Surgical Treatment of Hypertrophy of the Inferior Turbinate

Author(s):  
Desiderio Passàli ◽  
Valerio Damiani ◽  
Luisa Bellussi ◽  
Marco Anselmi ◽  
Francesco Passàli ◽  
...  
2011 ◽  
Vol 49 (2) ◽  
pp. 248-252
Author(s):  
L. Balbach ◽  
V. Trinkel ◽  
C. Guldner ◽  
S. Bien ◽  
A. Teymoortash ◽  
...  

BACKGROUND: Since the last 120 years there were only few descriptions of the anatomical sizes of the inferior turbinate in the literature. On this background the current study should evaluate the radiological dimensions of the inferior turbinate and the septum using DVT. METHODS: The latest generation of the Accu-I-tomo was used. The data of 100 adult patients have been evaluated. RESULTS: The bony length was found to be 38.9 mm, the mucosal length 51.0 mm. The findings of the total mucosal thickness at different measuring points were between 8.1 mm and 10.9 mm, those of the bony thickness were between 0.9 mm and 2.3 mm and those of the bony height were between 3.9 mm and 20.8 mm. CONCLUSION: The results of this radiological study are able to point out the importance of preoperative anatomical evaluation of radiological images. The preoperative focus on the individual anatomy is very important because of the choice of an adequate surgical treatment. Today new radiological techniques can help to find out whether the reason for hypertrophied turbinates is caused by bone, mucosa or both. This knowledge enables a concerted treatment concept.


2020 ◽  
pp. 117-125
Author(s):  
Stefano Di Girolamo ◽  
Mariapia Guerrieri ◽  
Barbara Flora ◽  
Francesco Maria Passali

2021 ◽  
Vol 71 (Suppl-3) ◽  
pp. S487-90
Author(s):  
Habib -Ur- Rehman ◽  
Fazal -I- Wahid ◽  
Bakht Zada ◽  
Muhammad Javaid ◽  
Naseem Ul Haq

Objective: To determine the nasal patency after reducing the size of hypertrophied inferior turbinate with medication and surgery. Study Design: Prospective comparative study. Place and Duration of Study: Department of Ear, Nose, Throat, Head and Neck Surgery, Medical Teaching Institute, Lady Reading Hospital, Peshawar Pakistan, from Jan to Dec 2019. Methodology: This study was conducted at the After-sample size calculation using an online sample size calculator (OpenEpi) and after obtaining informed consent patients were divided into two groups. Patients in group A were put on medicine only and in group B surgery was conducted to reduce the size of hypertrophied inferior turbinate. Data were analyzed using SPSS version 25 and p<0.05 was considered significant. Results: This study comprised of total 86 patients, in the age range 15-55 years with mean ± SD age 33.47 ± 9.57 years. Males were 47 (54.7%) and females were 39 (45.3%) with male to female ratio of 1.2:1. In group A, males were 22 (25.25%), females were 21 (24.41%), while in group B males were 25 (29.1%) and females were 18 (20.3%). There was no statistically significant difference in nasal patency between the two groups before treatment (p=0.59) and after 10 days of treatment (p=0.69). However, at the end of one month, there was a statistically significant difference in nasal patency between the medically treated and surgically treated groups of patients (p=0.023).Conclusion: Surgical treatment is significantly effective than medical treatment alone.


2020 ◽  
pp. 127-131
Author(s):  
V. M. Svistushkin ◽  
E. S. Shchennikova ◽  
E. V. Sin’kov ◽  
V. P. Sobolev

Introduction. Chronic nasal congestion caused by edema of inferior turbinate affect 20% of population and strongly influences their quality of life. Pharmacological treatment of chronic rhinitis is considered to be the first line therapy. However, if conservative treatment is not effective and clinical signs are not disappearing the question about relevant surgical treatment is arising. Nowadays there are many methods of exposure on mucosa of the inferior turbinate. Considering high incidence of the pathology surgical treatment is of current importance in modern otorhinolaryngology.Objective. Assessment of the effectiveness and comparison of the period of rehabilitation after submucosal laser destruction by laser beam with wavelength 1,56 and after submucosal destruction by radiosurgical instruments Ellman Surgitron with a frequency of 4 MHz in patients with chronic rhinitis.Methods. 60 patients were included into the study aged from 18 to 80 years old with chronic rhinitis. All the patients were admitted to the department to perform surgical treatment. Semiconducted laser with wavelength 1,56 and radiosurgical instrument Ellman Surgitron with frequency of 4 MHz were applied to the treatment. We assessed SNOT20 score, endoscopic features, anterior active rhinomanometry and saccharin test results in all patients following the surgery.Conclusions. The data we have obtained provide the basis for choosing semiconductor laser as more effective and safe technique for the treatment of patients with chronic rhinitis.


2020 ◽  
pp. 317-324
Author(s):  
Zeynep Önerci Altunay ◽  
Hüsamettin Yaşar ◽  
Peter Catalano

2014 ◽  
Vol 128 (S2) ◽  
pp. S43-S47 ◽  
Author(s):  
M Barakate ◽  
T Havas

AbstractObjective:To assess the outcome of children with chronic rhinosinusitis who were managed surgically, over a 10-year study period.Method:From January 1999 to December 2008 inclusive, 136 children diagnosed with chronic rhinosinusitis underwent surgery following unsuccessful medical treatment. The operations ranged from adenoidectomy to functional endoscopic sinus surgery.Results:The surgical procedures performed were: adenoidectomy (n = 69), antral washouts (n = 54), middle meatal antrostomy (n = 82), endoscopic ethmoidectomy (n = 66), nasal septal reconstruction (n = 10), and inferior turbinate outfracture (n = 23) or inferior turbinate reductions (n = 55). Follow-up duration ranged from 6 months to 9 years (average 3.2 years). Three patients required revision surgery: adenoidectomy in two patients and adenoidectomy with turbinate reductions in another.Conclusion:This study demonstrates the benefits of focused surgical treatment for paediatric chronic rhinosinusitis. Surgical treatment can be an appropriate and effective option for children with chronic rhinosinusitis when medical management is unsuccessful.


2018 ◽  
Vol 69 (9) ◽  
pp. 2527-2528
Author(s):  
Alexandru Dumitras Meius ◽  
Teodora Ioana Ghindea ◽  
Dragos Cristian Stefanescu ◽  
Catalina Pietrosanu ◽  
Irina Ionita ◽  
...  

Rhinitis represents the inflammation of the mucous membrane inside the nasal cavity. The main causes of the inflammation are viruses, bacteria or allergens. The treatment of this pathology has two stages. The first option is the conservative treatment followed by surgical treatment if the patient does not respond well to medication. In this paper, we will present coblation turbinate reduction method and its benefits.


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