Turbinate Surgery in Chronic Rhinosinusitis: Techniques and Ultrastructural Outcomes

Abstract

Chronic nasal obstruction due to hypertrophic rhinitis is commonly associated with perennial allergic and nonallergic rhinitis. It is not a simple enlargement of mucosal and submucosal tissues, but it is characterized by deep histological modifications. This pathology, a very frequent condition encountered in rhinological practice, has a significant impact on quality of life. Patients usually complain about sneezing, rhinorrhea, frontal headache, postnasal drip, snoring, blocked nasal ducts, and sleep disorders. When medical therapy fails, surgical reduction of inferior turbinates is mandatory. A large variety of surgical techniques in literature exist, but there is a lack of consensus about which is the proper technique to perform. In this chapter, we describe the most important techniques of inferior turbinate reduction with advantages and disadvantages of each one.

A study on the association between the inferior nasal turbinate volume and the maxillary sinus mucosal lining using cone beam tomography

“…ITH can be primary and secondary in nature. The former is associated with the soft tissue component, while the latter is associated bony component of the turbinate and caused due to nasal septal deviation [ 43 ]. Further research can be carried out for determining the volumes of bony and soft tissue components of the ITH distinctly.…”