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Inferior turbinectomy: Comparison of four techniques

Published online by Cambridge University Press:  29 June 2007

Samy Elwany  and
Robert Harrison
Samy Elwany*
Affiliation:
Assistant Professor, Alexandria Medical School, Alexandria, Egypt; Consultant Otolaryngologist, Dr Fakhry Hospital, Alkhobar, Saudi Arabia.
Robert Harrison
Affiliation:
Consultant Otolaryngologist, Medical Center, Saudi Arabia.
*
Samy Elwany, MD, 503 El-Horreya Street, Boulkeley, Alexandria, Egypt.
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Abstract

As yet, there is no totally satisfactory means for treating hypertrophied turbinates and the proper management of turbinate dysfunction remains in question. In the present series, four of the widely practiced surgical procedures for the reduction of the size of the inferior turbinates were evaluated and compared. In all cases turbinectomy was performed as an isolated procedure. Eighty patients with chronic non-allergic rhinitis and hypertrophied inferior turbinates were selected, randomly divided into four groups, and followed up post-operatively for one year. Study of the results indicated that the beneficial effect of the operation is mainly mechanical by reduction of the resistance to nasal airflow. The post-operative improvement in smell acuity correlated positively with the increased patency of the nasal airway. None of the procedures had a deleterious effect on olfactory acuity. In contrast, the operation failed to enhance the mucociliary clearance rate or significantly decrease nasal drainage. Partial inferior turbinectomy and laser turbinectomy improved nasal breathing in 77 per cent of patients, and enhanced olfactory acuity in 78 per cent of patients who had pre-operative hyposmia. The results of turbinoplasty and cryoturbinectomy were less favourable. The surgical technique, advantages, and drawbacks of each of these procedures are discussed.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 3 , March 1990 , pp. 206 - 209
Copyright
Copyright © JLO (1984) Limited 1990

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References

Bumsted, B. M. (1984) Cryotherapy for chronic vasomotor rhinitis- Technique and patient selection for improved results. Laryngoscope, 99: 539–544.CrossRefGoogle Scholar
Donald, P. J. (1983) Minor intranasal procedures. Otolaryngologic Clinics of North America, 6: 715–725.CrossRefGoogle Scholar
Elwany, S., Kamel, T., Mekhamer, A. (1986) Pneumatic nasal catheters—advantages and drawbacks. Journal of Laryngology and Otology, 100: 641–647.CrossRefGoogle ScholarPubMed
Elwany, S., Mekhamer, A. (1987) Effect of nasotracheal intubation on nasal mucociliary clearance. British Journal of Anaesthesia, 59: 755–759.CrossRefGoogle ScholarPubMed
Fukutake, T., Yamashita, T., Tomada, T., Kumazawa, T. (1986) Laser surgery for allergic rhinitis. Archives of Otolaryngology, 112: 1280–1282.CrossRefGoogle ScholarPubMed
Goode, R. L. (1977) Diagnosis and treatment of turbinate dysfunction—a self instructional package, American Academy of Otolaryngology, Washington D. C., p 36–52.Google Scholar
Griffith, I. P. (1976) Abnormalities of smell and taste. Practitioner, 217: 907–913.Google ScholarPubMed
Henkin, R. I., Bartter, F. C. (1966) Studies on olfactory thresholds in normal man and in patients with adrenal cortical insufficiency. Journal of Clinical investigations, 45: 1631–1639.CrossRefGoogle ScholarPubMed
House, H. P. (1951) Submucous resection of the inferior turbinate bone. Laryngoscope, 61: 637–648.CrossRefGoogle Scholar
Martinez, S. A., Nissen, A. J., Stock, C. R., Tesmar, T. (1983) Nasal turbinte resection for relief of nasal obstruction. Laryngoscope, 93: 871–875.CrossRefGoogle ScholarPubMed
Moore, J. R., Bicknell, P. G. (1980) A comparison of cryotherapy and submucous diathermy in vasomotor rhinitis. Journal of Laryngology and Otology, 94: 1411–1431.CrossRefGoogle Scholar
Moore, G. F., Freeman, I. J., Orgren, J. P., Yonker, A. J. (1985) Extended follow-up of total inferior turbinate resection for relief of chronic nasal obstruction. Laryngoscope, 95: 1095–1099.CrossRefGoogle ScholarPubMed
Mygind, N. (1980) Measurement of nasal airway resistance—is it only for article writers. Clinical Otolaryngology, 5: 161–163.CrossRefGoogle ScholarPubMed
Ophir, D., Shapira, A., Marshak, G. (1985) Total inferior turbinectomy for nasal airway obstruction. Archives of Otolaryngology, 111: 93–95.CrossRefGoogle ScholarPubMed
Ozenberger, J. M. (1973) Cryosurgery for treatment of chronic rhinitis. Laryngoscope, 83: 508–512.CrossRefGoogle ScholarPubMed
Peacock, M. R. (1981) Submucous resection of the nasal septum. Journal of Laryngology and Otology, 95: 341–356.CrossRefGoogle ScholarPubMed
Saunders, W. H. (1982) Surgery of the inferior nasal turbinate. Annals of Otology, Rhinology and Laryngology, 91: 445–447.CrossRefGoogle Scholar
Selkin, S. G. (1985) Laser turbinectomy- as an adjunct to rhinoplasty. Archives of Otolaryngology, 11: 446–449.CrossRefGoogle Scholar
Stevens, C., Stevens, M. (1985) Quantitative effects of nasal surgery on olfaction. American Journal of Otolaryngology, 6: 264–267.CrossRefGoogle ScholarPubMed
Von Haache, N., Hardcastle, P. (1985) Submucosal diathermy of the inferior turbinate and the congested nose. ORL, 47: 189–193.CrossRefGoogle Scholar
Yergen, B. M., Sakekhoo, K., Michaelis, E. D. (1978) A roentgenographic method for measuring nasal mucous velocity. Journal of Applied Physiology, 44: 694–699.Google Scholar