Abstract
■ The main cause of turbinate dysfunction is allergic rhinitis. Other causes include vasomotor rhinitis, drug-induced rhinitis, and acute and chronic rhinosinusitis.
■ Dynamic assessment of the nose (before and after decongestion) should always be part of the preoperative evaluation, as the results of the examination can change the treatment strategy (e.g., bony part hypertrophy). Computed tomography scan is not recommended for the assessment of turbinate disease alone.
■ The ideal turbinate reduction procedure would be one that effectively reduces the turbinate volume, preserves physiologic function, and avoids complications.
■ The philosophy of inferior turbinate surgery is that a submucous resection is preferable, resecting bone and/or turbinate submucosal tissue in the process.
■ Our knowledge regarding the role of the turbinates in nasal physiology and the long-term effects of turbinate surgery/interventions in patients is limited. This should lead surgeons toward less aggressive interventions, preventing long-standing problems.
■ No single technique has established itself as the gold standard for inferior turbinate reduction. Several methods continue to be practiced and each patient should be assessed individually in order to determine which method might provide the best result.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Back LJ, Hytonen ML, Malmberg HO, Ylikoski JS (2002) Submucosal bipolar radiofrequency thermal ablation of inferior turbinates: a long-term follow-up with subjective and objective assessment. Laryngoscope 112:1806–1812
Becker W, Naumann HH, Pfaltz CR (1989) Ear, Nose and Throat diseases, 3rd edn. Thieme, Stuttgart, pp 180–185
Berger G, Hammel I, Berger R, Avraham S, Ophir D (2000) Histopathology of the inferior turbinate with compensatory hypertrophy in patients with deviated nasal septum. Laryngoscope 111:2100–2105
Braun H, Stammberger H (2003) Pneumatization of turbinates. Laryngoscope 113:668–672
Chang D, Ries R (2004) Surgical treatment of the inferior turbinate: new techniques. Curr Opin Otolaryngol Head Neck Surg 12:53–57
Clement WA, White PS (2001) Trends in turbinate surgery literature: a 35-year review. Clin Otolaryngol 26:124–128
Elwany S, Harrison R (1990) Inferior turbinectomy: comparison of four techniques. J Laryngol Otol 104:206–209
Fisher EW (1997) Acoustic rhinometry. Clin Otolaryngol Allied Sci 22:307–317
Friedman M, Tanyeri H, Lim J (1999) A safe alternative technique for inferior turbinate reduction. Laryngoscope 109:1834–1837
Goode RL (1978) Surgery of the turbinates. J Otolaryngol 7:262–268
Goodman LF, Goodman RS (2002) Safety of steroid injections. Am J Rhinol 16:287
Gupta A, Mercurio E, Bielamovitz S (2001) Endoscopic inferior turbinate reduction: an outcome analysis. Laryngoscope 111:1957–1959
Illum P (1997) Septoplasty and compensatory inferior turbinate hypertrophy: long term results after randomized turbinoplasty. Eur Arch Otorhinolaryngol 254:89–92
Jafek B (2001) Nasal obstruction. In: Bailey B, Healey GB, Johnson JT, Pillbury HC, Jackler RK, Tardy ME Jr, Calhoun KH (eds) Head and Neck Surgery – Otolaryngology, 3rd edn. Lippincott Williams and Wilkins, Philadelphia, pp 293–308
Janda P, Sroka R, Baumgartner R (2001) Laser treatment of hyperplastic inferior turbinates: a review. Lasers Surg Med 28: 404–413
Mabry RL (1988) Inferior turbinoplasty: patient selection, technique and long term consequences. Otolaryngol Head Neck Surg 98:60–66
McCaffrey T (2001) Nasal function and evaluation. In: Bailey B, Healey GB, Johnson JT, Pillbury HC, Jackler RK, Tardy ME Jr, Calhoun KH (eds) Head and Neck Surgery – Otolaryngology, 3rd edn. Lippincott Williams and Wilkins, Philadelphia, pp 261–271
Merkus P, Ebbens FA, Muller B, Fokkens WJ (2006) Influence of anatomy and head position on intranasal drug deposition. Eur Arch Otorhinolaryngol 263:827–832
Nease C, Krempl G (2004) Radiofrequency treatment of turbinate hypertrophy: a randomised, blinded, placebo-controlled clinical trial. Otolaryngol Head Neck Surg 130:291–299
Ophir D, Shapira A, Marshak G (1985) Total inferior turbinectomy for nasal airway obstruction. Arch Otolaryngol 111:93–95
Quine SM, Aitken PM, Eccles R (1999) Effect of submucosal diathermy to the inferior turbinates on unilateral and total nasal airflow in patients with rhinitis. Acta Otolaryngol 119:911–915
Sapci T, Sahin B, Karavus A, Akbulut UG (2003) Comparison of the effects of radiofrequency tissue ablation, CO2 laser ablation, and partial turbinectomy applications on nasal mucociliary functions. Laryngoscope 113:514–519
Smith T (2004) Outcomes research in rhinology: chronic rhinosinusitis. ORL 66:202–206
Supiyaphun P, Aramwatanapong P, Kerekhanjanarong V, Sastarasadhit V (2003) KTP laser inferior turbinoplasty: an alteration procedure to treat the nasal obstruction. Auris Nasus Larynx 30:59–64
Takeno S, Osada R, Ishino T, Yajin K (2003) Laser surgery of the inferior turbinate for allergic rhinitis with seasonal exacerbation: an acoustic rhinometry study. Ann Otol Rhinol Laryngol 112:455–460
,. Uzun L, Ugur M, Savranlar A, Mhmutyazicioglu K, Ozdemir H, Beder L (2004) Classification of the inferior turbinate bones: a computed tomography study. Eur J Radiol 51:241–245
Wexler DB, Davidson TM (2004) The nasal valve: a review of the anatomy, imaging, and physiology. Am J Rhinol 18:143–150
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Konstantinidis, I., Constantinidis, J. (2009). Endoscopic Management of Inferior Turbinate Hypertrophy. In: Stucker, F., de Souza, C., Kenyon, G., Lian, T., Draf, W., Schick, B. (eds) Rhinology and Facial Plastic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-74380-4_49
Download citation
DOI: https://doi.org/10.1007/978-3-540-74380-4_49
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-74379-8
Online ISBN: 978-3-540-74380-4
eBook Packages: MedicineMedicine (R0)