title: Respecting nasal mucosa during turbinate surgery: end of the dogma?
abstract: Chronic rhinitis with inferior turbinate hypertrophy is the most common cause of chronic nasal obstruction. Pharmacological treatment, mainly consisting of corticosteroids, is largely inadequate and, therefore, in the last few years several surgical techniques have been proposed (emptying, radiofrequency, cryotherapy, etc...). The aim of our work is to demonstrate that surgical removal of the inferior turbinate mucosa with the microdebrider, along with the submucosal chorion, results in a full restoration of mucosal physiological structure and function.
  
  
  
  Thirteen symptomatic adult patients were subjected to bilateral inferior partial turbinoplasty with the microdebrider. All patients underwent endoscopic examination, functional nasal tests and nasal mucosa biopsy before and after surgery.
  
  
  
  The sensitivity in open airspaces improved after nasal surgery, and the results of functional tests returned to within a normal range. SEM examination confirmed that complete mucosal regeneration was within 4 months.
  
  
  
  Total removal of the inferior turbinate mucosa with the microdebrider in patients suffering from hypertrophic chronic rhinitis allows the perfect regeneration of physiological respiratory tissue and doesn`t have a negative impact on healing time and offsets any adverse postoperative event.
authors.forename: G
authors.initials: G
authors.lastname: Neri
authors.forename: V
authors.initials: V
authors.lastname: Mastronardi
authors.forename: T
authors.initials: T
authors.lastname: Traini
authors.forename: F
authors.initials: F
authors.lastname: D'Orazio
authors.forename: M
authors.initials: M
authors.lastname: Pugliese
authors.forename: F
authors.initials: F
authors.lastname: Cazzato
mesh_terms: D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D003646:Debridement; D004724:Endoscopy; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000150:complications / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009297:Nasal Mucosa / Q000473:pathology / Q000601:surgery*; D015508:Nasal Obstruction / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D011446:Prospective Studies; D016896:Treatment Outcome; D014420:Turbinates / Q000473:pathology / Q000601:surgery*; D055815:Young Adult