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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...
September 16, 2016: Laryngoscope
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
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
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
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
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...
April 8, 2016: Journal of Voice: Official Journal of the Voice Foundation
Neil Tanna, Benjamin D Smith, Philip E Zapanta, Irena Karanetz, Brian T Andrews, Mark M Urata, James P Bradley
Surgical management of snoring and obstructive sleep apnea is indicated when a surgically correctable abnormality is believed to be the source of the problem. Many patients opt for surgical treatment after noninvasive forms of treatment have been proven ineffective or difficult to tolerate. With increasing frequency, functional rhinoplasty, septoplasty, turbinoplasty, palatal surgery, and orthognathic surgery are being used in the management of snoring and obstructive sleep apnea. Plastic surgeons' experience with aesthetic nasal surgery, nasal reconstruction, palatal surgery, and craniofacial surgery puts them at the forefront of performing surgery for snoring and sleep apnea...
April 2016: Plastic and Reconstructive Surgery
Michele Cassano, Giuseppe Maria Russo, Carla Granieri, Pasquale Cassano
BACKGROUND: Hyaluronic acid (HA) plays a significant role in tissue repair of mucosal surfaces and, consequently, in surgical injury remodelling of nasal mucosa. OBJECTIVE: To assess the effect of high-molecular-weight HA administered by aerosol on the morphofunctional recovery of ciliated cells damaged by surgical trauma. METHODS: A single-blind, prospective, randomized trial was carried out with 94 patients who were randomly assigned, after endoscopic turbinoplasty, either to treatment with nasal saline solution irrigation (control group, n = 47) or to treatment with nasal douches based on high concentration (9 mg) and high-molecular-weight sodium hyaluronate (active treatment group, n = 47)...
March 2016: American Journal of Rhinology & Allergy
Rodrigo Hamerschmidt, Rogério Hamerschmidt, Ana Tereza Ramos Moreira, Sérgio Bernardo Tenório, Jorge Rufno Ribas Timi
INTRODUCTION: Turbinoplasty is a procedure that aims to reduce the size of the inferior turbinate through exuberant bone removal with high mucosal preservation. The procedure is recommended for patients with or without allergic rhinitis and those showing irreversible hypertrophy of inferior turbinates. OBJECTIVE: To evaluate the efficacy of inferior turbinoplasty for obstructive and non-obstructive symptoms in patients with or without allergic rhinitis. METHODS: Prospective study with 57 patients who underwent inferior turbinoplasty...
March 2016: Brazilian Journal of Otorhinolaryngology
Henry P Barham, Mona A Thornton, Anna Knisely, George N Marcells, Richard J Harvey, Raymond Sacks
BACKGROUND: Techniques for inferior turbinate reduction vary from complete turbinectomy to limited cauterization. Surgical methods differ on the degree of tissue reduction and reliance on surgical tissue removal vs tissue ablation. The outcome and morbidity from 3 different turbinate techniques are compared. METHODS: A randomized double-blinded study was performed. Patient nasal cavities were randomized to different interventions on each side within the same patient...
February 2016: International Forum of Allergy & Rhinology
Julie L Wei
PURPOSE OF REVIEW: To review challenges in the diagnosis, work-up, and management of healthy children who present to the otolaryngologist with nasal dysfunction. Common symptoms include chronic nasal congestion, with or without rhinorrhea, with or without previous empirically treated 'allergic rhinitis' and/or 'sinus' infection. Symptoms are often unresolved despite chronic use of intranasal steroid, antihistamine, and/or leukotriene receptor antagonists. RECENT FINDINGS: There are no published studies addressing nasal symptoms in children who test negative for allergies yet report persistent nasal obstruction, congestion, and/or rhinorrhea...
December 2015: Current Opinion in Otolaryngology & Head and Neck Surgery
Jason L Acevedo, Macario Camacho, Scott E Brietzke
OBJECTIVE: To critically review published literature for treatment-related outcomes for bilateral inferior turbinate reduction (IFTR) via either microdebrider-assisted turbinoplasty (MAT) or radiofrequency turbinoplasty. The primary outcomes were relief of nasal obstruction according to visual analog scale and nasal airflow, volume, and resistance measures based on acoustic rhinomanometry. DATA SOURCES: MEDLINE, EMBASE, The Cochrane Catalog, and CINAHL. REVIEW METHODS: The databases were searched with the terms "turbinoplasty" and "turbinate reduction...
December 2015: Otolaryngology—Head and Neck Surgery
S Bessler, H Kim Haemmig, B Schuknecht, C Meuli-Simmen, B Strub
BACKGROUND: The 'anterior spreader flap' is a new minimally invasive technique, for the treatment of nasal valve insufficiency or stenosis. The aim of this study was to present our experience with a series of patients with nasal valve dysfunction corrected by the minimally invasive spreader flap technique. METHODOLOGY: We performed a retrospective review of our patients with nasal valve malfunction who underwent the anterior spreader flap between June 2010 and June 2013...
December 2015: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Daniel Simmen, Fabian Sommer, Hans Rudolf Briner, Nick Jones, Ralf Kröger, Thomas Karl Hoffmann, Jörg Lindemann
BACKGROUND: A new procedure, pyriform turbinoplasty, is described and nasal airflow is measured before and after this procedure in a virtual model. METHODOLOGY: Pyriform turbinoplasty is the submucosal reduction of the bone of the frontal process of the maxilla and the lacrimal bone. It opens part of the lateral margin of the nasal valve area with minimal damage to nasal mucosa. The resection of bone in this area can be extended by "nasal wall lateralization" when the lacrimal bone that joins the uncinate process behind the lacrimal duct as well as the base of the inferior turbinate and the edge of the maxilla at the rim of the pyriform aperture are removed...
September 2015: Rhinology
Myeong Sang Yu, Sung-Ho Kang, Bo-Hyung Kim, Dae Jun Lim, Jong-Yeup Kim
BACKGROUND AND OBJECTIVE: Radiofrequency (RF) turbinoplasty may be effective in treating nonallergic rhinitis in elderly patients. The present study evaluated the efficacy of nasal turbinate surgery with RF for the treatment of nonallergic rhinitis in elderly patients refractory to medical therapy. METHODS: A total of 35 consecutive patients older than 65 years of age (mean subject age, 75.5 ± 9.6 [standard deviation] years) with nonallergic rhinitis refractory to medical therapy who underwent RF turbinate surgery were enrolled in this study...
September 2015: American Journal of Rhinology & Allergy
Jill M Arganbright, Emily L Jensen, Jameson Mattingly, Dexiang Gao, Kenny H Chan
IMPORTANCE: Inferior turbinoplasty (IT) in pediatric patients is a common procedure used to treat childhood nasal obstruction. Most of the published IT studies in this population did not control for concurrent airway procedures. OBJECTIVE: To assess postoperative outcomes in pediatric patients undergoing isolated IT. DESIGN, SETTING, AND PARTICIPANTS: Ten-year retrospective review of the medical records of 1770 children (aged <18 years) undergoing an IT procedure at Children’s Hospital Colorado from August 1, 2003, through August 1, 2013...
October 2015: JAMA Otolaryngology—Head & Neck Surgery
Henry P Barham, Anna Knisely, Richard J Harvey, Raymond Sacks
INTRODUCTION: Techniques for inferior turbinate reduction vary from complete turbinectomy to limited cauterization. Surgical methods differ on the degree of tissue reduction and reliance on surgical tissue removal versus tissue ablation. METHOD: The technique and surgical steps of our preferred method of turbinate reduction are presented. RESULTS: Critical steps include proper design of the medial flap and removal of turbinate bone and lateral mucosa to allow lateral positioning of the medial flap...
July 2015: American Journal of Rhinology & Allergy
Seyyed Mostafa Hashemi, Nezamoddin Berjis, Afrooz Eshaghian, Maryam Nejadnic, Akram Fereidani Samani
INTRODUCTION: Dacryocystorhinostomy (DCR), a popular surgical procedure, has been performed using an endoscopic approach over recent years. Excellent anatomical knowledge is required for this endoscopic surgical approach. This study was performed in order to better evaluate the anatomical features of the lacrimal apparatus from cadavers in the Isfahan forensic center as a sample of the Iranian population. MATERIALS AND METHODS: DCR was performed using a standard method on 26 cadaver eyes from the forensic center of Isfahan...
May 2015: Iranian Journal of Otorhinolaryngology
Naja Chisty, Manpreet Singh, Mohammad Javed Ali, Milind N Naik
OBJECTIVES/HYPOTHESIS: Endoscopic dacryocystorhinostomy (DCR) is rapidly gaining recognition as a primary modality of management in acute dacryocystitis and lacrimal abscess. The purpose of the present study is to report long-term outcomes of powered endoscopic DCR in cases of acute dacryocystitis. STUDY DESIGN: Prospective interventional case series. METHODS: Twenty-one powered endoscopic DCRs were performed in 21 patients presenting with acute dacryocystitis...
March 2016: Laryngoscope
Sang Duk Hong, Nak-Joon Lee, Hyun-Jin Cho, Min-Seok Jang, Tae Young Jung, Hyo Yeol Kim, Seung-Kyu Chung, Hun-Jong Dhong
BACKGROUND: Although septoplasty provides adequate correction of septal deviation, patients are not always satisfied with the procedure. The degree of satisfaction after septal surgery may be affected by individual differences in the perception of one's nasal passage changes and emotional factors. The aim of this study is to identify the predictive factors that influence subjective septoplasty outcomes. METHODS: Forty-nine patients with septal deviation and nasal obstruction were enrolled...
July 2015: International Forum of Allergy & Rhinology
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