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Inferior turbinate hypertrophy

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https://www.readbyqxmd.com/read/28623043/nasal-airway-evaluation-in-obstructive-sleep-apnoea-patients-volumetric-tomography-and-endoscopic-findings
#1
M M Rodrigues, M F R Gabrielli, O A Garcia Junior, V A Pereira Filho, L A Passeri
Obstructive sleep apnoea (OSA) results from the recurrent collapse of the upper airway during sleep. Nasal abnormalities influence the stability of the pharynx. The aim of this study was to evaluate the volumetric and anatomical changes of the nasal cavity in patients with OSA. The Nasal Obstruction Symptom Evaluation (NOSE) scale was used to grade nasal obstruction. Sleep-related breathing disorders were evaluated by polysomnography. The nasal airway volume was obtained from computed tomography scans through volumetric reconstruction of the nasal airway...
June 13, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28534029/submucosal-inferior-turbinoplasty-using-a-new-continuous-suction-irrigation-method
#2
Takeo Kanaya, Naoyuki Kohno
INTRODUCTION: Numerous surgical techniques for inferior turbinate hypertrophy (ITH) have been reported, each with advantages and disadvantages. Submucosal turbinoplasty with removal of the bony component of the inferior turbinate (IT) is an excellent procedure to expand the nasal cavity. However, this procedure requires a large incision to remove the inferior turbinate bone (ITB) and is associated with hemorrhage, crust formation, and adhesion. A smaller incision would avoid such complications...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28485289/comparative-assessment-of-monopolar-and-bipolar-radiofrequency-surgery-of-inferior-turbinate
#3
RANDOMIZED CONTROLLED TRIAL
Hasan Emre Koçak, Bengül Altaş, Salih Aydın, Ümit Taşkın, Mehmet Faruk Oktay, Mustafa Suphi Elbistanlı, Ayşe Pelin Yiğider
OBJECTIVE: The aim of this study was to compare early outcomes of monopolar (MP) and bipolar (BP) radiofrequency (RF) treatment of inferior turbinate hypertrophy from the perspective of both the patient and the surgeon. STUDY DESIGN: Prospective, randomized, single-blind study. MATERIALS AND METHODS: Seventy-one patients with inferior turbinate hypertrophy resistant to medical treatment. BP RF was used in 36 patients and MP RF in 35 patients, respectively...
July 10, 2016: Otolaryngologia Polska
https://www.readbyqxmd.com/read/28340648/the-inferior-turbinate-in-rhinoplasty
#4
REVIEW
Brian W Downs
There is controversy regarding optimum treatment of the hypertrophied inferior turbinate. Patients undergoing rhinoplasty will likely need treatment of bony hypertrophy as well as possibly soft tissue hypertrophy. Although inferior turbinate hypertrophy is a heterogeneous entity, future studies should standardize outcome measures and compare treatment methods with rigorous clinical trials.
May 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28332904/comparison-of-the-long-term-efficacy-of-radiofrequency-ablation-and-surgical-turbinoplasty-in-inferior-turbinate-hypertrophy-a-randomized-clinical-study
#5
Satvinder Singh Bakshi, Kiruba Shankar Manoharan, Surianarayanan Gopalakrishnan
OBJECTIVE: To compare the long term effectiveness of radiofrequency thermal ablation with that of surgical turbinoplasty, a prospective, randomized, blinded clinical study was conducted. METHODS: Eighty six patients suffering from nasal obstruction due to bilateral inferior turbinate hypertrophy were enrolled. Forty four patients were operated by radiofrequency ablation, while 42 underwent surgical turbinoplasty. The outcomes of both techniques were compared in terms of symptoms using visual analogue score (VAS) and endoscopic scores...
March 23, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/28289459/cross-cultural-adaptation-and-validation-of-nasal-obstruction-symptom-evaluation-questionnaire-in-slovenian-language
#6
Jure Urbančič, Tanja Soklič Košak, Klemen Jenko, Nina Božanić Urbančič, Peter Hudoklin, Matej Delakorda, Ajda Juvanec, Katarina Zupančič Urbančič, Jana Vadnjal, Daša Gluvajić
OBJECTIVES: Nasal obstruction is highly subjective perception with numerous efforts being made towards objective measuring. Many instruments in quality of life studies encompass subjective symptom of nasal obstruction, but only NOSE has been properly validated and is easy to use in every day practice. METHODS: Multicenter prospective instrument validation and cross-cultural adaptation cohort study was conducted on patients with deviated nasal septum, with or without inferior turbinate hypertrophy, to develop the Slovenian version of NOSE questionnaire...
March 1, 2017: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/28231372/radiofrequency-turbinate-volume-reduction-vs-radiofrequency-assisted-turbinectomy-for-nasal-obstruction-caused-by-inferior-turbinate-hypertrophy
#7
Saumitra Kumar, Trivender Singh Anand, Indranil Pal
Radiofrequency procedures are a well-accepted treatment for nasal obstruction. We conducted a randomized, noncontrolled study to compare the effectiveness of submucosal bipolar radiofrequency turbinate volume reduction (RFTVR) and bipolar radiofrequency-assisted turbinectomy (RFaT) in patients presenting with nasal obstruction caused by inferior turbinate hypertrophy. A total of 30 patients-15 males and 15 females, aged 15 to 60 years (mean: 32)-were randomly divided into one of the two homogeneous treatment groups...
February 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/28121862/does-the-effect-of-inferior-turbinate-outfracture-persist
#8
Dong Chang Lee, Sang-Gyun Jin, Boo Young Kim, Soonil Yoo, Sungwoo Han, Yong Joo Lee, Young Hoon Jung, Jeongmin Kim, Soo Whan Kim, Sung Won Kim
BACKGROUND: To resolve nasal obstruction in rhinoplasty, inferior turbinate outfracture is performed widely alone or combined with other procedures. There are conflicting reports on the effect of inferior turbinate outfracture. This study evaluated the persistence of morphologic changes after inferior turbinate outfracture. METHODS: This retrospective study enrolled 55 patients who underwent inferior turbinate outfracture without septal surgery to approach the sphenoid sinus for brain tumor removal...
February 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27941731/structural-variations-of-nose-and-paranasal-sinuses-in-various-sinonasal-pathologies-tomographic-study-of-50-cases-in-bangladeshi-people
#9
M A Litu, M R Bhuiyan, S Mahmud, M K Masud, M A Khan, M A Rahman, F Ferdouse, M S Arafat
The aim of this study was to determine the frequency of structural variations in nose & paranasal sinuses in computed tomography in Bangladeshi people. This retrospective study was done at the Sir Salimullah Medical College Mitford Hospital and Apollo Hospitals, Dhaka, Bangladesh. Fifty (50) CT scan of Nose and Para nasal sinuses were collected from the patients presented with different sinonasal pathologies in OPD, IPD of both hospitals from July 2013 to June 2014. The scans were reviewed for the presence of different structural variations of nose and paranasal sinuses...
October 2016: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/27730168/sleep-clinical-record-what-differences-in-school-and-preschool-children
#10
Maria Pia Villa, Hanaa Shafiek, Melania Evangelisti, Jole Rabasco, Manuela Cecili, Marilisa Montesano, Mario Barreto
The sleep clinical record (SCR) may be a valid method for detecting children with obstructive sleep apnoea (OSA). This study aimed to evaluate whether there were differences in SCR depending on age and to identify the possible risk factors for OSA development. We enrolled children with sleep disordered breathing between 2013 and 2015, and divided them according to age into preschool- and school-age groups. All patients underwent SCR and polysomnography. OSA was detected in 81.1% and 83.6% of preschool- and school-age groups, respectively...
January 2016: ERJ Open Research
https://www.readbyqxmd.com/read/27556616/inferior-turbinate-hypertrophy-in-rhinoplasty-systematic-review-of-surgical-techniques
#11
Sammy Sinno, Karan Mehta, Z-Hye Lee, Sarah Kidwai, Pierre B Saadeh, Michael R Lee
BACKGROUND: Inferior turbinate hypertrophy is often encountered by plastic surgeons who perform rhinoplasty. Many treatment options are available to treat the inferior turbinate. The objective of this study was to systematically review outcomes of available techniques and provide guidance to surgical turbinate management. METHODS: A MEDLINE search was performed for means of treating inferior turbinate hypertrophy. Studies selected focused on treatment of the inferior turbinate in isolation and excluding patients with refractory allergic rhinitis, vasomotor rhinitis, or hypertrophic rhinitis...
September 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27551845/subjective-and-objective-parameters-in-the-evaluation-of-radiofrequency-ablation-of-the-inferior-turbinate-do-not-correlate-a-pilot-study
#12
Peter Valentin Tomazic, Claus Gerstenberger, Bettina Rant, Ulrike Nemetz, Christiana Brezjak-Kahlert, Axel Wolf, Kurt Freudenschuss, Gerald Wolf
Inferior turbinate hypertrophy is a common cause of nasal obstruction. We conducted a prospective study to correlate subjective and objective parameters in assessing the effectiveness of radiofrequency ablation (RFA). Our initial study population was made up of 10 patients who presented with nasal obstruction; 1 patient was lost to follow-up, leaving us with 7 women and 2 men, aged 26 to 65 years (mean: 37.9 ± 12.8), and 16 turbinates (7 bilateral, 1 right, and 1 left). Visual analogue scale (VAS) scores, Nasal Obstruction and Symptom Evaluation (NOSE) questionnaire scores, rhinomanometry results, and CT- and MRI-based volumetry were obtained before RFA and 6 months afterward...
August 2016: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/27508126/comparative-study-of-improvement-of-nasal-symptoms-following-septoplasty-with-partial-inferior-turbinectomy-versus-septoplasty-alone-in-adults-by-nose-scale-a-prospective-study
#13
Rajendran Dinesh Kumar, M Rajashekar
To compare the symptomatic improvement of nasal symptoms following septoplasty with partial inferior turbinectomy (groups A) versus septoplasty alone (groups B) and to assess the improvement of nasal symptoms in both surgical groups before and after surgery by NOSE scale. This Tertiary Hospital based study was carried out between August 2012 and April 2014. 60 cases with septal deviation and contralateral inferior turbinate hypertrophy. Nasal Obstruction Symptom Evaluation (NOSE) scale for evaluating nasal symptoms...
September 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27472981/an-often-neglected-area-in-crooked-nose-middle-turbinate-pneumatization
#14
Fatih Özdoğan, Halil Erdem Özel, Erkan Esen, Erdem Altıparmak, Selahattin Genç, Adin Selçuk
INTRODUCTION: Crooked or deviated nose is a deviation of the nose from the straight vertical position of the face. Extensive pneumatization of the middle turbinate, also called concha bullosa or bullous middle turbinate (BMT) is known to be one of the possible etiologic factors in nasal obstruction, recurrent sinusitis, and headache. There is no study concerning a link between BMT and crooked nose. OBJECTIVE: To investigate the association between crooked nose and the presence of a BMT...
July 20, 2016: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/27415032/reliability-of-a-standardized-nasal-anatomic-worksheet-and-correlation-with-subjective-nasal-airway-obstruction
#15
Robin W Lindsay, Ryan George, Matthew E Herberg, Paula Jackson, Scott Brietzke
Importance: Nasal obstruction is a common chief concern; however, a comprehensive standardized worksheet for evaluating nasal obstruction has not been developed. Objective: To evaluate the interrater reliability between staff surgeons and otolaryngology residents using a worksheet-based standardized nasal examination and to identify specific examination findings correlated with the Nasal Obstruction Symptom Evaluation quality-of-life score. Design, Setting, and Participants: This cross-sectional study conducted from June to July 2012 involved 50 adults presenting to an otolaryngology clinic at a tertiary care hospital...
December 1, 2016: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27387214/assessment-of-inferior-turbinate-radiofrequency-treatment-monopolar-versus-bipolar
#16
RANDOMIZED CONTROLLED TRIAL
Hasan Emre Koçak, Bengül Altaş, Salih Aydın, Ümit Taşkın, Mehmet Faruk Oktay, Mustafa Suphi Elbistanlı, Ayşe Pelin Yiğider
OBJECTIVE: The aim of this study is to compare the early results of monopolar (MP) and bipolar (BP) radiofrequency (RF) used in inferior turbinate hypertrophy treatment concerning aspects of patient and surgeon comfort. STUDY DESIGN: Prospective randomized single-blind study. MATERIALS AND METHODS: The study included 71 patients with inferior turbinate hypertrophy resistant to medical treatment. BP RF was applied to 36 patients. MP RF was applied to 35 patients...
May 24, 2016: Otolaryngologia Polska
https://www.readbyqxmd.com/read/27340637/nasal-endoscopy-versus-other-diagnostic-tools-in-sinonasal-diseases
#17
Y K Maru, Y Gupta
Sinonasal endoscopy is an essential part of the rhinologic examination performed by otolaryngologists in the evaluation of sinonasal disease. The use of the endoscopes has been popularized with the advent of endoscopic sinus surgery. To evaluate the role of nasal endoscopy as primary examination in the early and accurate diagnosis of sinonasal diseases in comparison to other diagnostic tools in rhinology. A retrospective and prospective study was carried out on 200 patients with clinical evidence of sinonasal diseases...
June 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27305596/ocular-blood-flow-alterations-during-inferior-turbinate-radiofrequency-reduction-under-local-anesthesia
#18
S Dogan, A Simsek, C Bayraktar, H Yazici, Y Sarikaya, M Karatas, A S Karadag, M Capkin
BACKGROUND: Ocular blood flow alterations and blindness are uncommon and less-known adverse effects of nasal local anesthetic infiltrations. Our aim was to investigate ocular blood flow alterations during radiofrequency (RF) tissue reduction of inferior turbinates with the patient under local anesthesia by using a noninvasive method with optical coherence tomography. METHODS: A total of 120 patients with inferior turbinate hypertrophy were prospectively randomized into two groups...
June 14, 2016: American Journal of Rhinology & Allergy
https://www.readbyqxmd.com/read/27277597/ultrastructural-regenerating-features-of-nasal-mucosa-following-microdebrider-assisted-turbinoplasty-are-related-to-clinical-recovery
#19
Giampiero Neri, Fiorella Cazzato, Valentina Mastronardi, Mara Pugliese, Maria Antonietta Centurione, Roberta Di Pietro, Lucia Centurione
BACKGROUND: The nasal mucosa plays a key role in conditioning the inhaled air and in regulating the immune response. These functions led many authors to recommend mucosal sparing techniques for the surgical management of inferior turbinate hypertrophy. However, the histological modifications of chronic diseases retain the inflammatory activity and prevent the nasal physiology restoration. It has been proved that the basal cells of the nasal mucosa are able to proliferate and to repair after cold-knife incision...
2016: Journal of Translational Medicine
https://www.readbyqxmd.com/read/27228388/assessment-the-long-term-effects-of-septoplasty-surgery-on-olfactory-function
#20
Adem Kilicaslan, Gul Ozbilen Acar, Muhammet Tekin, Osman Ilkay Ozdamar
OBJECTIVES: This research aimed to evaluate pre-operatively and post-operatively the olfactory function of patients who had undergone surgery in our clinic for chronic nasal blockage via the Connecticut Chemosensory Clinical Research Center (CCCRC) smell test. METHOD: Thirty-seven patients (24 females, 13 males) were enrolled in this study. All had undergone surgery in our clinic due to chronic nasal blockage (not for smell dysfunction), having been diagnosed with septal deviation in conjunction with concha bullosa and/or inferior turbinate hypertrophy...
October 2016: Acta Oto-laryngologica
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