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Endoscopic, assisted, modified turbinoplasty with mucosal flap

Published online by Cambridge University Press:  02 March 2012

M M Puterman*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel
N Segal
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel
B-Z Joshua
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel
*
Address for correspondence: Dr Marc Puterman, Department of Otolaryngology – Head and Neck Surgery, Soroka University Medical Center, Box 151, Beer-Sheva 84101, IsraelFax:+972 8 640 3037 E-mail: puterman@netvision.net.il

Abstract

A variety of surgical methods have been developed to reduce the volume of the inferior turbinates, in order to create a more patent nasal airway. We describe a technique used in our department since February 2002 for all patients undergoing inferior turbinectomy. We resect with endoscopic assistance the lateral mucosa and bony inferior turbinate. This technique can reduce a large volume of the turbinate while preserving the mucosal continuity and the submucosa by covering the raw surface with a mucosal flap. We believe our method minimises post-operative side effects and complications such as dryness, infection, bleeding and pain.

Type
Short Communication
Copyright
Copyright © JLO (1984) Limited 2012

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References

1Wight, RG, Jones, AS, Beckingham, E. Trimming of the inferior turbinates: a prospective long-term study. Clin Otolaryngol Allied Sci 1990;15:347–50CrossRefGoogle ScholarPubMed
2Kawai, M, Kim, Y, Okuyama, T, Yoshida, M. Modified method of submucosal turbinectomy: mucosal flap method. Acta Otolaryngol Suppl 1994;511:228–32CrossRefGoogle ScholarPubMed
3Hol, MK, Huizing, EH. Treatment of inferior turbinate pathology: a review and critical evaluation of the different techniques. Rhinology 2000;38:157–66Google Scholar
4Jackson, LE, Koch, RJ. Controversies in the management of inferior turbinate hypertrophy: a comprehensive review. Plast Reconstr Surg 1999;103:300–12CrossRefGoogle ScholarPubMed
5Passali, D, Passali, FM, Damiani, V, Passali, GC, Bellussi, L. Treatment of inferior turbinate hypertrophy: a randomized clinical trial. Ann Otol Rhinol Laryngol 2003;112:683–8CrossRefGoogle ScholarPubMed
6Wexler, DB, Berger, G, Derowe, A, Ophir, D. Long-term histologic effects of inferior turbinate laser surgery. Otolaryngol Head Neck Surg 2001;124:459–63CrossRefGoogle ScholarPubMed
7Elwany, S, Abdel-Moneim, MH. Carbon dioxide laser turbinectomy. An electron microscopic study. J Laryngol Otol 1997;111:931–4CrossRefGoogle ScholarPubMed
8Sapci, T, Sahin, B, Karavus, A, Akbulut, UG. Comparison of the effects of radiofrequency tissue ablation, CO2 laser ablation, and partial turbinectomy applications on nasal mucociliary functions. Laryngoscope 2003;113:514–19CrossRefGoogle ScholarPubMed
9Berger, G, Ophir, D, Pitaro, K, Landsberg, R. Histopathological changes after coblation inferior turbinate reduction. Arch Otolaryngol Head Neck Surg 2008;134:819–23CrossRefGoogle ScholarPubMed