Treatment of hypertrophy of the inferior turbinate: long-term results in 382 patients randomly assigned to therapy.
A number of surgical techniques are commonly performed to control the symptoms of inferior turbinate hypertrophy unresponsive to medical treatment. We report long-term results in 382 patients randomly assigned to receive electrocautery (62), cryotherapy (58), laser cautery (54), submucosal resection without lateral displacement (69), submucosal resection with lateral displacement (94), and turbinectomy (45). Outcomes of objective test results from rhinomanometry, acoustic rhinometry, mucociliary transport time, and secretory immunoglobulin A levels were compared to the symptom scores before and yearly after surgical treatment. These data indicate that submucosal resection with lateral displacement of the inferior turbinate results in the greatest increases in airflow and nasal respiratory function with the lowest risk of long-term complications.
Passàli
D
D
Department of Otorhinolaryngology, University of Siena Medical School, Italy.
Lauriello
M
M
Anselmi
M
M
Bellussi
L
L
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D017679:Cryotherapy / Q000379:methods; D004564:Electrocoagulation / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006984:Hypertrophy / Q000150:complications / Q000473:pathology / Q000628:therapy; D007070:Immunoglobulin A / Q000096:biosynthesis; D053685:Laser Therapy / Q000379:methods; D008297:Male; D008365:Manometry; D008875:Middle Aged; D009079:Mucociliary Clearance / Q000502:physiology; D009297:Nasal Mucosa / Q000378:metabolism; D015508:Nasal Obstruction / Q000175:diagnosis / Q000209:etiology; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014420:Turbinates / Q000473:pathology*
D007070:Immunoglobulin A