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Turbinoplasty

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https://www.readbyqxmd.com/read/28534029/submucosal-inferior-turbinoplasty-using-a-new-continuous-suction-irrigation-method
#1
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/28530254/palatal-surgery-in-a-transoral-robotic-setting-tors-preliminary-results-of-a-retrospective-comparison-between-uvulopalatopharyngoplasty-uppp-expansion-sphincter-pharyngoplasty-esp-and-barbed-repositioning-pharyngoplasty-brp
#2
G Cammaroto, F Montevecchi, G D'Agostino, E Zeccardo, C Bellini, G Meccariello, C Vicini
It has become increasingly clear in the past decade that surgical management of obstructive sleep apnoea hypopnoea syndrome (OSAHS) is most successfully managed with multilevel surgery. We evaluated the outcomes of multilevel interventions comparing three different palatal techniques added to TORS: uvulopalatopharyngoplasty (UPPP), a modified expansion sphincter pharyngoplasty (ESP), inspired by the Pang expansion sphincter pharyngoplasty technique and the latest barbed repositioning pharyngoplasty (BRP). Thirty patients were retrospectively evaluated...
May 22, 2017: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/28452711/office-based-rhinologic-surgery-a-modern-experience-with-operative-techniques-under-local-anesthetic
#3
John R Scott, Leigh J Sowerby, Brian W Rotenberg
BACKGROUND: Office-based rhinologic procedures have become popularized in recent years with the advent of several minimally invasive techniques. There is a paucity of literature, however, that supports more robust in-clinic procedures, e.g., true endoscopic sinus surgery (ESS). There is a high volume of this work being done at our center, and the objective of this article was to review the safety and tolerability of in-clinic surgeries. METHODS: A retrospective chart review was conducted...
March 1, 2017: American Journal of Rhinology & Allergy
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
#4
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/28272718/comparative-study-between-biodegradable-nasopore-bnp-and-merocel-hemox-10-cm-after-septo-turbinoplasty-procedure
#5
A Romano, G Salzano, G Dell'Aversana Orabona, A Cama, M Petrocelli, P Piombino, F Schonauer, G Iaconetta, F A Salzano, L Califano
OBJECTIVE: The purpose of our study was to compare Merocel (Merocel Hemox 10 cm) and BNP (biodegradable nasopore) during a septoturbinoplasty procedure in terms of efficiency and patient comfort. PATIENTS AND METHODS: We carried out a retrospective review of 72 patients who had undergone septoturbinoplasty between January 2015 and January 2016. Each group, packed with BNP or Merocel Hemox 10 cm was composed of 36 patients. A standard visual analogue scale ranging from zero (no symptoms) to 10 (the most severe symptoms) was used to assess subjective symptoms...
February 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/28252589/-the-relationship-between-the-post-rhinoplastic-functional-disorders-the-surgical-approach-and-techniques-the-magnitude-and-extent-of-the-intervention
#6
L S Karapetyan, Yu Yu Rusetsky, V M Svistushkin, E A Makhambetova, I S Sadikov
The objective of the present study was to investigate the functional consequences of aesthetic rhinoplasty. The authors compared the results of corrective surgery depending on the surgical approach, the extent of the intervention, and the operative techniques employed based on large enough set of clinical observations obtained during the treatment of 253 patients. It was shown that the post-rhinoplastic difficulties in nasal breathing experienced by some patients occurred significantly more frequently after the use of the «endonasal» surgical approach than following «open» rhinoplasty (75% vs 68%)...
2017: Vestnik Otorinolaringologii
https://www.readbyqxmd.com/read/28152126/sinonasal-quality-of-life-in-children-after-outfracture-of-inferior-turbinates-and-submucous-inferior-turbinoplasty-for-chronic-nasal-congestion
#7
Brian Manzi, Kevin J Sykes, Julie L Wei
Importance: Chronic nasal congestion often persists in children despite empirical treatment using intranasal corticosteroids, systemic antihistamines, and/or leukotriene receptor antagonists. Symptoms are often reported even with negative results of skin or blood allergy testing. Inferior turbinoplasty has been effective in adults and children, but outfracture of inferior turbinates in children is rarely reported, as is use of validated quality-of-life measures to quantify improvements after intervention...
May 1, 2017: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28005797/skin-burn-related-to-coblation-assisted-turbinoplasty
#8
Sung Jae Heo, Jung-Soo Kim
Coblation-assisted turbinoplasty is an effective and safe method to manage nasal obstruction. The common complications of the procedure are pain, bleeding, and crust formation. Since coblation does not generate high heat, direct burn injuries by coblation have been rarely reported. Nevertheless, the authors experienced a skin burn injury in a patient, which is the first patient related to coblation-assisted turbinoplasty. Therefore, surgeons need to be careful and prepared for an inadvertent heat injury at the site that touches the coblation device...
November 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28000224/fabrication-and-validation-of-a-low-cost-medium-fidelity-silicone-injection-molded-endoscopic-sinus-surgery-simulation-model
#9
Daniel R Chang, Ryan P Lin, Sarah Bowe, Leon Bunegin, Erik K Weitzel, Kevin C McMains, Thomas Willson, Philip G Chen
OBJECTIVES/HYPOTHESIS: Develop a low-cost, medium-fidelity model for education in endoscopic sinus surgery techniques. Establish face and content validity of the model based on the feedback of otolaryngology faculty including fellowship-trained rhinologists. STUDY DESIGN: Survey. METHODS: A novel silicone injection molded sinus model was constructed. Three fellowship-trained rhinologists and four general otolaryngologists were recruited to perform seven tasks and provide feedback of the model's performance via a 22-question Likert survey...
April 2017: Laryngoscope
https://www.readbyqxmd.com/read/27957370/refractory-obstructive-sleep-apnea-in-a-patient-with-diffuse-idiopathic-skeletal-hyperostosis
#10
Ara Darakjian, Ani B Darakjian, Edward T Chang, Macario Camacho
Diffuse Idiopathic Skeletal Hyperostosis (DISH) can cause ossification of ligaments and may affect the spine. We report a case of obstructive sleep apnea in a patient with significant upper airway narrowing secondary to cervical DISH. This patient had an initial apnea-hypopnea index (AHI) of 145 events/hour and was treated with uvulopalatopharyngoplasty, genial tubercle advancement, hyoid suspension, septoplasty, inferior turbinoplasties, and radiofrequency ablations to the tongue base which reduced his AHI to 40 events/hour...
2016: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/27908567/the-effect-of-topical-5-flurouracil-application-post-endoscopic-inferior-turbinoplasty
#11
Amjad F Nuseir, Mohammad Alsalem, Mouhamad Alzahr, Muthanna Ababneh, Ahmad I Alomari, Firas Alzoubi
RATIONALE AND OBJECTIVES: Adhesions are the most common complication after nasal surgery and revision. 5-Fluorouracil (5-FU) reduces various adhesions and epithelial growth related complications. The aim of this study was to evaluate the effects of 5-flurouracil application in the nasal cavity after a multi-procedure nasal surgery in term of complications frequency. MATERIALS AND METHODOLOGY: Institutional ethical approval was granted and a double-blinded prospective clinical trial was conducted to study the effect of 5-fu on post-operative complications...
March 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27873326/complications-of-turbinate-reduction-surgery-in-combination-with-tonsillectomy-in-pediatric-patients
#12
Sonia N Yuen, Peggy P Leung, Jamie Funamura, Kosuke Kawai, David W Roberson, Eelam A Adil
OBJECTIVES/HYPOTHESIS: To examine whether the addition of turbinoplasty to tonsillectomy and adenoidectomy (T&A) increases the risk of postoperative complications. STUDY DESIGN: Retrospective cohort study of children (18 years old and younger) who underwent tonsillectomy and/or turbinoplasty between July 1, 2013 and June 30, 2015 using the 2016 Pediatric Health Information System administrative database METHODS: Patients were divided into three groups: 1) T&A and turbinoplasty, 2) T&A alone, and 3) turbinoplasty alone...
November 22, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27857872/the-lamb-s-head-as-a-model-for-surgical-skills-development-in-endonasal-surgery
#13
Luíza Baptista Mallmann, Otávio Bejzman Piltcher, Gustavo Rassier Isolan
Objectives To test the viability of a lamb's head model for sinonasal surgery training in Brazil by comparing performance of endoscopic procedures in the septum and inferior turbinates. Design Prospective study. Settings Universidade Federal do Rio Grande do Sul (2015). Participants Ten physicians performed septoplasty, inferior turbinoplasty, and middle turbinectomy on 30 lamb's heads. Main Outcome Measures Degree of difficulty and similarity, opinion of tissue color and texture, and degree of satisfaction...
December 2016: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/27780551/assessment-of-nasal-obstruction-with-rhinomanometry-and-subjective-scales-and-outcomes-of-surgical-and-medical-treatment
#14
Hugo Lara-Sánchez, Candelas Álvarez Nuño, Elisa Gil-Carcedo Sañudo, Agustín Mayo Iscar, Luis Ángel Vallejo Valdezate
INTRODUCTION: Prospective study of patients with nasal obstruction (NO) in order to measure therapeutic success by anterior active rhinomanometry (AAR), Nasal Obstruction Symptom Evaluation (NOSE) scale and Visual Analogue Scale (VAS) and to establish the correlation between these tests. METHODS: Patients with NO, on whom we performed an AAR, NOSE and VAS scales at baseline and after medical treatment (topical nasal steroid) or surgery (septoplasty, turbinoplasty or septoplasty and turbinoplasty)...
October 22, 2016: Acta Otorrinolaringológica Española
https://www.readbyqxmd.com/read/27633813/three-different-turbinoplasty-techniques-combined-with-septoplasty-prospective-randomized-trial
#15
Johannes A Veit, Melanie Nordmann, Britta Dietz, Fabian Sommer, Jörg Lindemann, Nicole Rotter, Jens Greve, Achim von Bomhard, Thomas K Hoffmann, Ricarda Riepl, Marc O Scheithauer
OBJECTIVES/HYPOTHESIS: Septal deviation and hypertrophic inferior turbinates are a frequent cause of nasal breathing disorders. The goal of this study was to prove the effectiveness and safety of three current turbinoplasty techniques. STUDY DESIGN: This is a prospective, three-arm, single-blinded, single-center, randomized controlled trial. METHODS: Sixty patients were randomly assigned to either anterior turbinoplasty (ATP) (n = 20), radiofrequency ablation (RFA) (n = 19; Celon Pro Breath), or novel submucous radial diode laser ablation (DLA) (n = 21; ELVeS Radial PainLess, wavelength = 1,470 nm), each in combination with standard septoplasty...
February 2017: Laryngoscope
https://www.readbyqxmd.com/read/27470497/evaluation-of-aesthetic-and-functional-outcomes-in-rhinoplasty-surgery-a-prospective-study
#16
Sara Sena Esteves, Miguel Gonçalves Ferreira, João Carvalho Almeida, José Abrunhosa, Cecília Almeida E Sousa
INTRODUCTION: Evaluation of surgery outcome measured by patient satisfaction or quality of life is very important, especially in plastic surgery. There is increasing interest in self-reporting outcomes evaluation in plastic surgery. OBJECTIVE: The aim of our study was to determine patient satisfaction in regard to nose appearance and function with the use of a validated questionnaire, before and after rhinoplasty surgery. METHODS: A prospective study was realized at a tertiary centre...
July 20, 2016: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/27277597/ultrastructural-regenerating-features-of-nasal-mucosa-following-microdebrider-assisted-turbinoplasty-are-related-to-clinical-recovery
#17
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/27196073/the-effects-of-inferior-turbinoplasty-on-nasal-airflow-during-cosmetic-rhinoplasty
#18
R Zojaji, M Keshavarzmanesh, M Bakhshaee, R Behdani, S Esmaeelzadeh, M MazloumFarsiBaf
Rhinoplasty is one of the most common and challenging cosmetic procedures. One of the complications of rhinoplasty associated with dissatisfaction is nasal obstruction, which is often due to narrowing of the nasal valve area. Application of certain procedures such as turbinoplasty can prevent and correct this problem. This study aim was to investigate the effect of inferior turbinoplasty in reduction of airflow resistance and nasal obstruction. Using active anterior rhinomanometry, nasal airflow was measured in 50 patients who underwent cosmetic rhinoplasty and bilateral turbinoplasty before and 6 months after surgery...
April 2016: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/27090276/immediate-and-sustained-improvement-in-behavior-and-life-quality-by-adenotonsillectomy-in-children-with-sleep-disordered-breathing
#19
Yung Jin Jeon, Jae-Jin Song, Jae-Cheul Ahn, Il Gyu Kong, Jae-Won Kim, Gyeong-Hun Park, Tae-Bin Won
OBJECTIVES: To investigate longitudinal changes in behavior and quality-of-life (QoL) in children with sleep disordered breathing (SDB) after adenotonsillectomy (AT). METHODS: This study prospectively enrolled 148 children who underwent AT for SDB. Caregivers filled out Korean attention deficit hyperactivity disorder (ADHD) rating scale (K-ARS) and Korean version of the obstructive sleep apnea-18 (KOSA-18) at preoperative 1 day, postoperative 1 month, and postoperative 6 months...
June 2016: Clinical and Experimental Otorhinolaryngology
https://www.readbyqxmd.com/read/27068423/comparison-of-voice-quality-between-patients-who-underwent-inferior-turbinoplasty-or-radiofrequency-cauterization
#20
RANDOMIZED CONTROLLED TRIAL
Ayşe Enise Göker, İmran Aydoğdu, Ziya Saltürk, Güler Berkiten, Yavuz Atar, Tolgar Lütfi Kumral, Yavuz Uyar
OBJECTIVES: The aim of this study was to analyze and compare the vocal quality in patients who underwent either submucosal turbinectomy or radiofrequency cauterization. METHODS: In this study, we enrolled 60 patients diagnosed with inferior concha hypertrophy. These patients were divided into two groups by using computer program "Research Randomizer." Of the 60 patients, 30 underwent submucosal inferior turbinoplasty and 30 underwent radiofrequency cauterization...
January 2017: Journal of Voice: Official Journal of the Voice Foundation
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