Can oxymetazoline simulate the outcomes of septoplasty and inferior turbinate reduction surgery?

Lepley, Thomas J; Wu, Zhenxing; Root, Zachary; Spector, Barak M; Chapman, Robbie J; Schneller, Aspen; Kelly, Kathleen M.; Otto, Bradley A.; Zhao, Kai

doi:10.1002/alr.23094

Cited by 2 publications

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One compared nasal airflow after oxymetazoline spray and after inferior turbinate reduction surgery, noting significant differences in airflow despite similar symptom improvement. 44 Another simulated the reduction of anterior, middle, and posterior segments of the inferior turbinate to determine the resultant airflow impact. 45 Full reduction consistently yielded the most effective aerodynamic improvement when compared to partial reduction, indicating that the full length of the inferior turbinate plays a role in nasal airflow and resistance.…”

Section: Nasal Airway Obstructionmentioning

confidence: 99%

Computational Fluid Dynamics and Its Potential Applications for the ENT Clinician

Root,

Schneller,

Lepley

et al. 2024

Facial Plast Surg

Self Cite

View full text Add to dashboard Cite

This article is an examination of computational fluid dynamics in the field of otolaryngology, specifically rhinology. The historical development and subsequent application of computational fluid dynamics continues to enhance our understanding of various sinonasal conditions and surgical planning in the field today. This article aims to provide a description of computational fluid dynamics, the methods for its application, and the clinical relevance of its results. Consideration of recent research and data in computational fluid dynamics demonstrates its use in nonhistological disease pathology exploration, accompanied by a large potential for surgical guidance applications. Additionally, this article defines in lay terms the variables analyzed in the computational fluid dynamic process, including velocity, wall shear stress, area, resistance, and heat flux.

show abstract

Section: Nasal Airway Obstructionmentioning

confidence: 99%

Computational Fluid Dynamics and Its Potential Applications for the ENT Clinician

Root,

Schneller,

Lepley

et al. 2024

Facial Plast Surg

Self Cite

View full text Add to dashboard Cite

show abstract

Outcomes after Functional Nasal Surgery in Patients with Versus without Rhinitis Medicamentosa

Di Ponio,

Samad,

Pellizzari

et al. 2024

The Laryngoscope

View full text Add to dashboard Cite

ObjectiveTopical nasal decongestants (TNDs) are used to reduce nasal soft tissue edema and obstruction. However, after frequent TND use, patients can develop rhinitis medicamentosa (RM) with rebound nasal edema and obstruction. Management of RM has centered largely on TND cessation ± intranasal corticosteroids. The purpose of this study was to compare nasal obstruction outcomes following nasal obstruction surgery in patients with versus without RM.MethodsA retrospective case–control study was conducted with adult patients who underwent bilateral inferior turbinate reduction (ITR) with or without septoplasty and nasal valve repair. Patients with versus without RM were assessed. RM was defined as at least daily TND use for ≥4 weeks. Preoperative and postoperative Nasal Obstruction Symptom Evaluation (NOSE) scores, and long‐term TND cessation rates were collected. NOSE score changes were compared between patients with versus without RM.ResultsOf the 36 RM patients, mean age was 52.0 years, and 63.9% were male. Of 116 non‐RM patients, mean age was 41.6 years, and 46.6% were male. Postoperative NOSE scores were collected at a mean 972.1 days postoperatively for RM patients, and 565.0 days for non‐RM patients. Mean NOSE score reductions were − 9.8 for RM and − 8.6 for non‐RM patients, both of which were significant (p < 0.0001). NOSE score reductions were not significantly between the two groups (p = 0.2438). Long‐term TND cessation was maintained in 86.1% of RM patients.ConclusionPatients with and without RM achieved similar long‐term significant NOSE score reductions following nasal obstruction surgery, and 86.1% of RM patients maintained long‐term TND cessation.Level of EvidenceLevel 3 evidence Laryngoscope, 2024

show abstract

Can oxymetazoline simulate the outcomes of septoplasty and inferior turbinate reduction surgery?

Cited by 2 publications

References 4 publications

Computational Fluid Dynamics and Its Potential Applications for the ENT Clinician

Computational Fluid Dynamics and Its Potential Applications for the ENT Clinician

Outcomes after Functional Nasal Surgery in Patients with Versus without Rhinitis Medicamentosa

Contact Info

Product

Resources

About