Surgical management of inferior turbinate hypertrophy

O’Brien, Daniel C.; Utainrat, Withita; Setabutr, Dhave

doi:10.1016/j.otot.2018.03.009

Cited by 5 publications

(2 citation statements)

References 22 publications

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“…7 However, it has also been reported that nasal obstruction caused by inferior turbinate hypertrophy refractory to AIT (minimum 3 months of persistent symptoms), often suggests that ITR intervention is required. 22 The current study supports this premise, as patients who presented with a higher burden of nasal obstruction when commencing AIT, progressed to undergoing ITR as part of their allergy treatment. Patients with symptomatic turbinate hypertrophy presenting with worse nasal obstruction despite AIT initiation should be promptly evaluated as potential ITR candidates.…”

Section: Discussionsupporting

confidence: 75%

Comparison of Allergen Immunotherapy Alone and in Conjunction With Turbinate Surgery for Nasal Obstruction in Perennial Allergic Rhinitis Patients

Chong,

Alvarado,

Rimmer

et al. 2024

Ann Otol Rhinol Laryngol

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Background: Nasal obstruction, triggered by allergic rhinitis, often does not resolve with allergen-specific immunotherapy (AIT) alone, thus inferior turbinate reduction surgery (ITR) may be required. This study aims to investigate the impact of combined treatment on nasal obstruction, as evidence is currently limited. Methodology/Principal: A retrospective cohort study of perennial allergic rhinitis patients experiencing nasal obstruction and undergoing ≥12 months AIT was conducted. Two groups were derived, those undergoing AIT—with or without an ITR. Patient reported nasal obstruction (evaluated with questionnaires) and nasal airway function (Nasal Peak Inspiratory Flow [NPIF] and Nasal Airflow Resistance [NAR]) were monitored. The change from baseline to 12 months post-treatment in each group were compared. Results: A total of 118 patients (33.71 ± 14.43 years, 41.5% female) were recruited, 72% had AIT and 28% AIT&ITR. At baseline, the AIT&ITR group had a higher level of nasal obstruction (>moderate%; 63.6% vs 52.9%, P = .048). Post treatment, AIT&ITR group reported greater reduction in nasal obstruction (>1 category change: 75.8% vs 48.2%, P = .002). Similarly, the AIT&ITR group had greater improvement in nasal function by NPIF (−13.9 ± 110.3 L/minute vs −3.4 ± 78.1 L/minute, P = .049) and NAR (−0.120 ± 0.342 Pa/cm³/second vs −0.093 ± 0.224 Pa/cm³/second, P = .050). Conclusions: Allergic rhinitis patients, with moderate to severe nasal obstruction, who undergo combined AIT&ITR have greater relief of nasal obstruction and improved airflow analysis compared to AIT alone.

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Section: Discussionsupporting

confidence: 75%

Comparison of Allergen Immunotherapy Alone and in Conjunction With Turbinate Surgery for Nasal Obstruction in Perennial Allergic Rhinitis Patients

Chong,

Alvarado,

Rimmer

et al. 2024

Ann Otol Rhinol Laryngol

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“…Bleeding and crusting are more likely to occur in such situations. We incised the anterior surface of the inferior turbinate vertically with a sharp blade as described by O’Brien et al 4 and we used a 15c blade, which is small and thus easy to maneuver in the narrow nasal cavity. Mucosal incision leads to distribution of the tension applied to the mucosal edge and unintentional tearing does not occur.…”

Section: Discussionmentioning

confidence: 99%

How I Do It: Inferior Turbinectomy: Modified Techniques for Submucosal Resection

Omura

Nomura

Takeda

et al. 2021

Allergy�Rhinol (Providence)

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Although inferior turbinectomy with submucosal resection effectively reduces the volume of the inferior turbinate, there is room for improvement in surgical procedures. Techniques have been developed to reduce crusting and bleeding while efficiently achieving volume reduction. State-of-the-art procedures pertaining to the local injection site, incision line, exposure of the periosteum, submucosal outfracture of the turbinate bone, trimming of redundant mucosa, and incision line suturing are described. Pre and postoperative Nasal Obstruction Symptom Evaluation (NOSE) scores and postoperative inferior turbinate bleeding and crusting were evaluated. For the 18 consecutive patients analyzed, the pre and postoperative NOSE scores were 67.8 ± 14.8 and 16.1 ± 13.0, respectively ( P = .0002). Postoperatively, bleeding was absent, and only minor suture thread crusting was observed in 13 patients. In conclusion, our novel technique improves the effectiveness of surgery as well as the postoperative quality of the inferior turbinate.

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Nasal surgery for pediatric obstructive sleep apnea

Zalzal

2023

Operative Techniques in Otolaryngology-Head and Neck Surgery

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Surgical management of inferior turbinate hypertrophy

Cited by 5 publications

References 22 publications

Comparison of Allergen Immunotherapy Alone and in Conjunction With Turbinate Surgery for Nasal Obstruction in Perennial Allergic Rhinitis Patients

Comparison of Allergen Immunotherapy Alone and in Conjunction With Turbinate Surgery for Nasal Obstruction in Perennial Allergic Rhinitis Patients

How I Do It: Inferior Turbinectomy: Modified Techniques for Submucosal Resection

Nasal surgery for pediatric obstructive sleep apnea

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