In the past 130 years, many surgical procedures for turbinate reduction have been developed. We analyzed the long-term efficacy of 6 of these surgical techniques (turbinectomy, laser cautery, electrocautery, cryotherapy, submucosal resection, and submucosal resection with lateral displacement) over a 6-year follow-up period. We randomly divided 382 patients into 6 therapeutic groups and surgically treated them at the Department of Otorhinolaryngology of the University of Siena. After 6 years, only submucosal resection resulted in optimal long-term normalization of nasal patency and in restoration of mucociliary clearance and local secretory IgA production to a physiological level with few postoperative complications (p < .001). The addition of lateral displacement of the inferior turbinate improved the long-term results. We recommend, in spite of the greater surgical skill required, submucosal resection combined with lateral displacement as the first-choice technique for the treatment of nasal obstruction due to hypertrophy of the inferior turbinates.

Passàli, D., Passali, F.m., Damiani, V., Passàli, G., Bellussi, L. (2003). Treatment of inferior turbinate hypertrophy: a randomized clinical trial. ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 112(8), 683-688.

Treatment of inferior turbinate hypertrophy: a randomized clinical trial

PASSALI, FRANCESCO MARIA;
2003-08-01

Abstract

In the past 130 years, many surgical procedures for turbinate reduction have been developed. We analyzed the long-term efficacy of 6 of these surgical techniques (turbinectomy, laser cautery, electrocautery, cryotherapy, submucosal resection, and submucosal resection with lateral displacement) over a 6-year follow-up period. We randomly divided 382 patients into 6 therapeutic groups and surgically treated them at the Department of Otorhinolaryngology of the University of Siena. After 6 years, only submucosal resection resulted in optimal long-term normalization of nasal patency and in restoration of mucociliary clearance and local secretory IgA production to a physiological level with few postoperative complications (p < .001). The addition of lateral displacement of the inferior turbinate improved the long-term results. We recommend, in spite of the greater surgical skill required, submucosal resection combined with lateral displacement as the first-choice technique for the treatment of nasal obstruction due to hypertrophy of the inferior turbinates.
ago-2003
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/31 - OTORINOLARINGOIATRIA
English
Con Impact Factor ISI
Questionnaires; Nasal Obstruction; Patient Satisfaction; Humans; Aged; Child; Turbinates; Hypertrophy; Rhinitis, Allergic, Perennial; Adult; Treatment Outcome; Immunoglobulin A, Secretory; Nasal Mucosa; Otorhinolaryngologic Surgical Procedures; Middle Aged; Adolescent; Female; Male
Passàli, D., Passali, F.m., Damiani, V., Passàli, G., Bellussi, L. (2003). Treatment of inferior turbinate hypertrophy: a randomized clinical trial. ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 112(8), 683-688.
Passàli, D; Passali, Fm; Damiani, V; Passàli, G; Bellussi, L
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/103819
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