Does the Effect of Inferior Turbinate Outfracture Persist?

Lee, Dong Chang; Jin, Sang-Gyun; Kim, Boo Young; Yoo, Sun-Mi; Han, Sun Wook; Lee, Yong Joo; Jung, Young Hoon; Kim, Jeongmin; Kim, Soo Whan; Kim, Sung Won

doi:10.1097/prs.0000000000002934

Cited by 22 publications

(16 citation statements)

References 24 publications

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“…In addition, since all septoplasty is performed with turbinate surgery, acoustic rhinometry results do not reflect only septoplasty. However, in general, septoplasty alone is not often performed because septal deviation is usually accompanied by hypertrophy of inferior turbinate [18,19].…”

Section: Discussionmentioning

confidence: 99%

Questionable Effect of Crosshatching Incision in Septoplasty

Kim

Heo

2020

Clin Exp Otorhinolaryngol

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Objectives. Crosshatching incision has been considered a useful method for correcting cartilaginous septal deviation. The aim of this study was to determine the utility and limitations of this approach.Methods. This retrospective case-control study included 353 patients who underwent septoplasty performed by a senior surgeon between January 2004 and December 2010. Patients were classified into two groups according to whether crosshatching incision was performed (n=151) during septoplasty or not (n=202). All other techniques performed during septoplasty were identical. The parameters of surgical success (improvement of nasal obstruction, correction of deviation, and acoustic rhinometry results) and adverse effects were compared between the groups.Results. There were no significant differences in the parameters of surgical success between the groups (improvement of nasal obstruction, P=0.333; correction of deviation, P=0.608; acoustic rhinometry results, P=0.322 for the difference in the minimal cross-sectional area; P=0.919 for difference in volume). Relative to patients who did not undergo the cross-hatching incision, patients with whom the technique was performed showed a significantly higher incidence of saddle nose (0/202 vs. 4/151 cases, P=0.033) and overcorrection (0/202 vs. 5/151 cases, P=0.014).Conclusion. Crosshatching incision during septoplasty did not produce better surgical outcomes; however, it caused adverse effects such as saddle nose and overcorrection. Therefore, the use of crosshatching incision should be re-evaluated.

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Section: Discussionmentioning

confidence: 99%

Questionable Effect of Crosshatching Incision in Septoplasty

Kim

Heo

2020

Clin Exp Otorhinolaryngol

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“…This essentially led to the procedure being used mainly as a complementary technique together with others, rather than a standalone method. 3,6,13,17 Interestingly, following their previous work on submucosal turbinoplasty, 7 Rohrich et al later described closed microfracture of the turbinate bone inside an intact mucosal sac as the preferred method for treating ITH. 16 Microfracturing and the related comminution was the key element they identified in reducing the risk of recurrence of the lateralized turbinates in the original position.…”

Section: Discussionmentioning

confidence: 99%

“…A computed tomography (CT) scan is a well-recognized, objective, non-operator-dependent, method of assessing turbinate hypertrophy before surgery. Although several studies have also used CT for postoperative evaluation of results, 8,[12][13][14][15]25,26 for instance, following outfracture procedures, it remains difficult to justify a routine execution of the procedure postoperatively in clinical practice.…”

Section: Cone-beam Analysismentioning

confidence: 99%

“…6 Such efficacy seems increased when combined with other treatments addressed to mucosal hypertrophy. 3,7,13,[17][18][19] Significantly, submucosal resection combined with lateralization results seem to provide excellent results long-term. 20,21 5.…”

mentioning

confidence: 99%

“…11,12 4. Most studies concur on the fact that lateralization, which implies bone out-fracturing rather than bone removal, is effective and that its results can be durable, [13][14][15][16][17] although some disagree on the long-term outcome. 6 Such efficacy seems increased when combined with other treatments addressed to mucosal hypertrophy.…”

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confidence: 99%

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Piezo-Assisted Turbinoplasty: A Novel Rapid and Safe Technique

Robotti

Khazaal²,

Leone

2019

Facial Plast Surg

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Consensus is still lacking on the ideal treatment of turbinate hypertrophy concurrent with rhinoseptoplasty. A novel technique of turbinoplasty consisting of incision-bone fracturing by the use of piezoelectric technique—intramucosal microcauterization—lateralization is described in detail. A series of 157 consecutive patients is reviewed with a maximum follow-up of one year. The technique is fast and easy and allows predictability in avoiding postoperative bleeding and preventing remedialization of the lateralized turbinates. Due to the technology required, its use is suggested especially when piezo is employed during other steps of rhinoseptoplasty.

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Rhinoplasty Technique

Steinbacher¹

2019

Aesthetic Orthognathic Surgery and Rhinoplasty

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Does the Effect of Inferior Turbinate Outfracture Persist?

Abstract: Therapeutic, IV.

Cited by 22 publications

References 24 publications

Questionable Effect of Crosshatching Incision in Septoplasty

Questionable Effect of Crosshatching Incision in Septoplasty

Piezo-Assisted Turbinoplasty: A Novel Rapid and Safe Technique

Rhinoplasty Technique

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