دورية أكاديمية
Comprehensive Assessment of the Functional Outcomes of Partial Turbinectomy: A Prospective Clinical Trial.
| العنوان: | Comprehensive Assessment of the Functional Outcomes of Partial Turbinectomy: A Prospective Clinical Trial. |
|---|---|
| المؤلفون: | Çelik M; Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara Training and Research Hospital, 06230, Ankara, Turkey. mucetr@gmail.com., Altunal SK; Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara Training and Research Hospital, 06230, Ankara, Turkey., Kocer U; Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara Training and Research Hospital, 06230, Ankara, Turkey., Kucukguven A; Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara Training and Research Hospital, 06230, Ankara, Turkey. |
| المصدر: | Aesthetic plastic surgery [Aesthetic Plast Surg] 2024 Apr; Vol. 48 (8), pp. 1547-1556. Date of Electronic Publication: 2023 Jul 20. |
| نوع المنشور: | Journal Article; Clinical Trial |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer-Verlag Country of Publication: United States NLM ID: 7701756 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-5241 (Electronic) Linking ISSN: 0364216X NLM ISO Abbreviation: Aesthetic Plast Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, Springer-Verlag. |
| مواضيع طبية MeSH: | Turbinates*/surgery , Rhinoplasty*/methods, Humans ; Female ; Prospective Studies ; Male ; Adult ; Treatment Outcome ; Young Adult ; Middle Aged ; Surveys and Questionnaires ; Nasal Obstruction/surgery ; Quality of Life |
| مستخلص: | Objectives: The inferior and middle turbinates have crucial roles in nasal function, but their enlargement can cause obstructive effects, which can lead to breathing difficulties, sleep and smell disorders, and headaches. Partial turbinectomy is a common surgical technique used to address this issue during septorhinoplasty, but it carries risks such as empty nose syndrome. A clinical trial was designed to evaluate the functional outcomes of middle and inferior partial turbinectomy with a holistic approach. Methods: Patients with NOSE questionnaire scores of 30 or higher, and grade 4 inferior turbinates and/or advanced middle concha bullosa were included. Patients completed questionnaires related to breathing, empty nose syndrome, headache, and olfaction preoperatively and at one-month, three-month, six-month, and first-year periods postoperatively. The partial excisions of the inferior and middle turbinates were carried out with serrated scissors while trying to preserve adequate turbinate size to maintain function. Results: This study found that NOSE scores, headache frequency, and severity improved postoperatively. The olfactory-related quality of life of the patients with impairments in this area significantly improved found to be improved at all postoperative evaluations. None of the patients experienced prolonged bleeding requiring surgical intervention. No cases of anosmia and empty nose syndrome were reported. Conclusion: Partial turbinectomy of middle and inferior turbinates during septorhinoplasty can alleviate symptoms of turbinate hypertrophy, such as breathing issues, olfactory disorders, and headaches. It is an easy, reliable, and efficient surgical maneuver. Proper technique can minimize the risk of empty nose syndrome and other complications of turbinectomy surgery. Level of Evidence Iii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 . (© 2023. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.) |
| References: | Balikci HH, Gurdal MM (2014) Satisfaction outcomes in open functional septorhinoplasty: prospective analysis. J Craniofac Surg 25(2):377–379. https://doi.org/10.1097/scs.0000000000000638. (PMID: 10.1097/scs.000000000000063824531253) Georgalas C (2011) The role of the nose in snoring and obstructive sleep apnoea: an update. Eur Arch Otorhinolaryngol 268(9):1365–1373. https://doi.org/10.1007/s00405-010-1469-7. (PMID: 10.1007/s00405-010-1469-7213405613149667) Shapiro GG (1988) The role of nasal airway obstruction in sinus disease and facial development. J Allergy Clin Immunol 82(5 Pt 2):935–940. https://doi.org/10.1016/0091-6749(88)90036-x. (PMID: 10.1016/0091-6749(88)90036-x3057046) Nurse LA, Duncavage JA (2009) Surgery of the inferior and middle turbinates. Otolaryngol Clin North Am 42(2):295–309. https://doi.org/10.1016/j.otc.2009.01.009. (PMID: 10.1016/j.otc.2009.01.00919328894) Smith DH, Brook CD, Virani S, Platt MP (2018) The inferior turbinate: an autonomic organ. Am J Otolaryngol 39(6):771–775. https://doi.org/10.1016/j.amjoto.2018.08.009. (PMID: 10.1016/j.amjoto.2018.08.00930193745) Lenders H, Schaefer J, Pirsig W (1991) Turbinate hypertrophy in habitual snorers and patients with obstructive sleep apnea: findings of acoustic rhinometry. Laryngoscope 101(6 Pt 1):614–618. https://doi.org/10.1288/00005537-199106000-00007. (PMID: 10.1288/00005537-199106000-000072041441) Garcia JPT, Moura BH, Rodrigues VH, Vivan MA et al (2022) Inferior turbinate reduction during rhinoplasty: is there any effect on rhinitis symptoms? Int Arch Otorhinolaryngol 26(1):e111–e118. https://doi.org/10.1055/s-0041-1726046. (PMID: 10.1055/s-0041-172604635096167) Gunhan K, Unlu H, Yuceturk AV, Songu M (2011) Intranasal steroids or radiofrequency turbinoplasty in persistent allergic rhinitis: effects on quality of life and objective parameters. Eur Arch Otorhinolaryngol 268(6):845–850. https://doi.org/10.1007/s00405-010-1462-1. (PMID: 10.1007/s00405-010-1462-121188597) Mohamed NN, Khamis W, Abdelbary EH, Alkabeer TY (2022) Diode laser-assisted inferior turbinoplasty in resistant cases of allergic rhinitis: a clinical and histopathological study. Lasers Med Sci 37(3):2053–2061. https://doi.org/10.1007/s10103-021-03477-w. (PMID: 10.1007/s10103-021-03477-w34853931) Zhang K, Pipaliya RM, Miglani A, Nguyen SA et al (2023) Systematic review of surgical interventions for inferior turbinate hypertrophy. Am J Rhinol Allergy 37(1):110–122. https://doi.org/10.1177/19458924221134555. (PMID: 10.1177/1945892422113455536315624) Gordiienko IM, Gubar OS, Sulik R, Kunakh T et al (2021) Empty nose syndrome pathogenesis and cell-based biotechnology products as a new option for treatment. World J Stem Cells 13(9):1293–1306. https://doi.org/10.4252/wjsc.v13.i9.1293. (PMID: 10.4252/wjsc.v13.i9.1293346308638474723) de Moura BH, Migliavacca RO, Lima RK, Dolci JEL et al (2018) Partial inferior turbinectomy in rhinoseptoplasty has no effect in quality-of-life outcomes: a randomized clinical trial. Laryngoscope 128(1):57–63. https://doi.org/10.1002/lary.26831. (PMID: 10.1002/lary.2683128815717) Levy E, Ronen O, Sela E, Layos E et al (2022) Inferior turbinate reduction: comparing post-operative bleeding between different surgical techniques. J Laryngol Otol 136(5):427–432. https://doi.org/10.1017/s0022215121003297. (PMID: 10.1017/s002221512100329734702378) Stewart MG, Witsell DL, Smith TL, Weaver EM et al (2004) Development and validation of the nasal obstruction symptom evaluation (NOSE) scale. Otolaryngol Head Neck Surg 130(2):157–163. https://doi.org/10.1016/j.otohns.2003.09.016. (PMID: 10.1016/j.otohns.2003.09.01614990910) Camacho M, Zaghi S, Certal V, Abdullatif J et al (2015) Inferior turbinate classification system, grades 1 to 4: development and validation study. Laryngoscope 125(2):296–302. https://doi.org/10.1002/lary.24923. (PMID: 10.1002/lary.2492325215619) Pusswald G, Auff E, Lehrner J (2012) Development of a brief self-report inventory to measure olfactory dysfunction and quality of life in patients with problems with the sense of smell. Chemosens Percept. https://doi.org/10.1007/s12078-012-9127-7. (PMID: 10.1007/s12078-012-9127-7) Saatci Ö, Arici Duz O, Altundag A (2020) Reliability and validity of the Turkish version of the questionnaire for the assessment of self-reported olfactory functioning and olfaction-related quality of life. J Acad Res Med 10:277–282. https://doi.org/10.4274/jarem.galenos.2020.3579. (PMID: 10.4274/jarem.galenos.2020.3579) Velasquez N, Thamboo A, Habib AR, Huang Z et al (2017) The empty nose syndrome 6-item questionnaire (ENS6Q): a validated 6-item questionnaire as a diagnostic aid for empty nose syndrome patients. Int Forum Allergy Rhinol 7(1):64–71. https://doi.org/10.1002/alr.21842. (PMID: 10.1002/alr.2184227557473) Chan BKC (2018) Data analysis using R programming. Adv Exp Med Biol 1082:47–122. https://doi.org/10.1007/978-3-319-93791-5_2. (PMID: 10.1007/978-3-319-93791-5_230357717) Chen XB, Lee HP, Chong VF, De Wang Y (2010) Impact of inferior turbinate hypertrophy on the aerodynamic pattern and physiological functions of the turbulent airflow - a CFD simulation model. Rhinology 48(2):163–168. https://doi.org/10.4193/Rhin09.093. (PMID: 10.4193/Rhin09.09320502754) Kennedy DW (1998) Middle turbinate resection: evaluating the issues–should we resect normal middle turbinates? Arch. Otolaryngol Head Neck Surg 124(1):107. https://doi.org/10.1001/archotol.124.1.107. (PMID: 10.1001/archotol.124.1.107) Hong HR, Jang YJ (2016) Correlation between remnant inferior turbinate volume and symptom severity of empty nose syndrome. Laryngoscope 126(6):1290–1295. https://doi.org/10.1002/lary.25830. (PMID: 10.1002/lary.2583026692010) Karamatzanis I, Kosmidou P, Ntarladima V, Catalli B et al (2022) Inferior Turbinate hypertrophy: a comparison of surgical techniques. Cureus 14(12):e32579. https://doi.org/10.7759/cureus.32579. (PMID: 10.7759/cureus.32579366546089840750) Sinno S, Mehta K, Lee ZH, Kidwai S et al (2016) Inferior turbinate hypertrophy in rhinoplasty: systematic review of surgical techniques. Plast Reconstr Surg 138(3):419e–429e. https://doi.org/10.1097/prs.0000000000002433. (PMID: 10.1097/prs.000000000000243327556616) Cavaliere M, Mottola G, Iemma M (2007) Monopolar and bipolar radiofrequency thermal ablation of inferior turbinates: 20-month follow-up. Otolaryngol Head Neck Surg 137(2):256–263. https://doi.org/10.1016/j.otohns.2007.01.001. (PMID: 10.1016/j.otohns.2007.01.00117666252) Kilavuz AE, Songu M, Ozkul Y, Ozturkcan S et al (2014) Radiofrequency versus electrocautery for inferior turbinate hypertrophy. J Craniofac Surg 25(6):1998–2001. https://doi.org/10.1097/scs.0000000000001032. (PMID: 10.1097/scs.000000000000103225377986) Law RH, Bazzi TD, Van Harn M, Craig JR et al (2021) Predictors of long-term nasal obstruction symptom evaluation score stability following septoplasty with inferior turbinate reduction. Laryngoscope 131(7):E2105-e2110. https://doi.org/10.1002/lary.29229. (PMID: 10.1002/lary.2922933141435) Anselmo-Lima WT, de Oliveira JA, Speciali JG, Bordini C et al (1997) Middle turbinate headache syndrome. Headache 37(2):102–106. https://doi.org/10.1046/j.1526-4610.1997.3702102.x. (PMID: 10.1046/j.1526-4610.1997.3702102.x9074295) Tosun F, Gerek M, Ozkaptan Y (2000) Nasal surgery for contact point headaches. Headache 40(3):237–240. https://doi.org/10.1046/j.1526-4610.2000.00034.x. (PMID: 10.1046/j.1526-4610.2000.00034.x10759927) Inan S, Gultekin G, Yilmaz I, Buyuklu AF (2023) Effect of functional Septorhinoplasty with concha bullosa resection on Sinonasal symptoms. Laryngoscope 133(6):1375–1381. https://doi.org/10.1002/lary.30428. (PMID: 10.1002/lary.3042836196949) Akkoca Ö, Tüzüner A, Ünlü CE, Şimşek G et al (2020) Comparison of the effects of 2 surgical techniques used in the treatment of concha bullosa on olfactory functions. Ear Nose Throat J 99(7):437–441. https://doi.org/10.1177/0145561319881061. (PMID: 10.1177/014556131988106131597534) Moore EJ, Kern EB (2001) Atrophic rhinitis: a review of 242 cases. Am J Rhinol 15(6):355–361. (PMID: 10.1177/19458924010150060111777241) Chhabra N, Houser SM (2009) The diagnosis and management of empty nose syndrome. Otolaryngol Clin North Am 42(2):311–330. https://doi.org/10.1016/j.otc.2009.02.001. (PMID: 10.1016/j.otc.2009.02.00119328895) |
| تواريخ الأحداث: | Date Created: 20230720 Date Completed: 20240429 Latest Revision: 20240515 |
| رمز التحديث: | 20240515 |
| DOI: | 10.1007/s00266-023-03503-y |
| PMID: | 37474819 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1432-5241 |
|---|---|
| DOI: | 10.1007/s00266-023-03503-y |