Postnasal Drip due to Inferior Turbinate Perforation after Radiofrequency Turbinate Surgery: A Case Report

Aslan, Gaffar

doi:10.2500/ar.2013.4.0046

Cited by 7 publications

(7 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The causes of ITH vary; the most common include septum deviation (compensatory hypertrophy), allergic rhinitis, vasomotor rhinitis, and chronic hypertrophic rhinitis. The first-line therapy is antihistamines, systemic or topical decongestants and corticosteroids [ 15 ]. In addition, several surgical techniques are available to address ITH in patients refractory to medical therapy.…”

Section: Discussionmentioning

confidence: 99%

“…Initial management for nasal obstruction is conservative. The first-line therapy is antihistamines, systemic or topical decongestants and corticosteroids [ 15 ]. However, symptoms persist for many patients, and the next step is surgery.…”

Section: Introductionmentioning

confidence: 99%

“…However, symptoms persist for many patients, and the next step is surgery. The treatment for ITH is tissue-volume reduction surgery, a procedure aimed at reducing the volume of the mucosa of the lower nasal turbinates [ 15 ]. Depending on the method, the surgery targets both the bone and submucosal tissue.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Inferior Turbinate Hypertrophy: A Comparison of Surgical Techniques

Karamatzanis¹,

Kosmidou²,

Ntarladima³

et al. 2022

Cureus

View full text Add to dashboard Cite

IntroductionNasal obstruction is one of the most frequently reported symptoms in clinical practice. The second most common cause of nasal obstruction is inferior turbinate hypertrophy, a nasal pathology for which surgical treatment is often required. This study aims to determine the most effective surgical method in patients with inferior turbinate hypertrophy (ITH). Materials and methodsThe study was performed from September 2018 to October 2019 in the Otolaryngology-Head and Neck Surgery Department of the Evangelismos Hospital of Athens. The study population comprised 205 patients that underwent surgery and were monitored in the hospital. Radiofrequency ablation (RFA) was the method used in 73 patients, 68 patients were treated with the microdebrider-assisted turbinoplasty (MAT), and the remaining 64 patients were operated on using electrocautery (EC). Following surgery, postoperative complications were assessed and quantified. ResultsOverall, 205 patients underwent surgery. The first group (n=73) was operated on using radiofrequency ablation and had a complication rate of 30.1%. Out of 73 patients, 51 recovered without complications. The remaining 22 had complications, consisting of 16 patients with bleeding and six with postnasal drip.The second group (n=68) was treated using the microdebrider method. The complication rate was 26.5%, where 50 patients did not present with any symptoms post-operatively and 18 exhibited symptoms. Specifically, postnasal drip was more prevalent with this method as all 18 patients showed postnasal drip as their complication.The third group (n=64) was treated with electrocautery. Patients in this group had the most complications (n=24), 16 were attributed to postnasal drip and eight to infections, treated promptly with oral antibiotics. The complication rate using this method was 37.5%. ConclusionIn our study, the microdebrider-assisted turbinoplasty offered the lowest complication rate, followed by radiofrequency ablation and electrocautery. However, all three methods managed to alleviate the nasal obstruction and treat inferior turbinate hypertrophy. More research is needed as a lack of consensus remains regarding the optimal surgical technique for lower turbinate hypertrophy.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Inferior Turbinate Hypertrophy: A Comparison of Surgical Techniques

Karamatzanis¹,

Kosmidou²,

Ntarladima³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

“…In most of the cases of ITH, medical line of treatment yields satisfactory results. However, in some instances when medical line of treatment does not provide satisfactory results surgical intervention is required ( Aslan, 2013 ). Turbinate volume reduction is the main aim of all the protocols used for the treatment of ITH ( Numminen et al, 2003 ).…”

Section: Introductionmentioning

confidence: 99%

Analysis of inferior nasal turbinate volume in subjects with nasal septum deviation: a retrospective cone beam tomography study

Shetty

Al-Bayatti

Alam

et al. 2022

PeerJ

View full text Add to dashboard Cite

Background The association of the linear dimensions of the inferior turbinate hypertrophy with nasal septal deviation has been studied recently. However, the volumetric dimensions provide a more accurate status of the turbinate hypertrophy compared to linear measurements. The aim of this study was to analyze the association of inferior nasal turbinate volume with the degree of nasal septal deviation (NSD). Methods A retrospective evaluation of the cone beam computed tomography (CBCT) scans of 412 patients was carried out to obtain 150 scans which were included in the study. The scans were categorized into three groups. Group 1 comprised of 50 scans of patients with no inferior turbinate hypertrophy (ITH) and no nasal septal deviation. Group 2 comprised of 50 scans of patients with ITH and no NSD; whereas Group 3 included 50 scans of patients with ITH and NSD. The total turbinate volume of inferior turbinates (bilateral) were determined by using Vesalius 3D software (PS-Medtech, Amsterdam, Netherlands). Results The intraclass correlation coefficient (ICC) between the volumetric estimations performed by the two radiologists was 0.82. There were no significant age and gender related changes in the total turbinate volume. Patients in Group 3 had significantly higher (p = 0.001) total turbinate volume compared to Group 2 and Group 1. There was a positive and significant correlation (r = 0.52, p = 0.002) between the degree of septal deviation and total turbinate volume. When the total turbinate volume of the patients with different types of septal deviation was compared in Group 3, a statistically significant difference (p = 0.001) was observed. Regression analysis revealed that the septal deviation angle (SDA) (p = 0.001) had a relationship with total turbinate volume. From the results of the study we can conclude that the total turbinate volume is higher in patients with nasal septal deviation. It can also be concluded that the septal deviation angle has a positive correlation with total turbinate volume. The data obtained from the study can be useful in post-surgical follow up and evaluation of patients with nasal septal deviation and hypertrophied inferior nasal turbinate.

show abstract

“…Turbinate hypertrophy is observed in various conditions, including allergic rhinitis, vasomotor rhinitis, and infectious rhinitis. Medical treatments such as antihistamines, topical decongestants, and topical corticosteroids are commonly used to treat those conditions, principally to reduce nasal obstruction and restore comfortable nasal breathing [1]. However, not all patients may respond to those medications.…”

Section: Introductionmentioning

confidence: 99%

Surgical Interventions for Inferior Turbinate Hypertrophy: A Comprehensive Review of Current Techniques and Technologies

Abdullah

Singh

2021

IJERPH

View full text Add to dashboard Cite

Surgical treatment of the inferior turbinates is required for hypertrophic inferior turbinates refractory to medical treatments. The main goal of surgical reduction of the inferior turbinate is to relieve the obstruction while preserving the function of the turbinate. There have been a variety of surgical techniques described and performed over the years. Irrespective of the techniques and technologies employed, the surgical techniques are classified into two types, the mucosal-sparing and non-mucosal-sparing, based on the preservation of the medial mucosa of the inferior turbinates. Although effective in relieving nasal block, the non-mucosal-sparing techniques have been associated with postoperative complications such as excessive bleeding, crusting, pain, and prolonged recovery period. These complications are avoided in the mucosal-sparing approach, rendering it the preferred option. Although widely performed, there is significant confusion and detachment between current practices and their basic objectives. This conflict may be explained by misperception over the myriad of available surgical techniques and misconception of the rationale in performing the turbinate reduction. A comprehensive review of each surgical intervention is crucial to better define each procedure and improve understanding of the principle and mechanism involved.

show abstract

Postnasal Drip due to Inferior Turbinate Perforation after Radiofrequency Turbinate Surgery: A Case Report

Cited by 7 publications

References 27 publications

Inferior Turbinate Hypertrophy: A Comparison of Surgical Techniques

Inferior Turbinate Hypertrophy: A Comparison of Surgical Techniques

Analysis of inferior nasal turbinate volume in subjects with nasal septum deviation: a retrospective cone beam tomography study

Surgical Interventions for Inferior Turbinate Hypertrophy: A Comprehensive Review of Current Techniques and Technologies

Contact Info

Product

Resources

About