Total Inferior Turbinectomy for Nasal Airway Obstruction

Ophir, Dov; Shapira, Amnon; Marshak, Gabriel

doi:10.1001/archotol.1985.00800040057006

Cited by 102 publications

(80 citation statements)

References 11 publications

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“…Surgical reduc tion of the inferior turbinate, however, re mains a controversial subject. Total inferior turbinectomy [2,3], partial inferior turbin ectomy [4][5][6][7][8], submucous resection of the inferior turbinate [9], cryosurgery [10,11], linear cautery [12][13][14][15][16] and submucosal dia thermy 17,18] are all still performed, which suggests the lack of any completely effective procedure.…”

Section: Introductionmentioning

confidence: 99%

“…This belief has been reiterated many times in the literature [9,[21][22][23][24] although there is little documented evidence to support it. However, more re cent reports have questioned this dictum and some advocates of total inferior turbin ectomy have claimed a minimal complica tion rate [2,3], whereas another suggests a significant morbidity following this proce dure 25].…”

Section: Introductionmentioning

confidence: 99%

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Turbinate Surgery: How Effective Is It?

Warwick-Brown

Marks

1987

ORL

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The results of turbinate reduction surgery carried out on 307 patients are reviewed. This is a retrospective study over 16 years. The results of submucosal diathermy with and without outfracture, partial inferior turbinectomy and linear cautery were all equally disappointing in the long term. At 1 month postoperatively the overall success rate, as defined by patient satisfaction, was 82%, but this declined steadily with time to 60% at 3 months, 54% at 1 year and 41 % at 1–16 years. There was no significant difference found in the success rates between methods of turbinate reduction used. These findings are compared with more optimistic reports in the literature and their relevance to current surgical practice is discussed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Turbinate Surgery: How Effective Is It?

Warwick-Brown

Marks

1987

ORL

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“…4 Symptoms of nasal obstruction lasted from two to 18 years (mean, 4.8 years) preopera¬ tively. Two of the patients had suffered from bronchial asthma.…”

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confidence: 99%

Changes in Olfactory Acuity Induced by Total Inferior Turbinectomy

Ophir¹,

Gross‐Isseroff²,

Lancet³

et al. 1986

Archives of Otolaryngology - Head and Neck Surgery

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\s=b\The short-term and long-term effects of total inferior turbinectomy on smell acuity was assessed in two groups of patients. Olfactory thresholds were determined by a three-way forced-choice method, using four odorants. Resection of obstructive inferior turbinates resulted in a decrease in olfactory thresholds in 22 of 24 tested patients. No deleterious effect on smell acuity was observed in 16 patients tested 2\m=1/2\years or more after surgery. Subjective assessment of olfactory acuity is unreliable. It is our intention to focus attention on an aspect of intranasal surgery not frequently reported. (Arch Otolaryngol Head Neck Surg 1986;112:195-197) Nasal obstruction results in im¬ paired olfactory function. This universally recognized relation be¬ tween anosmia or hyposmia and nasal obstruction is insufficiently appreci¬ ated by surgeons and has seldom been objectively assessed in relation to sur¬ gical interventions.1"3In a retrospective study, recently completed in our department, we assessed the long-term outcome of 150 patients who underwent bilateral total inferior turbinectomy (BTIT) for chronic nasal obstruction.4 Seventyseven of the patients operated on were specifically questioned about the effect of surgery on their sense of smell. Of this group, 39 patients (51% )were aware preoperatively of a reduced olfactory acuity, and 18 (46% ) of them reported an improvement in olfactory acuity postoperatively. Con¬ sequently, a controlled study was undertaken to objectively assess the short-term and long-term effect of the operation on olfactory thresholds. To obtain valid and reliable results we chose three widely used odorants free of trigeminal components. The fourth odorant was chosen because of the major trigeminal component it in¬ cludes and because we wanted to test the hypothesis that the operation would have a much lesser effect on trigeminal components. SUBJECTS AND METHODS SubjectsThe short-term study included 24 patients, 18 being male and six female, aged 11 to 62 years (mean age, 32 years). Patients were operated on for hypertrophic obstructive inferior turbinâtes.Symptoms of nasal obstruction lasted from two to 18 years (mean, 4.8 years) preopera¬ tively. Two of the patients had suffered from bronchial asthma. None of the patients was on permanent drug therapy. Patients' olfactory detection thresholds were evaluated twice, the first time on the day of admission before surgery and again three months postoperatively.Subjective reports of olfactory acuity were obtained preoperatively and prior to threshold evaluation. Patients were asked to score their olfactory ability on a threepoint scale ranging from "normal" to "to¬ tally absent."In the long-term study, 16 patients par¬ ticipated, 12 men and four women, aged 21 to 54 years (mean age, 36 years). These patients were tested during a regular fol¬ low-up visit to the outpatient clinic. They were the first 16 patients to arrive at the clinic during the present study who had undergone BTIT at least 2 V¿ years previ¬ ously. The mean postoperati...

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“…8 These procedures addresses the bone, submucosa, mucosa or combination of these. Procedures like linear cautery, submucosal diathermy, 6 cryosurgery, 9 lateral outfracturing, 10 antrochonopexy, 11 submucosal resection, radiofrequency ablation, 12 partial turbinectomy, 9 total inferior turbinectomy, 13 laser turbinectomy, 14 20 But with rural patients being more predominant, cost being a major issues we wanted to try simpler methods which did not require sophisticated, costly instruments & one which could be easily done at lesser cost. Hence this study was conducted to evaluate & analyze the impact of either of the two above mentioned procedures on nasal obstruction.…”

Section: Introductionmentioning

confidence: 99%