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Turbinectomy

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https://www.readbyqxmd.com/read/28877858/effects-of-surgical-treatment-of-hypertrophic-turbinates-on-the-nasal-obstruction-and-the-quality-of-life
#1
Katharina Stölzel, Marie Bandelier, Agnieszka J Szczepek, Heidi Olze, Steffen Dommerich
PURPOSE: Chronic hyperplasia of the inferior nasal concha is accompanied by a nasal obstruction; however, there is no standardised surgical treatment for this condition. Here, we compared the outcome of three surgical techniques frequently used to treat the hyperplasia of inferior turbinates: turbinectomy with lateralization, submucosal electrocautery and laser cautery additional to septoplasty. MATERIALS AND METHODS: One hundred and nine patients participated in this prospective randomized study upon signing written consent...
August 30, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28815717/partial-inferior-turbinectomy-in-rhinoseptoplasty-has-no-effect-in-quality-of-life-outcomes-a-randomized-clinical-trial
#2
Bianca H de Moura, Raphaella O Migliavacca, Rafaela K Lima, José E L Dolci, Martina Becker, Cássia Feijó, Elisa Brauwers, Michelle Lavinsky-Wolff
OBJECTIVE: Evaluate the impact of endoscopic partial inferior turbinectomy (EPIT) associated with primary rhinoseptoplasty on quality-of-life outcomes (QOL), complications, and surgical duration. STUDY DESIGN: Randomized clinical trial. METHODS: Individuals with nasal obstruction aged ≥ 16 years who were candidates for functional and aesthetics primary rhinoseptoplasty were evaluated from March 2014 through May 2015. Eligible participants were randomly allocated to rhinoseptoplasty with or without EPIT (excision of one-third of the inferior turbinates)...
August 16, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28714537/surgical-outcome-for-empty-nose-syndrome-impact-of-implantation-site
#3
Ta-Jen Lee, Chia-Hsiang Fu, Ching-Lung Wu, Yi-Chan Lee, Chi-Che Huang, Po-Hung Chang, Yi-Wei Chen, Hsiao-Jung Tseng
OBJECTIVE/HYPOTHESIS: Endonasal submucosal implantation has been confirmed to be beneficial for patients with empty nose syndrome (ENS). However, the optimal implantation site has not been defined. This study aimed to evaluate whether lateral nasal wall implantation is superior to inferior nasal wall implantation in terms of clinical benefits and improvements in quality of life. STUDY DESIGN: Retrospective study in a tertiary medical center. METHODS: Consecutive ENS patients between 2010 and 2015 with operative histories of inferior turbinectomies and indicated for surgical implantation were enrolled, with at least 1-year follow-up...
July 17, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28662196/a-feasible-low-cost-reproducible-lamb-s-head-model-for-endoscopic-sinus-surgery-training
#4
Henrique Fernandes de Oliveira, Valdes Roberto Bollela, Wilma Terezinha Anselmo-Lima, Carlos Augusto Pires de Oliveira Costa, Márcio Nakanishi
OBJECTIVE: To describe and standardize a reproducible, viable, low-cost lamb's head model for endoscopic sinus surgery training. METHODS: Otorhinolaryngology residents performed the following three endoscopic sinus surgeries using the lamb's head model: inferior turbinectomy, bullectomy, and maxillary antrostomy. Each student dissected 10 specimens before training these procedures on human patients, and the benefit of the animal model training was evaluated. RESULTS: Nineteen resident physicians of comparable academic level participated in training...
2017: PloS One
https://www.readbyqxmd.com/read/28658818/a-prospective-study-of-different-methods-of-inferior-turbinate-reduction
#5
Santosh Uttarkar Panduranga Rao, Prashanth Basavaraj, Supriya Basavaraj Yempalle, Aravind Darga Ramachandra
INTRODUCTION: All the functions of nasal cavities are performed through mucosa and contours of the turbinates. Hypertrophied inferior turbinate is one of the major and common causes of nasal obstruction. In these patients nasal obstruction is relieved by inferior turbinate reduction. Many procedures on turbinate reduction have been described earlier. AIM: To compare and evaluate the better method for inferior turbinate reduction among submucosal diathermy using monopolar cautery and bipolar cautery, complete turbinectomy, inj...
May 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28409044/perioperative-anaphylaxis-to-chlorhexidine-during-surgery-and-septoplasty
#6
Ana Paula Teixeira de Abreu, Leonardo Ramos Ribeiro de Oliveira, Ana Flavia Teixeira de Abreu, Evandro Ribeiro de Oliveira, Michele Santos de Melo Ireno, Fernando Monteiro Aarestrup, Matheus Fonseca Aarestrup, Paula Fonseca Aarestrup
Chlorhexidine is an antiseptic and disinfectant used in surgical and clinical practice since 1954 and is available in aqueous or alcoholic solutions 0.5%-4.0% and has a broad-spectrum activity. Despite their widespread use, allergic reactions with chlorhexidine are rarely reported. We describe a case of anaphylaxis with chlorhexidine during a septoplasty, turbinectomy, and maxillary sinusectomy. The patient presented with periorbital edema, hives, hypotension, and wheezing. Immediately after the diagnosis of anaphylaxis promethazine, hydrocortisone, and epinephrine were administered with immediate clinical improvement...
2017: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/28371145/sixty-three-patient-based-survey-can-sino-nasal-outcome-test-22-be-a-suitable-evaluation-method-for-septoplasty-and-turbinectomy
#7
LETTER
H H Kordjian, L P Schousboe
No abstract text is available yet for this article.
April 1, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28239978/sleep-disordered-breathing-and-its-management-in-children-with-achondroplasia
#8
Rossana Tenconi, Sonia Khirani, Alessandro Amaddeo, Caroline Michot, Geneviève Baujat, Vincent Couloigner, Livio De Sanctis, Syril James, Michel Zerah, Valérie Cormier-Daire, Brigitte Fauroux
Sleep-disordered breathing is a common feature in children with achondroplasia. The aim of our study was to review the poly(somno)graphic (P(S)G) findings and consequent treatments in children with achondroplasia followed in the national reference center for skeletal dysplasia. A retrospective review of the clinical charts and P(S)G of 43 consecutive children (mean age 3.9 ± 3.5 years) with achondroplasia seen over a period of 2 years was performed. Twenty four (59%) children had obstructive sleep apnea (OSA)...
February 27, 2017: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/28239574/do-nasal-surgeries-affect-mucociliary-clearance
#9
Rajeshwary Aroor, Zainab Sunu Ali, K S Gangadhara Somayaji
The study was conducted to assess the impact of different nasal surgeries on the nasal mucociliary clearance mechanism. Mucociliary function of the nasal mucosa of patients who were undergoing various nasal surgeries was assessed by the Saccharin test by placing 5 mg saccharin granule on the anterior end of the inferior turbinate 1 day prior to the surgery. The time required for the test subject to experience a sweet taste was measured in minutes. Post-operatively the test was repeated 6 weeks after the surgery and the test times were compared...
March 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/28231372/radiofrequency-turbinate-volume-reduction-vs-radiofrequency-assisted-turbinectomy-for-nasal-obstruction-caused-by-inferior-turbinate-hypertrophy
#10
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/28224626/intranasal-trigeminal-function-in-patients-with-empty-nose-syndrome
#11
Iordanis Konstantinidis, Evangelia Tsakiropoulou, Angelos Chatziavramidis, Christos Ikonomidis, Konstantinos Markou
OBJECTIVES/HYPOTHESIS: Trigeminal nerve mediates the perception of nasal airflow. This study examines whether impaired intranasal trigeminal function is a part of the paradoxical nasal obstruction sensation in patients with empty nose syndrome (ENS). STUDY DESIGN: Prospective case-control study in a tertiary hospital. METHODS: Three groups were examined: 1) ENS patients with previous bilateral near total inferior turbinectomy, 2) patients who underwent near total inferior turbinate removal (ITR) without ENS symptoms, and 3) control participants...
June 2017: Laryngoscope
https://www.readbyqxmd.com/read/28178100/increased-concomitant-nasal-procedure-frequency-in-bilateral-endoscopic-dacryocystorhinostomy
#12
Cem Bayraktar, Ali Şimşek
The etiology of primary nasolacrimal duct obstruction (NLDO) is unknown, and the disease may exist bilaterally in a small number of patients. Dacryocystorhinostomy (DCR) surgery is the recommended treatment for these patients, but concomitant nasal pathologies are believed to be related to decreased surgical success. The authors aim to assess the concomitant required nasal surgical procedure frequency for endoscopic surgical access retrospectively in bilateral and unilateral NLDO patients. Twenty-eight patients who underwent bilateral endoscopic DCR simultaneously and 30 patients who underwent unilateral endoscopic DCR were enrolled in this retrospective study...
June 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28052420/a-novel-approach-to-brachycephalic-syndrome-3-isolated-laser-assisted-turbinectomy-of-caudal-aberrant-turbinates-cat-late
#13
Riccarda Schuenemann, Sabine Pohl, Gerhard U Oechtering
OBJECTIVE: To describe isolated laser-assisted turbinectomy of caudal aberrant turbinates (CAT LATE) as a new minimally invasive surgical procedure for the treatment of brachycephalic dogs with obstructing caudal aberrant turbinates (CAT). STUDY DESIGN: Prospective clinical study. ANIMALS: Brachycephalic dogs (24 Pugs, 1 English Bulldog) with CAT but adequate air spaces between the lamellae of the nonobstructing ventral nasal concha. METHODS: A rhinoscopically guided diode laser fiber introduced from anterior was used to dissect CAT within the nasopharyngeal meatus, while leaving the intranasal turbinates intact...
January 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/28027245/intranasal-pathology-in-the-migraine-surgery-population-incidence-patterns-and-predictors-of-surgical-success
#14
Michelle Lee, Cameron Erickson, Bahman Guyuron
BACKGROUND: The purpose of this study was to identify patterns of nasal pathology in patients with rhinogenic migraine headaches (site III). METHODS: A retrospective review was performed on patients with rhinogenic migraine headaches. Demographics, pre- and post-migraine surgery symptoms, and pathology seen on preoperative computed tomographic scans were reviewed. RESULTS: Twenty percent of 98 patients had preoperative sinus disease. The following abnormalities were seen on computed tomographic scan: septal deviation, 75 (77 percent); septal spur, 33 (34 percent); middle concha bullosa, 48 (49 percent); sinus pathology, 20 (20 percent); and intranasal contact points, 62 (62 percent)...
January 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27885513/the-comparison-of-the-quality-of-life-and-intranasal-edema-between-the-patients-with-or-without-nasal-packing-after-septoplasty
#15
RANDOMIZED CONTROLLED TRIAL
B Kayahan, S Ozer, A E Suslu, O Ogretmenoglu, M Onerci
Septoplasty is one of the most common operations performed in otolaryngology and anterior nasal packing is done routinely to prevent postoperative bleeding, septal hematoma or nasal synechia. Currently, transseptal sutures have gained a broader application area, not only for preventing the complications such as septal hematoma and bleeding but also closing any accidental tears of septal mucosa and providing additional support for the cartilage pieces retained in septoplasty. We evaluated the quality of life of the patients in early postoperative period (in the first postoperative week), intranasal edema with endoscopic examination and the intranasal changes with acoustic rhinometry...
March 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27857874/minimizing-septectomy-for-endoscopic-transsphenoidal-approaches-to-the-sellar-and-suprasellar-regions-a-cadaveric-morphometric-study
#16
Hermes G Garcia, Marc Otten, Marc Pyfer, Saurabh J Singhal, Alfred Marc Iloreta, Varun R Kshettry, Christopher J Farrell, Gurston Nyquist, Marc Rosen, James J Evans
The purpose of this study was to evaluate the effect of posterior septectomy size on surgical exposure and surgical freedom during the endoscopic transsphenoidal approach to the sella and parasellar region. Dissections were performed on 10 embalmed cadaver heads. Dissections started with wide bilateral sphenoidotomies, lateralization of middle turbinates, and a 5-mm posterior septectomy. The posterior septectomy was increased in 5-mm increments to a maximum of 35 mm, followed by bilateral middle turbinectomies...
December 2016: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/27857872/the-lamb-s-head-as-a-model-for-surgical-skills-development-in-endonasal-surgery
#17
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/27816732/efficacy-of-gastric-aspiration-in-reducing-postoperative-nausea-and-vomiting-after-orthognathic-surgery-a-double-blind-prospective-study
#18
RANDOMIZED CONTROLLED TRIAL
Alan Robert Moreira Schmitt, Fabio Gambôa Ritto, João Gabriel Rodrigues Luz de Azevedo, Paulo José D'Albuquerque Medeiros, Monique Cristine Mattos de Mesquita
PURPOSE: To determine whether gastric aspiration performed after orthognathic surgery, in conjunction with a prophylactic protocol, could prevent postoperative nausea and vomiting (PONV). PATIENTS AND METHODS: Twenty-four consecutive patients treated at a single academic institution were included in this double-blinded randomized control trial and were divided into control (n = 12) and study (n = 12) groups. Patients underwent orthognathic surgery, and the same anesthetic protocol was used for the 2 groups...
April 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27692399/acetylcholine-induced-ex-vivo-atp-release-from-the-human-nasal-mucosa
#19
Hiroki Koizumi, Shoji Ikezaki, Toyoaki Ohbuchi, Ba Hung Do, Nobusuke Hohchi, Rintaro Kawaguchi, Takuro Kitamura, Hideaki Suzuki
OBJECTIVE: The present study aimed at investigating ATP release in response to acetylcholine (Ach) and pharmacologically elucidating the intracellular signal transduction pathway of this reaction in an ex vivo experiment. METHODS: The inferior turbinate mucosa was collected from 21 patients with chronic hypertrophic rhinitis who underwent endoscopic turbinectomy. The mucosa was shaped into a filmy round piece, and incubated with chemical(s) in Hank's balanced salt solution for 10min...
September 27, 2016: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/27612585/nasal-conchae-function-as-aerodynamic-baffles-experimental-computational-fluid-dynamic-analysis-in-a-turkey-nose-aves-galliformes
#20
Jason M Bourke, Lawrence M Witmer
We tested the aerodynamic function of nasal conchae in birds using CT data from an adult male wild turkey (Meleagris gallopavo) to construct 3D models of its nasal passage. A series of digital "turbinectomies" were performed on these models and computational fluid dynamic analyses were performed to simulate resting inspiration. Models with turbinates removed were compared to the original, unmodified control airway. Results revealed that the four conchae found in turkeys, along with the crista nasalis, alter the flow of inspired air in ways that can be considered baffle-like...
September 6, 2016: Respiratory Physiology & Neurobiology
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