‘Two-stage turbinectomy’: Sequestration of the inferior turbinate following submucosal diathermy

Williams, Helen; Fisher, Edward; Golding-Wood, David

doi:10.1017/s0022215100114707

Cited by 41 publications

(28 citation statements)

References 16 publications

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“…This type of turbinoplasty allows reduction of the turbinate, while all mucosal functions are preserved and it has very low incidence of postoperative bleeding and crusting. 9,10 OBSERVATION A total of 90 patients were included in the study, 30 in each group. Results were analysed by VAS (Visual Analogue Scale) and diagnostic nasal endoscopy.…”

Section: Methodsmentioning

confidence: 99%

A Comparative Study of Different Methods of Treatment for Inferior Turbinate Hypertrophy

B¹,

Veeraswamy²,

N³

et al. 2016

jemds

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BACKGROUNDThe inferior turbinate plays a pivotal role in normal nasal physiology. The inferior turbinate hypertrophy can cause decreased nasal airflow and sensation of nasal obstruction. Many methods (Conservative and surgical) have been tried to deal with this hypertrophy, but the most ideal method is still to arrive. Conservative management is temporary and recurrence is common. About 13 types of surgical procedures have been described over the past century in correcting inferior turbinate hypertrophy.

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Section: Methodsmentioning

confidence: 99%

A Comparative Study of Different Methods of Treatment for Inferior Turbinate Hypertrophy

B¹,

Veeraswamy²,

N³

et al. 2016

jemds

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“…Different surgical approaches, including anterior turbinoplasty, electrical cauterization, laser application, cryogenic surgery, vidian neurectomy, and medical therapy with local steroids and antihistaminics have been advocated in recent years. None of these methods is free of adverse side-effects such as pain, bleeding, infection, crusting, dryness, synechia formation, or bone necrosis.I- 5 In 1997 RFVTR was introduced as a new method for volume reduction of the soft palate in the treatment of sleep-related breathing disorders.6-8 The present study was conducted to elucidate the applicability of this method in tissue reduction of the inferior turbinates in patients with impaired nasal breathing.…”

mentioning

confidence: 99%

Radiofrequency Volumetric Tissue Reduction (RFVTR) of Inferior Turbinates: A New Method in the Treatment of Chronic Nasal Obstruction

Fischer¹,

Gosepath²,

Amedee

et al. 2000

American Journal of Rhinology

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Twenty-two Caucasians (16 male and 6 female) with chronic bilateral nasal obstruction due to hypertrophic inferior turbinates were followed up over a three-month period. They were assessed by clinical examination, as active anterior rhinometry, and acoustic rhinometry before and after topical decongestion, preoperatively and three months after surgery. All patients were treated by application of radiofrequency-volumetric-tissue reduction (RFVTR, or somnoplasty) to both inferior turbinates. Initial postoperative edematous response disappeared during the first week after RFVTR. Three months postoperatively 20 of 22 patients (91%) reported subjective improvement of nasal patency. The average cross-sectional area for both sides of the nasal cavity (measured at the head of the inferior turbinate (C-Notch) before decongestion) increased in 15 of 22 patients (68.2%). This means a significant improvement from 1.24 to 1.49 cm2 for both sides of the nasal cavity (p = 0.0054). We conclude that RFVTR can safely reduce turbinate volume in a precise manner in patients with nasal obstruction due to hypertrophic inferior turbinates.

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“…Likewise, in our trial we noticed that the amount ablated varied according to our experience. However, Williams et al state that the most common complications are late hemorrhage, crust formation and long standing rhinorrhea 6 . Contrary to this previous author, we did not observe late hemorrhage nor complaints of prolonged rhinorrhea, or any account of intense pain in the follow-up of our patients.…”

Section: Discussionmentioning

confidence: 99%

Estudo comparativo de pacientes submetidos à cauterização submucosa com ou sem fratura lateral do corneto inferior

Filho

Ballin

Maeda

et al. 2006

Rev. Bras. Otorrinolaringol.

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Ai m: The objective of this study was to compare the effects of submucosal cauterization of the inferior turbinate with or without outfracture. Study Design: clinical prospective. Method: Twenty patients with inferior turbinate hypertrophy were randomized and divided into two groups. The first one was submitted to submucosal cauterization associated with outfracture, and the second one without fracture. Five items were assessed to compare both methods: pain, nasal bleeding, scarring -analyzed through anterior rhinoscopy, observing edema, hyperemia and seropurulent secretion; crust formation (seen through anterior rhinoscopy); and nasal airway patency. Follow-up was performed on days 7, 14, 30. Results: In both groups crusting formation was similar. Scarring showed better results in the outfracture group in the first two weeks postoperative. The analysis of nasal airway patency showed good results in 80% of the patients submitted to submucosal cauterization with outfratcture on day 30 postoperatively. Conclusions: We concluded that submucosal cauterization of inferior turbinate with outfracture is better than the procedure without outfracture.

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‘Two-stage turbinectomy’: Sequestration of the inferior turbinate following submucosal diathermy

Cited by 41 publications

References 16 publications

A Comparative Study of Different Methods of Treatment for Inferior Turbinate Hypertrophy

A Comparative Study of Different Methods of Treatment for Inferior Turbinate Hypertrophy

Radiofrequency Volumetric Tissue Reduction (RFVTR) of Inferior Turbinates: A New Method in the Treatment of Chronic Nasal Obstruction

Estudo comparativo de pacientes submetidos à cauterização submucosa com ou sem fratura lateral do corneto inferior

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