Shaver-Turbinoplastik

Lorenz, K.J.; Maier, H.

doi:10.1007/s00106-012-2553-7

Cited by 10 publications

(3 citation statements)

References 29 publications

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“…In this serial study we tried to find out answers for all these questions. On the other hand, the inferior turbinatectomy can be conducted non-electively as a part of wide resection of sino-nasal neoplastic lesions (36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50) . Our discussion is to mainly highlight the elective category of this surgery.…”

Section: Discussionmentioning

confidence: 99%

Dilemma of Inferior Turbinate Surgery

Bofares¹

2015

ASS

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Background and objectives: Inferiorturbinate surgery is considered as one of most commonly performed surgery in rhinology. It is usually done to reduce the bulk of inferior turbinates. It can be conducted for different indications such as relieving the mechanical nasal obstruction due to hypertrophied inferior turbinates, or to achieving a sufficient nasal surgical access during endoscopic sinus surgery, or removing the inferior turbinates as a part of wide and complete resection of rhinosinus neoplastic lesions. The inferior turbinates have important role in the maintenance of nasal breathing function by providing the nasal valve mechanism necessary for the regulation of air flow through the nose. In spite of availability of wellestablished variable techniques for this surgery, the main goal of this surgery is yet not completely achieved. This could bean effect of different factors that are difficult to be predicted and controlled. Hence this pattern of surgery has become dilemmas in rhinology which need to be deeply evaluated and subsequently resolved. In order to evaluate and resolve this dilemma, this serial study was conducted prospectively. Patients and methods: 1337 patients aged 3 to-65 years suffering from hypertrophied inferior turbinates, presented with clinical pictures of mechanical nasal obstruction at ENT department-of Althowra central hospital and Al-tarahom private center Elbyda city-Libya between September 2005 to September 2014 they were operated by variable techniques of inferior turbinate surgery, namely sub-mucosal diathermy (SMD) (n=864), partial inferior turbinectomy (PIT) (n=427), CO 2 laser vaporization of inferior turbinate (n=21), and turbinoplasty (n=25). Post-operative atrophic rhinitis, and persistence, or recurrence of mechanical nasal obstruction the outcomes are that were studied in relation to different factors to shed-light on existing dilemma. Results and Conclusion: Proper selection of patient for this pattern of surgery is considered one of the main aspects of this issue and one of significant steps towards resolving of this dilemma. On the other hand, type of the technique for this surgery is an important selection criterion. In addition the amount of the inferior turbinate needed to be resected must be decided.

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Section: Discussionmentioning

confidence: 99%

Dilemma of Inferior Turbinate Surgery

Bofares¹

2015

ASS

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“…Мікродебридер також містить відсмоктувач у режимі реального часу, який захоплює тканину нижче за потоком, що дозволяє проводити гістопатологічний аналіз [27]. Турбінопластика за допомогою мікродебридера нещодавно набула популярності, оскільки вона має багато переваг, включаючи короткий час загоєння, незначні післяопераційні проблеми та відмінний функціональний результат [28]. Метааналіз Мірзи та ін.…”

Section: результати і обговоренняunclassified

“…[29] виявили, що турбінопластика за допомогою мікродебридера є хірургічною процедурою з кращими результатами, ніж радіочастота, у лікуванні закладеності носа, спричиненої збільшенням нижніх носових раковин. Lorenz і Maier [28] виявили, що мікродебридерна тур-бінопластика пов'язана з незначною травмою слизової оболонки, і пацієнти повідомляли про значно нижчі скарги та середні показники [28]. Дослідження, яке порівнювало всі сучасні хірургічні методи лікування гіпертрофії нижньої носової раковини, виявило, що загальна резекція за допомогою мікродебридера мала найнижчий рівень ускладнень [17].…”

Section: результати і обговоренняunclassified

Hypertrophy of the Lower Cornea of the Nose: Comparison of Surgical Techniques by Assessment of Postoperative Complications

Furkulitsa

2023

Med. Sci. of Ukr.

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Background. Nasal congestion is one of the most commonly reported symptoms in clinical practice. The second most common cause of nasal congestion is hypertrophy of the lower concha, a pathology of the nose that often requires surgical treatment. The purpose of this study is to determine the most effective surgical method in patients with hypertrophy of the inferior turbinate. Materials and methods. The study was conducted from November 2019 to January 2023 at the Pediatric Otolaryngology Department of the Emilian Cotaga Republican Children's Clinical Hospital in Chisinau, Republic of Moldova. The study population included 205 patients who underwent surgery and were under observation in the hospital. Radiofrequency ablation was the method used in 73 patients, 68 patients were treated with microdebrider turbinoplasty, and the remaining 64 patients were treated with electrocautery. After surgery, postoperative complications were assessed and quantified. Results. A total of 205 patients were operated on. The first group (n=73) underwent radiofrequency ablation and had a complication rate of 30.1%. Out of 73 patients, 51 recovered without complications. The remaining 22 had complications, including 16 patients with bleeding and 6 with postnasal drip. The second group (n=68) was treated by the microdebrider method. The complication rate was 26.5%, with 50 patients having no postoperative symptoms and 18 having symptoms. In particular, postnasal drip was more common with this method, as all 18 patients experienced postnasal drip as a complication. The third group (n=64) received electrocautery. Patients in this group had the most complications (n=24), with 16 associated with postnasal drip and eight with infections that were treated promptly with oral antibiotics. The frequency of complications with this method was 37.5%. Conclusion. In our study, microdebrider turbinoplasty provided the lowest complication rate, followed by radiofrequency ablation and electrocautery. However, all three methods were successful in relieving nasal congestion and treating inferior turbinate hypertrophy. More research is needed, as there is still no consensus on the optimal surgical technique for inferior turbinate hypertrophy.

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Improvement in nasal obstruction and quality of life after septorhinoplasty and turbinate surgery

et al. 2019

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Objectives: To evaluate the long-term impact of functional septorhinoplasty (SRP) with and without inferior turbinate reduction (ITR) on disease-specific symptom severity and general health-related quality of life (QOL).Study Design: Prospective cohort study at a tertiary referral center. Methods: Patients undergoing functional SRP with and without ITR were administered the Nasal Obstruction Symptom Evaluation (NOSE) scale to assess severity of nasal obstruction and the EuroQol-5 Dimension Questionnaire Visual Analog Scale (EQ-5D VAS) to assess general health-related QOL preoperatively and at 2, 4, 6, 12, 24, and 36 months postoperatively. Patient demographics, surgical technique, symptom severity, and QOL outcomes were analyzed.Results: A total of 567 patients were included, with 391 patients undergoing functional SRP alone (54.0% female; mean age 36.0 years [standard deviation (SD):16.2]) and 176 patients undergoing functional SRP with ITR (50.0% female; mean age 35.6 years [SD:13.6]). There was a significant decrease in NOSE and increase in EQ-5D VAS scores in both groups through at least 24 months postoperatively. Change in NOSE scores was negatively correlated with change in EQ-5D VAS (r = −0.38, P < 0.01). Compared to patients undergoing SRP, patients also undergoing ITR had a statistically but nonclinically significant improvement in NOSE, with similar trends for EQ-5D VAS that were not significant.Conclusion: SRP results in a sustained, long-term improvement in nasal obstruction based on disease-specific and general health-related QOL measures, with incremental improvement in outcomes with addition of ITR. This study provides the foundation for defining health outcomes and the health utility value of surgical interventions that address nasal obstruction.

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Shaver-Turbinoplastik

Cited by 10 publications

References 29 publications

Dilemma of Inferior Turbinate Surgery

Dilemma of Inferior Turbinate Surgery

Hypertrophy of the Lower Cornea of the Nose: Comparison of Surgical Techniques by Assessment of Postoperative Complications

Improvement in nasal obstruction and quality of life after septorhinoplasty and turbinate surgery

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