Surgery for nasal obstruction in inferior turbinate hypertrophy

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Abstract

In the international literature, there is no consensus on patient selection for turbinate surgery. Surgery is usually indicated to the patients on the basis of subjective complaint of nasal obstruction and surgeon´s clinical examination. Although most surgical techniques demonstrate a subjective and objective improvement in postoperative nasal airflow and subjective scores, it is hard to say which technique is best suited for treating inferior turbinate enlargement. Inferior turbinate reduction for nasal obstructive symptoms caused by enlarged turbinates is a useful procedure and is reserved for patients who are not responding to medical treatment or in whom the medical management is contraindicated.

1. Steiner W., Werner A.J. - Lasers in otorhinolaryngology, head and neck surgery. Endo-Press, Tuttlingen, 2006.

2. Leong S.C., Eccles R. - Inferior turbinate surgery and nasal airflow: evidenced- based management. Curr Opin Otolaryngol Head Neck Surg., Feb. 2010;18(1):54-9.

3. Thompson A.K., Juniper E., Meltzer E.O. - Quality of life in patients with allergic rhinitis. Ann Allergy Asthma Immunol., 2000;85(5):338-348.

4. Blaiss M.S. - Quality of life in allergic rhinitis. Ann Allergy Asthma Immunol., 1999;83(5):449-54.

5. Hol M.K., Huizing E.H. - Treatment of inferior turbinate pathology: a review and critical evaluation of the different techniques. Rhinology, Dec 2000;38(4):157-66.

6. Hanif J., Jawad S.S., Eccles R. - The nasal cycle in health and disease. Clin Otolaryngol Allied Sci., Dec 2000;25(6):461-7.

7. Passali D., Bellussi L.M., Kern E.B., Sarafoleanu C., Popescu F.D. - Rhinosinusal Inflammation And Infections: Modern Thinking And Current Treatment. Ed. Academiei Romane, Bucharest, 2013.

8. Passali D., Passali F.M., Damiani V., Passali G.C., Bellusi L. - Treatment of inferior turbinate hypertrophy:a randomized clinical trial. Ann Otol Rhinol Laryngol., 2003;112:683-688.

9. Mucci S., Sismanis A. - Inferior partial turbinectomy: an effective procedure for chronic rhinitis. Ear Nose Throath J., 1994;73:405-457.

10. Zapanta P.E., DeVries G.M., Khoury T. - Turbinectomy. Medscape, 2014. http://emedicine.medscape.com/article/2051775-overview.

11. Bhandarkar N.D., Smith T.L. - Outcomes of surgery for inferior turbinate hypertrophy. Curr Opin Otolaryngol Head Neck Surg., Feb. 2010;18(1):49-53.

12. Archer S.M., Meyers A.D. - Turbinate dysfunction. Medscape, 2014. http://emedicine.medscape.com/article/877872-overview.

13. Farmer S.E., Eccles R. - Chronic inferior turbinate enlargement and the implications for surgical intervention. Rhinology, 2006;44:234-238.

14. Gindros G., Kantas I., Balatsouras D.G., et al. - Mucosal changes in chronic hypertrophic rhinitis after surgical turbinate reduction. Eur Arch Otorhinolaryngol., 2009;266:1409-1416.

15. Ozcan K.M., Gedikli Y., Ozcan I., Pasaoglu L., Dere H. - Microdebrider for reduction of inferior turbinate: evaluation of effectiveness by computed tomography. J Otolaryngol Head Neck Surg., Aug 2008;37(4):463-8.

16. Wight R.G., Jones A.S., Beckingham E. - Trimming of the inferior turbinates: a prospective long-term study. Clin Otolaryngol., 1990;15:347-350.

17. Ophir D., Shapira A., Marshak G. - Total inferior turbinectomy for nasal airway obstruction. Arch Otolaryngol Head Neck Surg., 1985;111:93-95.

18. Chhabra N., Houser S.M. - The diagnosis and management of empty nose syndrome. Otolaryngol Clin North Am., Apr 2009;42(2):311-30, ix. doi: 10.1016/j.otc.2009.02.001

19. Batra P.S., Seiden A.M., Smith T.L. - Surgical management of adult inferior turbinate hypertrophy: a sistematic review of the evidence. Laryngoscope, Sep 2009;119(9):1819-27.

20. Goode R.L. - Surgery of the turbinates. J Otolaryngol., 1978;7:262-268.

21. Jones A.S., Wight R.G., Kabil Y., Buckingham E. - Predicting the outcome of submucosal diathermy to the inferior turbinates. Clin Otolaryngol., 1989;14:41-44.

22. Fradis M., Golz A., Danino J., et al. - Inferior turbinectomy versus submucosal diathermy for inferior turbinate hypertrophy. Ann Otol Rhinol Laryngol., 2000 Nov;109(11):1040-5.

23. Fradis M., Malatskey S., Magamsa I., Golz A. - Effect of submucosal diathermy in chronic nasal obstruction due to turbinate enlargement. Am J Otolaryngol., 2002 Nov-Dec;23(6):332-6.

24. Elwany S., Abel Salaam S. - Laser surgery for allergic rhinitis: the effect on seromucinous glands. Otolaryngol Head Neck Surg., 1999;120:742-744.

25. Mori S., Fujieda S., Igarashi M., Fan G.K., Saito H. - Submucous turbinectomy decreases not only nasal stiffness but also sneezing and rhinorrhea in patients with perennial allergic rhinitis. Clin Exp Allergy, 1999;29:1542-1548.

26. Schmidt J., Zalewski P., Olszewski J., Olszewska-Ziaber A. - Histopathological verification of clinical indications to partial inferior turbinectomy. Rhinology, 2001;39:147-150.

27. Kim D., Baraniuc J.N. - Neural aspects of allergic rhinitis. Curr Opin Otolaryngol Head Neck Surg., 2007;15:268-273.

28. Willatt D. - The evidence for reducing inferior turbinates. Rhinology, 2009;47:227-236.

29. Supiyaphun P., Aramwatanapong P., Kerekhanjanarong V., Sastarasadhit V. - KTP laser inferior turbinoplasty: an alternative procedure to treat the nasal obstruction. Auris Nasus Larynx, 2003;30:59-64.

30. Janda P., Sroka R., Baumgartner R., Grevers G., Leunig A. - Laser treatment of hyperplastic inferior nasal turbinates. Lasers Surg Med., 2001;28:404-413.

31. Friedman M., et al. - Sleep Apnea and Snoring, Surgical and Non- Surgical Therapy. Ed. Saunders Elsevier, 2009.

32. Schumacher M.J. - Nasal dyspnea: the place of rhinomanometry in its objective assessment. Am J Rhinol., Jan-Feb 2004;18(1):41-6.

33. Garzaro M., Pezzoli M., Landolfo V., Defilippi S., Giordano C., Pecorari G. - Radiofrequency Inferior Turbinate Reduction: Long-Term Olfactory and Functional Outcomes. Otolaryngol Head Neck Surg., 2012 Jan;146(1):146-50. doi: 10.1177/0194599811423008. Epub 2011 Sept 20.

34. Nease C.J., Krempl G.A. - Radiofrequency treatment of turbinate hypertrophy: a randomized, blinded, placebo-controlled clinical trial. Otolaryngol Head Neck Surg., 2004;130:291-299.

35. Barbieri M., Salami A., Mora F., Barbieri A., Cordone M.P., et al. - High frequency surgery in the treatment of turbinate hypertrophy: 11 years experience. Acta Otorhinolaryngol Ital., 2003;23:436-439.

36. Porter M.W., Hales N.W., Nease C.J., Krempl G.A. - Long-term results of inferior turbinate hypertrophy with radiofrequency treatment: a new standard of care? Laryngoscope, 2006;116:554-557.

37. Hytönen M.L., Bäck L.J.J., Malmivaara A.V., Roine R.P. - Radiofrequency thermal ablation for patients with nasal symptoms :a systematic review of effectiveness and complications. Eur Arch Otorhinolaryngol., 2009;266:1257-1266.

38. Harsten G. - How we do it: radiofrequency turbinectomy for nasal obstruction symptoms . Clin Otolaryngol., 2005;30:64-66.

39. Cavaliere M., Mottola G., Iemma M. - Comparison of the effectiveness and safety of radiofrequency turbinoplasty and traditional surgical technique in treatment of inferior turbinate hypertrophy. Otolaryngol Head Neck Surg., 2005;133:972-978.

40. Luczaj J., Rogowski M. - Submucosal bipolar radiofrequency therapy for treatment of turbinate hypertrophy. Otolaryngol Pol., 2007;61(3):290-4.

41. Lin H.C., Lin P.W., Friedman M., Chang H.W. - Long-term results of radiofrequency turbinoplasty for allergic rhinitis refractory to medical theraphy. Arch Otolaryngol Head Neck Surg., 2010;136(9):892-5.

42. Li K.K., Powell N.B., Riley R.W, Troell R.J., Guilleminault C. - Radiofrequency volumetric tissue reduction for treatment of turbinate hypertrophy: a pilot study. Otolaryngol Head Neck Surg., 1998;119:569-573.

43. Smith T.L., Correa A.J., Kuo T., Reinisch L. - Radiofrequency tissue ablation of the inferior turbinates using a thermocouple feedback electrode . Laryngoscope, 1999;109:1760-1765.

44. Eccles R., Jawad M.S., Jawad S.S., Angello J.T., Druce H.M. - Efficacy and safety of single and multiple doses of pseudoephedrine in the treatment of nasal congestion associated with common cold. Am J Rhinol., Jan-Feb 2005;19(1):25-31.

45. Bumsted R.M. - Cryotherapy for chronic vasomotor rhinitis: technique and patient selection for improved results. Laryngoscope, 1984;94:539-544.

46. Lee J.C., Lin Y.S. - Endoscopic vidian neurectomy: update on techniques and evidence. Curr Opin Otolaryngol Head Neck Surg., Feb 2012;20(1):66-72.

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