Resection of obstructing inferior turbinates following rhinoplasty.
Total inferior turbinectomy was carried out in 38 patients who complained of nasal obstruction following rhinoplasty or rhinoseptoplasty and in whom hypertrophied inferior turbinates were found to be the cause of obstruction. Postoperatively, relief of nasal obstruction was reported by 84 percent of patients, while rhinoscopy showed wide, clean nasal airways in 92 percent. Nasal airflow measurements in 32 tested patients showed increased patency in all of them, including 3 who still complained of nasal obstruction postoperatively. The follow-up period ranged from 1 to 7 years (mean 2.8 years). Atrophic changes of the nasal mucosa or chronic purulent infection was not observed in any of the patients. Because the results of partial procedures on the inferior turbinates are often unsatisfactory, I suggest performing total inferior turbinectomy in patients with obstructing inferior turbinates following rhinoplasty.
Ophir
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Department of Otolaryngology, Kaplan Hospital, Zerifin, Israel.
D000293:Adolescent; D000328:Adult; D000402:Airway Obstruction / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006984:Hypertrophy; D008297:Male; D009300:Nasal Septum / Q000601:surgery; D009666:Nose / Q000502:physiology; D009668:Nose Diseases / Q000601:surgery*; D011183:Postoperative Complications; D012123:Pulmonary Ventilation; D012225:Rhinoplasty / Q000009:adverse effects; D000267:Tissue Adhesions / Q000601:surgery; D014420:Turbinates / Q000473:pathology / Q000601:surgery*