[Partial lower turbinectomy in children: indications, technique, results].
Inferior turbinate surgery has been proposed as a treatment modality in severe childhood hypertrophic rhinitis refractory to medical treatment. The authors present a series of 38 children treated in the otorhinolaryngology department of the Timone University Hospital, Marseille, and the Rangueil University Hospital, Toulouse. Thirty eight children between 9 and 16 years of age (27 males and 11 females) underwent a bilateral inferior turbinectomy, and followed-up for a period of 6 months to 4 years. Allergy was fund in 19 patients, asthma in 11 patients, and an underlying sinus pathology associated in 9 patients. Turbinate surgery was isolated in 16 cases, and in 22 cases, it was associated with an adenoidectomy, a septoplasty, and/or an ethmoidectomy. The authors discuss the operative indications, and describe the turbinectomy technique in children. Post-operative complications are rare (no crusting rhinitis, one non symptomatic synechia). One case of nasal bleeding was noted after nasal packing removal. Functional obstructive symptoms were improved in near 90% of cases. Asthma was improved or disappeared in 27.3% of cases, and no cases of worsening asthma was noted. The authors conclude that this type of turbinectomy is efficient and non-iatrogenic when a precise indication and a rigorous technique are applied.
Percodani
J
J
CHU de Rangueil, Service ORL et Chirurgie Cervico-Faciale, Toulouse, France.
Nicollas
R
R
Dessi
P
P
Serrano
E
E
Triglia
J M
JM
D000293:Adolescent; D001249:Asthma / Q000150:complications / Q000601:surgery; D002648:Child; D002908:Chronic Disease; D005500:Follow-Up Studies; D006801:Humans; D006984:Hypertrophy; D015508:Nasal Obstruction / Q000209:etiology / Q000601:surgery*; D014420:Turbinates / Q000473:pathology / Q000601:surgery*
La turbinectomie inférieure partielle chez l'enfant: indications, technique, résultats.