Outcome of Septoplasty with Inferior Turbinectomy as an In-patient or Out-patient Procedure

Chen, Yung Yuan; Huang, Tzu-Chin

doi:10.1038/s41598-019-44107-4

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…15 The reported incidence of NAs in the literature varies, with estimates ranging from 0% to 19.7% following septoplasty with submucous turbinate surgery. [16][17][18][19] Patients that develop NAs postoperatively may suffer from iatrogenic NAO and persistent sinonasal symptoms. 9 A study by Henriquez et al of 286 patients, including those that underwent septoplasty, demonstrated that those who developed NAs following surgery experienced significantly poorer Rhinosinusitis Disability Index (RSDI) and Chronic Sinusitis Survey (CSS) scores compared to those that did not.…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Adhesions on Nasal Airflow: A Quantitative Analysis Using Computational Fluid Dynamics

Senanayake

Warfield-McAlpine

Salati

et al. 2022

Am J Rhinol�Allergy

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Background Nasal adhesions (NAs) are a known complication of nasal airway surgery. Even minor NAs can lead to significant postoperative nasal airway obstruction (NAO). Division of such NAs often provides much greater relief than anticipated. Objective We examine the impact of NAs at various anatomical sites on nasal airflow and mucosal cooling using computational fluid dynamics (CFD) and multiple test subjects. Methods CT scans of healthy adult subjects were used to construct three-dimensional nasal airway computational models. A single virtual 2.5 mm diameter NA was placed at one of five sites commonly seen following NAO surgery within each nasal cavity bilaterally, resulting in 10 NA models and 1 NA-free control for each subject. CFD analysis was performed on each NA model and compared with the subject's NA-free control model. Results 4 subjects were recruited to create 44 computational models. The NAs caused the airflow streamlines to separate, leading to a statistically significant increase in mucosal temperature immediately downstream to the NAs (wake region). Changes in the mucosal temperature in the wake region of the NAs were most prominent in anteriorly located NAs with a mean increase of 1.62 °C for the anterior inferior turbinate NAs ( P < .001) and 0.63 °C for the internal valve NAs ( P < .001). Conclusion NAs result in marked disruption to airflow patterns and reduced mucosal cooling on critical surfaces, particularly in the wake region. Reduced wake region mucosal cooling may be a contributing factor to the exaggerated perception of nasal obstruction experienced by patients with NAs.

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Section: Introductionmentioning

confidence: 99%

“…15 The reported incidence of NAs in the literature varies, with estimates ranging from 0% to 19.7% following septoplasty with submucous turbinate surgery. 16–19…”

Section: Introductionmentioning

confidence: 99%

The Impact of Adhesions on Nasal Airflow: A Quantitative Analysis Using Computational Fluid Dynamics

Senanayake

Warfield-McAlpine

Salati

et al. 2022

Am J Rhinol�Allergy

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“…1 It can be done under general anaesthesia or as an out-patient surgery with good cost-effectiveness, satisfactory quality, and good safety and patient satisfaction. 3 With the advent of rigid endoscopes in the clinical practise of otorhinolaryngologists, advances have been made in septal surgery as well, with more focus on tissue preservation and minimal invasion. Although both conventional and endoscopic procedures aim to remove the deviated part of the septum, increasing focus has been placed on septal preservation, realignment, or a mix of the two.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of efficacy and outcomes of endoscopic versus conventional technique in septoturbinoplasty

Sardesai

Nayak

Ravindra

et al. 2022

Int J Otorhinolaryngol Head Neck Surg

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Background: Septal deviation is a very common clinical entity which often affects nasal aesthetics and functionality requiring surgical correction. With the advent of rigid endoscopy, newer techniques of endoscopic surgery have come into place that are replacing conventional methods. The aim of the study was to compare the two septoturbinoplasty procedures (endoscopic and conventional) using both objective and subjective data and thereby determine the advantages an endoscope provides during nasal septal surgery.Methods: It is a prospective comparative study of 56 patients out of which 28 patients underwent endoscopic septoturbinoplasty and the remaining 28 underwent conventional septoturbinoplasty. Outcomes measured were improvement of nasal symptoms following the surgery based on subjective questionnaire data collected, operation time and post-operative complications. Results: The mean NOSE questionnaire scores pre-operatively were 67.32±12.4 for the conventional group and 64.64±14.9 for the endoscopic group. The post-operative scores were 6.43±7.2 for the conventional group and 4.64±6.8 for the endoscopic group. Similarly, the operative time as well as the rate of post-operative complications were lesser in the endoscopic technique compared to the conventional technique.Conclusions: Both conventional and endoscopic techniques are effective in correcting the septal deviation as proved by significant subjective improvement in patient symptom scores post-surgery. The use of an endoscope, on the other hand, results in a shorter operation time and a lower complication rate after surgery.

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“…The reported incidence of adhesions following septoplasty with submucous turbinate surgery estimates 0-19.7% occurrence (Naghibzadeh et al, 2011;Deniz et al, 2014;Chen and Huang, 2019;Joshi et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

The impact of nasal adhesions on airflow and mucosal cooling -- a computational fluid dynamics analysis

Senanayakea,

Salati,

Wong

et al. 2021

Preprint

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Nasal adhesions are a known postoperative complication following surgical procedures for nasal airway obstruction (NAO); and are a common cause of surgical failure, with patients often reporting significant NAO, despite relatively minor adhesion size. Division of such nasal adhesions often provides much greater relief than anticipated, based on the minimal reduction in cross-sectional area associated with the adhesion. The available literature regarding nasal adhesions provides little evidence examining their quantitative and qualitative effects on nasal airflow using objective measures. This study examined the impact of nasal adhesions at various anatomical sites on nasal airflow and mucosal cooling using computational fluid dynamics (CFD). A high-resolution CT scan of the paranasal sinuses of a 25-year-old, healthy female patient was segmented to create a three-dimensional nasal airway model. Virtual nasal adhesions of 2.5 mm diameter were added to various locations within the nasal cavity, representing common sites seen following NAO surgery. A series of models with single adhesions were created. CFD analysis was performed on each model and compared with a baseline no-adhesion model, comparing airflow and heat and mass transfer. The nasal adhesions resulted in no significant change in bulk airflow pat-1

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Outcome of Septoplasty with Inferior Turbinectomy as an In-patient or Out-patient Procedure

Cited by 4 publications

References 14 publications

The Impact of Adhesions on Nasal Airflow: A Quantitative Analysis Using Computational Fluid Dynamics

The Impact of Adhesions on Nasal Airflow: A Quantitative Analysis Using Computational Fluid Dynamics

A comparative study of efficacy and outcomes of endoscopic versus conventional technique in septoturbinoplasty

The impact of nasal adhesions on airflow and mucosal cooling -- a computational fluid dynamics analysis

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