Paper Information

Title: 

COMPARISON RESULTS OF RESECTION WITH OUTFRACTURE OF INFERIOR TURBINATE DURING SEPTOPLASTY

Type: PAPER
Author(s): TOUTOUNCHI S.J.*,GHIASI SAMAD,BUDAGH SH.,SEYED TOUTOUNCHI N.
 
 *
 
Name of Seminar: INTERNATIONAL CONNGRESS OF IRANIAN SOCIETY OF OTOLARYNGYOLOGY / HEAD AND NECK SURGERY
Type of Seminar:  CONGRESS
Sponsor: 
Date:  2010Volume 1
 
 
Abstract: 

BACKGROUND: CHRONIC NASAL OBSTRUCTION IS A COMMON DISORDER. INFERIOR TURBINATE HYPERTROPHY AND SEPTUM DEVIATION ARE THE MOST COMMON CAUSES OF NASAL AIRWAY OBSTRUCTION. MEDICAL TREATMENT OFTEN PRODUCES INSUFFICIENT IMPROVEMENTS. IN THESE CASES, SURGICAL REDUCTION OF THE INFERIOR TURBINATES CAN BE PROPOSED. THERE ARE NUMEROUS AVAILABLE SURGICAL TECHNIQUES IN USE TO ADDRESS INFERIOR TURBINATE HYPERTROPHY. THE AIM OF OUR STUDY IS TO COMPARE THE EFFICACY OF THE RESECTION OF THE INFERIOR TURBINATE WITH OUTFRACTURE OF THE INFERIOR TURBINATE DURING SEPTOPLASTY.
MATERIALS AND METHODS: IN A CLINICAL TRIAL STUDY IN THE PERIOD 2008-2009, THE STUDY GROUP CONSISTING OF 100 PATIENTS WITH SEPTUM DEVIATION AND INFERIOR TURBINATE HYPERTROPHY WERE ASSIGNED INTO TWO GROUPS OF 50, WHO UNDERWENT SIMULTANEOUS RESECTION OF THE INFERIOR TURBINATE AND THE OUTFRACTURE OF THE INFERIOR TURBINATE DURING SEPTOPLASTY. ANTERIOR AND POSTERIOR RHINOSCOPY AND GRI-NSQ INVENTORY WERE USED TO ASSESS TREATMENT OUTCOMES AT THE END OF WEEK TWO AND MONTH THREE AFTER THE SURGERY.
RESULTS: THE CURE AND IMPROVEMENT RATE OF NASAL OBSTRUCTION WERE 82% IN BOTH GROUPS AND THERE WAS NO SIGNIFICANT DIFFERENCE BETWEEN THEM (P VALUE: 0.907). EARLY COMPLICATIONS IN NEITHER GROUP HAD A SIGNIFICANT DIFFERENCE, WITH THE EXCEPTION OF POSTOPERATIVE BLEEDING (P VALUE<0.000), WHICH WAS LOWER IN THE OUTFRACTURE (4%) THAN IN THE RESECTION (24%). IN GRI-NSQ INVENTORY, THE RESULTS IN THE GROUP WITH OUTFRACTURES WERE BETTER THAN THOSE IN THE GROUP WHO UNDERWENT RESECTION OF THE INFERIOR TURBINATE.
CONCLUSION: BASED ON OUR STUDY, BOTH TECHNIQUES HAVE THE SAME EFFICACY IN REDUCING THE SYMPTOMS AND SIGNS OF NASAL OBSTRUCTION, BUT BECAUSE THE POSTOPERATIVE COMPLICATIONS IN OUTFRACTURE ARE FEWER THAN IN RESECTION, THE OUTFRACTURE OF THE INFERIOR TURBINATE IS A BETTER CHOICE IN SURGERY FOR THE PATIENTS WITH INFERIOR TURBINATE HYPERTROPHY DUE TO SEPTAL DEVIATION.

 
Keyword(s): INFERIOR TURBINATE, SEPTOPLASTY, TURBINECTOMY, HYPERTROPHY
 
Yearly Visit 17   tarjomyar
 
Latest on Blog
Enter SID Blog