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Turbinectomy

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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
#1
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...
November 24, 2016: 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
#2
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
#3
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
#4
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...
October 12, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27692399/acetylcholine-induced-ex-vivo-atp-release-from-the-human-nasal-mucosa
#5
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
#6
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
https://www.readbyqxmd.com/read/27598464/effects-of-partial-middle-turbinectomy-with-varying-resection-volume-and-location-on-nasal-functions-and-airflow-characteristics-by-cfd
#7
Kyun Bum Lee, Young Sun Jeon, Seung-Kyu Chung, Sung Kyun Kim
The surgical term "turbinectomy" encompasses many variations in the location and extent of removal. As a systemic approach to consider the negative impact of middle turbinectomy(MT), such as the excessive removal of turbinate, airflows inside a pre-surgery model and a series of virtual surgery models were numerically analyzed and compared. These models simulate three variations of partial MT(three bilateral and three unilateral) with varying resection volume and location. Each middle turbinectomy results in alterations of flow and thermal parameters, such as nasal resistance (NR), velocity, temperature, wall shear stress(WSS) and wall heat transfer(WHT)...
October 1, 2016: Computers in Biology and Medicine
https://www.readbyqxmd.com/read/27556616/inferior-turbinate-hypertrophy-in-rhinoplasty-systematic-review-of-surgical-techniques
#8
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/27534890/bilateral-inferior-turbinate-osteoma
#9
R Sahemey, A T Warfield, S Ahmed
Osteomas are the most common benign osteoclastic tumours of the paranasal sinuses. However, nasal cavity and turbinate osteomas are extremely rare. Only nine middle turbinate, three inferior turbinate and one inferior turbinate osteoma cases have been reported to date. The present case report describes the management and follow-up of symptomatic bilateral inferior turbinate osteoma.A 60-year-old female presented with symptoms of bilateral nasal obstruction and right-sided epiphora. Radiological investigation found hypertrophic bony changes involving both inferior turbinates...
2016: Journal of Surgical Case Reports
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
#10
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/27324180/expression-and-localization-of-gpr99-in-human-nasal-mucosa
#11
Hideaki Shirasaki, Etsuko Kanaizumi, Tetsuo Himi
OBJECTIVE: The cysteinyl leukotrienes (CysLTs) are lipid mediators that have been implicated in the pathogenesis of allergic rhinitis. Pharmacological studies of CysLTs indicate that two classes of receptors, CysLT1R and CysLT2R exist. CysLT1R is a high affinity LTD4 receptor with lower affinity for LTC4, and a CysLT1R antagonist is currently used to treat asthma and allergic rhinitis. CysLT2R binds to LTC4 and LTD4 with equal affinity. GPR99 (also called GPR80), previously described as an oxoglutarate receptor (OXGR1), has recently emerged as a potential novel receptor with LTE4...
June 17, 2016: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/27300450/effect-of-deviated-nasal-septum-type-on-nasal-mucociliary-clearance-olfactory-function-quality-of-life-and-efficiency-of-nasal-surgery
#12
Güler Berkiten, Tolgar Lütfi Kumral, Ziya Saltürk, Yavuz Atar, Güven Yildirim, Yavuz Uyar, Imran Aydoğdu, Ahmet Arslanoğlu
OBJECTIVE: The aim of this study was to analyze the influence of deviated nasal septum (DNS) type on nasal mucociliary clearance, quality of life (QoL), olfactory function, and efficiency of nasal surgery (septoplasty with or without inferior turbinate reduction and partial middle turbinectomy). METHODS: Fifty patients (20 females and 30 males) with septal deviation were included in the study and were divided into 6 groups according to deviation type after examination by nasal endoscopy and paranasal computed tomography...
July 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27165673/impact-of-middle-versus-inferior-total-turbinectomy-on-nasal-aerodynamics
#13
Anupriya Dayal, John S Rhee, Guilherme J M Garcia
OBJECTIVES: This computational study aims to (1) use virtual surgery to theoretically investigate the maximum possible change in nasal aerodynamics after turbinate surgery, (2) quantify the relative contributions of the middle and inferior turbinates to nasal resistance and air conditioning, and (3) quantify to what extent total turbinectomy impairs the nasal air-conditioning capacity. STUDY DESIGN: Virtual surgery and computational fluid dynamics. SETTING: Academic tertiary medical center...
September 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27143707/%C3%A3-tricalcium-phosphate-implants-in-the-surgical-treatment-of-empty-nose-syndrome
#14
Pierre-Louis Bastier, Sylvestre Fierens, Sylvain Champel, Alix Ribadeau-Dumas, Ludovic de Gabory
The objective of this study was to assess the efficacy and morbidity of a β-tricalcium phosphate implant in the treatment of empty nose syndrome after turbinectomy. Only patients with a history of inferior turbinectomy and a complaint of permanent paradoxical nasal obstruction were included. β-Tricalcium phosphate ceramic implants were implanted under the mucoperiosteal plane of the lateral nasal wall to replace the head of the inferior turbinate. Symptoms and quality of life were assessed by 2 questionnaires: the Nasal Obstruction Symptom Evaluation and Rhinosinusitis Quality of Life...
September 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27068423/comparison-of-voice-quality-between-patients-who-underwent-inferior-turbinoplasty-or-radiofrequency-cauterization
#15
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
https://www.readbyqxmd.com/read/27056197/igg4-related-disease-presenting-with-destructive-sinonasal-lesion-mimicking-malignancy
#16
Bo-Nien Chen
IgG4-related disease is a newly recognized systemic fibroinflammatory disorder. We report a 36-year-old man who presented with intractable right nasal pain and frontal headache for 1 month. Computed tomography revealed an ill-defined lesion with bony erosion over the right anterior ethmoid sinus and middle turbinate. The lesion was resected through endoscopic anterior ethmoidectomy and middle turbinectomy. IgG4-related disease was definitively diagnosed according to histopathological features. Prednisolone was administered postoperatively...
November 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/26897434/how-does-multilevel-upper-airway-surgery-influence-the-lives-of-dogs-with-severe-brachycephaly-results-of-a-structured-pre-and-postoperative-owner-questionnaire
#17
Sabine Pohl, Frauke S Roedler, Gerhard U Oechtering
Brachycephalic airway syndrome in dogs is typified by a variety of anatomical abnormalities causing a diverse spectrum of clinical signs of varying intensity. This variability makes the assessment of the surgical outcome after upper airway surgery difficult. Using a structured questionnaire, the present study investigated the dog owner-perceived severity and frequency of a broad spectrum of welfare-relevant impairments 2 weeks before and 6 months after brachycephalic dogs underwent a recently developed multi-level upper airway surgery...
April 2016: Veterinary Journal
https://www.readbyqxmd.com/read/26886294/the-potential-significance-of-concha-bullosa-during-nasotracheal-intubation
#18
Hyun Jin Min, Sang Ki Min, Young Ho Hong, Kyung Soo Kim
The authors experienced a case of severe epistaxis caused by accidental partial middle turbinectomy during nasotracheal intubation, which the patient had bilateral concha bullosa narrowing the nasal airway. Although anesthesiologist checked nasal airway through subjective symptoms and the size of both nostrils, they tend to overlook common anatomic variation, concha bullosa, and can injure turbinate structures. Therefore, preoperative computed tomography images should be carefully evaluated for the possibility of concha bullosa, which narrows nasal airway and induces the traumatic injury or epistaxis during nasotracheal intubation...
March 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/26790634/a-novel-approach-to-brachycephalic-syndrome-2-laser-assisted-turbinectomy-late
#19
Gerhard U Oechtering, Sabine Pohl, Claudia Schlueter, Riccarda Schuenemann
OBJECTIVE: To introduce a new surgical procedure based on interventional, laser-assisted removal of obstructing turbinate tissue to improve endonasal airway patency in brachycephalic dogs and to confirm the short and long term results using computed tomography (CT) and rhinoscopy. STUDY DESIGN: Prospective clinical study. ANIMALS: Brachycephalic dogs (n = 158; 70 Pugs, 77 French Bulldogs, 11 English Bulldogs) referred for treatment of severe respiratory distress because of brachycephalic syndrome...
February 2016: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/26783402/gene-transfection-of-human-turbinate-mesenchymal-stromal-cells-derived-from-human-inferior-turbinate-tissues
#20
Jin Seon Kwon, Seung Hun Park, Ji Hye Baek, Truong Minh Dung, Sung Won Kim, Byoung Hyun Min, Jae Ho Kim, Moon Suk Kim
Human turbinate mesenchymal stromal cells (hTMSCs) are novel stem cells derived from nasal inferior turbinate tissues. They are easy to isolate from the donated tissue after turbinectomy or conchotomy. In this study, we applied hTMSCs to a nonviral gene delivery system using polyethyleneimine (PEI) as a gene carrier; furthermore, the cytotoxicity and transfection efficiency of hTMSCs were evaluated to confirm their potential as resources in gene therapy. DNA-PEI nanoparticles (NPs) were generated by adding the PEI solution to DNA and were characterized by a gel electrophoresis and by measuring particle size and surface charge of NPs...
2016: Stem Cells International
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