of the submucosa only, receptors on the external layer of the mucosa are not affected (Bhandarkar and Smith 2010). The recent use of a microdebrider tool in this surgery, which permits continuous suctioning of blood from the area while quickly removing the tissue, has made this surgery even more effective and popular (Brunworth, Holmes, and Sindwani 2013). Despite the expected loss of turbinate function because of the vital role of the submucosa, it appears that mucus and IgA secretion are eventually restored to functional levels (Leong and Eccles 2010).…”

Section: Surgical Reductionmentioning

confidence: 99%

“…Full turbinectomy was a popular choice of surgeons until empty nose syndrome was discovered. Now, it has fallen out of favor due to the high rate of complications (Brunworth, Holmes, and Sindwani 2013). Again, with most of these techniques proven safe and effective, the choice of surgery is left to the otolaryngologist.…”

Section: Surgical Reductionmentioning

confidence: 99%