[The inferior turbinate: dysregulation and surgical reduction].
Nasal obstruction may be caused by individual anatomy, a dysregulation of the nasal mucosa or, frequently, a combination of both. Persistent allergic inflammation deserves special attention, as initial therapy should not be surgical. The plethora of surgical techniques for the reduction of inferior turbinate volume is a good indicator of unresolved controversies regarding the ideal technique. This review analyses our current knowledge about success and complication rates of different surgical techniques. Many of these techniques have a distinct pro and contra-profile which is acceptable for both the patient and the surgeon. This is a good starting point for randomised clinical trials. The definition of the anterior turbinoplasty as a gold-standard for future trials is proposed.
Tasman
A J
AJ
Univ. HNO-Klinik Heidelberg, Germany.
D003937:Diagnosis, Differential; D006801:Humans; D009297:Nasal Mucosa / Q000473:pathology / Q000601:surgery; D015508:Nasal Obstruction / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D010043:Outcome and Process Assessment, Health Care; D012221:Rhinitis, Allergic, Perennial / Q000150:complications / Q000503:physiopathology; D012307:Risk Factors; D014420:Turbinates / Q000503:physiopathology / Q000601:surgery*