The early complications of inferior trubinectomy

Dawes, P. J. D.

doi:10.1017/s002221510010338x

Cited by 67 publications

(54 citation statements)

References 7 publications

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“…Surgical repair in our patients resulted in complete resolution of epistaxis and nasal obstruction, except in 1 case in which discharge persisted after the surgery. Although the use of an inferior turbinate flap may sacrifice too much mucosa which has been associated with scarring causing nasal obstruction, alar asymmetry [15], dry throat, nasal crusting, nasal bleeding, and extremely patent nasal cavities [21], excessive turbinate resection may lead to severe functional disturbances developing a secondary atrophic rhinitis [22]. In our series, the mucosa sacrifice was minimized and these complications did not occur.…”

Section: Discussionmentioning

confidence: 98%

Effect of Temporal Fascia and Pedicle Inferior Turbinate Mucosal Flap on Repair of Large Nasal Septal Perforation via Endoscopic Surgery

He²,

Bai³

2016

ORL

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Background: The repair of large nasal septal perforations (NSPs) is one of the most challenging procedures in nasal surgery. The aim of this prospective clinical study was to determine the efficacy of using a pedicle inferior turbinate mucosal flap combined with temporal fascia to repair a large NSP. Method: Between January 2008 and December 2015, 17 consecutive patients with large NSPs underwent septal perforation repair via an endoscopic approach using a pedicle inferior turbinate mucosal flap combined with temporal fascia. Results: Complete closure of the perforation was achieved in all patients. Conclusion: The pedicle inferior turbinate mucosal flap combined with the temporal fascia technique can easily solve this challenging problem, and the current data from this prospective study suggest that this technique shows promising results.

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Section: Discussionmentioning

confidence: 98%

Effect of Temporal Fascia and Pedicle Inferior Turbinate Mucosal Flap on Repair of Large Nasal Septal Perforation via Endoscopic Surgery

He²,

Bai³

2016

ORL

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“…For inferior turbinectomy, infection, crusting, bleeding, adhesions and perforation have been reported to occur 75% of the time. 10 For submucosal resection using a microdebrider, bleeding, synechiae and mucosal tears occurred in 62% of the patients reported. 8 Laser treatment resulted in crusting in upto 74%, whereas electrocautery was complicated by crusting and synechiae 63% of times.…”

Section: Resultsmentioning

confidence: 99%

Inferior turbinectomy - outcome of various surgical modalities: a prospective study

Reddy

2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Inferior turbinate hypertrophy is one of the major causes of nasal airway obstruction. Medical treatment often produces insufficient improvement. In these circumstances, surgical reduction of inferior turbinate can be proposed. Many different techniques are currently available. The aim of our study is to prospectively evaluate the effectiveness of three techniques i.e., electrocautery, cryotherapy and radio frequency by comparing the response of patients to these surgical modalities of turbinate reduction.Methods: A total of 90 patients presenting with nasal obstruction with or without allergic symptoms, fulfilling the inclusion and exclusion criteria, attending ENT OPD are included in the study. A prospective study was conducted on three groups of thirty patients with symptoms and signs of nasal obstruction associated with inferior turbinate hypertrophy of more than 3 months duration. Then the percentage of subjective improvement in nasal airway is used to assess treatment outcomes 1 week, 1, 3, 6, 9 and 12 months after surgery. Results: At the end of 12 months, 56.6% of patients treated with electrocautery and 56.6% of patients treated with cryotherapy showed 75% improvement in nasal obstruction whereas 59.99% of patients treated with radio frequency showed 100% improvement. No statistical difference in the amount of improvement in nasal obstruction was noted between the three treatment groups at the end of 12 months because of relatively small sample size.Conclusions: On this basis it is evident that clinically radio frequency showed better subjective improvement in nasal obstruction when compared to cryotherapy and electrocautery.

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“…For inferior turbinectomy, infection, crusting, bleeding, adhesions and perforation have been reported to occur up to 75 % of the time [10]. For submucosal resection using a microdebrider, bleeding, synechiae and mucosal tears occurred in 62 % of the patients reported [8].…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of Response Through Reduction in the Size of Hypertrophied Inferior Turbinate Causing Nasal Obstruction by Different Surgical Modalities: A Prospective Study

Dhulipalla¹

2014

Indian J Otolaryngol Head Neck Surg

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Inferior turbinate hypertrophy is one of the major causes of nasal airway obstruction. Medical treatment often produces insufficient improvement. In these cases, surgical reduction of inferior turbinate can be proposed. Many different techniques are currently available. The aim of our study is to prospectively evaluate the effectiveness of three techniques i.e., electrocautery, cryotherapy and radiofrequency by comparing the response of patients to these three surgical modalities of turbinate reduction. A total of 90 patients presenting with nasal obstruction with or without allergic symptoms, fulfilling the inclusion and exclusion criteria, attending ENT OPD are included in the study. A prospective study was conducted on three groups of thirty patients with symptoms and signs of nasal obstruction associated with inferior turbinate hypertrophy of more than 3 months duration. Then the percentage of subjective improvement in nasal airway is used to assess treatment outcomes 1week, 1, 3, 6, 9 and 12 months after surgery. At the end of 12 months, 56.6 % of patients treated with electrocautery and 56.6 % of patients treated with cryotherapy showed 75 % improvement in nasal obstruction whereas 59.99 % of patients treated with radiofrequency showed 100 % improvement. No statistical difference in the amount of improvement in nasal obstruction was noted between the three treatment groups at the end of 12 months because of relatively small sample size. But clinically radiofrequency showed better subjective improvement in nasal obstruction when compared to cryotherapy and electrocautery.

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The early complications of inferior trubinectomy

Cited by 67 publications

References 7 publications

Effect of Temporal Fascia and Pedicle Inferior Turbinate Mucosal Flap on Repair of Large Nasal Septal Perforation via Endoscopic Surgery

Effect of Temporal Fascia and Pedicle Inferior Turbinate Mucosal Flap on Repair of Large Nasal Septal Perforation via Endoscopic Surgery

Inferior turbinectomy - outcome of various surgical modalities: a prospective study

Comparative Study of Response Through Reduction in the Size of Hypertrophied Inferior Turbinate Causing Nasal Obstruction by Different Surgical Modalities: A Prospective Study

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