The effect of inferior turbinate surgery on nasal symptoms and inferior turbinate contractility

Harju, Teemu; Numminen, Jura

doi:10.1016/j.amjoto.2020.102778

Cited by 6 publications

(26 citation statements)

References 21 publications

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“…An encompassing analysis of the acoustic rhinometry and subjective questionnaire results has been presented in a previous study. 12 The acoustic rhinometry tests without adrenaline and the results from both MCA2 and V2-5 were used in this study.…”

Section: Methodsmentioning

confidence: 99%

Three-Dimensional Measurements in Assessing the Results of Inferior Turbinate Surgery

Valtonen

Ormiskangas

Harju

et al. 2021

Ann Otol Rhinol Laryngol

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Objectives: Acoustic rhinometry is widely used in evaluating patients with nasal congestion, but it only has a partial correlation with patient symptoms. The use and focus of cone beam computed tomography (CBCT) scans are mainly on the paranasal sinuses and less on the nasal cavities. Therefore, information acquired from CBCT scans is not used to its full extent. In our present study, we have studied patients with enlarged inferior turbinates. Our aim was to investigate and compare the use of 3D volumetric measurements and cross-sectional area measurements taken from CBCT scans to results obtained from acoustic rhinometry. Material and methods: In total, 25 patients with enlarged inferior turbinates were studied. CBCT scans were obtained preoperatively and at twelve months postoperatively. 3D volumetric and cross-sectional area measurements were compared to results from acoustic rhinometry, the visual analogue scale (VAS) and Glasgow Health Status Inventory (GHSI) questionnaires. Results: A statistically significant change in 3D volume and cross-sectional area was measured in the anterior part of the inferior turbinate and surrounding air space after inferior turbinate surgery. VAS and GHSI results had mild correlations with the 3D volume and cross-sectional area measurements of the anterior part of the inferior turbinate. Acoustic rhinometry correlated with the air space 3D volume measurements in the anterior part. Conclusions: Fully utilized CBCT scans provide more comprehensive and accurate information. Furthermore, 3D analysis of the inferior turbinates provides valuable information and more precise measurements compared to acoustic rhinometry.

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Section: Methodsmentioning

confidence: 99%

Three-Dimensional Measurements in Assessing the Results of Inferior Turbinate Surgery

Valtonen

Ormiskangas

Harju

et al. 2021

Ann Otol Rhinol Laryngol

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“…Table I shows the characteristics of the included trials. Eleven of the 13 trials were single-centre trials 3,[9][10][11][12][13][14][15][16][17][18] and two were multicentre trials 19,20 . All the trials were in adults except for one 20 , which was in children with a mean age of 11.6 years.…”

Section: Participantsmentioning

confidence: 99%

“…Nine trials 3,9,[12][13][14][15][16][17][18] compared MAIT with radiofrequency, and three trials 10,11,20 compared it with submucosal resection. Three trials [17][18][19] compared MAIT to diode laser.…”

Section: Interventionmentioning

confidence: 99%

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Microdebrider-assisted inferior turbinoplasty versus other surgical techniques

Kanesan

Norhayati

Hamid

et al. 2022

Acta Otorhinolaryngol Ital

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This meta-analysis was conducted to evaluate the effects of microdebrider-assisted inferior turbinoplasty (MAIT) versus other techniques in treating inferior turbinate hypertrophy. The protocol was registered in PROSPERO (CRD 42019126157). Cochrane Register of Controlled Trials CENTRAL, which includes MEDLINE, was searched from inception until December 2021. One hundred twenty-four records were retrieved from the search of the electronic database and other sources. Thirteen articles were selected and analysed quantitatively. There was a significant reduction of nasal obstruction in microdebrider compared to radiofrequency by visual analogue scale, but not by objective evaluations. Microdebrider has similar effect in reducing nasal obstruction to submucosal resection and laser. There was a higher incidence of postoperative bleeding with a microdebrider compared to radiofrequency, but shorter operative time and less intraoperative blood loss compared to submucosal resection. In conclusion, the effect of MAIT is comparable to submucosal resection, laser and radiofrequency in reducing nasal obstruction. While microdebrider has a shorter operative time and less intraoperative blood loss than submucosal resection, postoperative bleeding is greater than with radiofrequency.

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“…Носові раковини відіграють важливу фізіологічну роль, зігріваючи і зволожуючи повітря, що вдихається, одночасно регулюючи назальний потік повітря, а також вони суттєво сприяють обструкції носових дихальних шляхів, особливо у випадках алергії та вірусних інфекцій верхніх дихальних шляхів [28]. Нині досить часто з метою відновлення нормального носового дихання при хронічних патологіях слизової оболонки носа та приносових пазух проводиться конхотомія, маніпуляція, яка полягає у повному чи частковому видаленні нижніх і середніх носових раковин разом із слизовою оболонкою, що в свою чергу вимагає чітких знань щодо варіантів будови та розташування кісткових структур порожнини носа [29,30]. Серед аномалій носових раковин досить часто виявляють пневматизацію, агенезію та їх подвоєння.…”

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Current Information on the Development and Formation of the Structure of Small Bones of the Facial Division of the Skull

Berezina¹

2022

CAOS

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The development of the cranial vault bone system is ensured by the sequential development and displacement of various rudiments, which merge, spread and take an indirect part in the formation of the face. The analysis of modern scientiﬁ c literature allows us to come to the conclusion that, despite a number of scientiﬁ c works in human anatomy, the morphogenesis of small bones of the facial skull remains an actual direction of modern medicine. As you know, the small bones of the facial skull include the lacrimal, nasal, zygomatic, palatine bones, the lower nasal concha, which are paired, and the unpaired – the scapula and hyoid bone. Primary ossiﬁ cation of the lacrimal bone appears in the third month of fetal development. Among the anomalies of the nasal conchas, pneumatization, agenesis, and their doubling are quite often detected. The ossiﬁ cation of the ploughshare develops from two connective tissue plates, which fuse together in the process of ossiﬁ cation (beginning in the third month of embryogenesis). Ossiﬁ cation of the nasal bone is determined from one point of ossiﬁ cation, which appears in the third month of embryogenesis. The zygomatic bone undergoes the connective tissue and bone stages of development, the ossiﬁ cation of the nucleus appears in the 8th week of intrauterine development. For a long time, the hyoid bone has been the object of anatomical discussions regarding the peculiarities of its embryonic origin, variants of its structure, position and function. Conclusion. On the basis of the conducted research, it can be stated that in the scientiﬁ c literature there are isolated data on the development and formation of the small bones structure in the perinatal period of ontogenesis of the facial skull. Currently there are no comprehensive studies on the density of bone tissue, morphometric characteristics and correlative relationships of the small bones of the facial skull with the parameters of the face and skull as a whole during the fetal and early neonatal periods of ontogenesis. Last is the basis for determining the morphological prerequisites for the appearance of variants of the facial structure and its congenital defects and determine the need for further anatomical study.

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The effect of inferior turbinate surgery on nasal symptoms and inferior turbinate contractility

Cited by 6 publications

References 21 publications

Three-Dimensional Measurements in Assessing the Results of Inferior Turbinate Surgery

Three-Dimensional Measurements in Assessing the Results of Inferior Turbinate Surgery

Microdebrider-assisted inferior turbinoplasty versus other surgical techniques

Current Information on the Development and Formation of the Structure of Small Bones of the Facial Division of the Skull

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