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Evaluation of inferior turbinate hypertrophy in patients with congenital and traumatic nasal septum deviation

  • A Y Korkut (a1), F Islim (a2), S Gulseven Ciftci (a2), R Dogan (a1), O Gedikli (a1), V Kahya (a1) and G Gunes (a2)...

Abstract

Objective:

To compare mucosal and bony measurements in patients with congenital and traumatic nasal septum deviation and compensatory inferior turbinate hypertrophy.

Methods:

The study examined 50 patients with nasal septum deviation (25 congenital and 25 traumatic) and compensatory inferior turbinate hypertrophy in the contralateral nasal cavity, confirmed by computed tomography.

Results:

The study compared inferior turbinate measurements on the concave and convex sides of the septum, in the congenital and traumatic groups. Measurements comprised: the shortest distance from the median line to the medial border of the conchal bone; the distances from the most medial part of the conchal mucosa and the conchal bone to the lateral line; the projection angle of the inferior turbinate; and the widest parts of the whole inferior turbinate and the inferior turbinate conchal bone. The differences between the concave and convex side measurements were compared in the congenital group versus the traumatic group; for three measurements, the difference between these two groups was statistically significant (p < 0.05).

Conclusion:

The present study findings suggest that the conchal bone has a marked influence on nasal patency in patients with congenital septal deviation. These findings supported the decision to excise the inferior turbinate bone at the time of septoplasty, especially when treating congenital septal deviation.

Copyright

Corresponding author

Address for correspondence: Dr Arzu Yasemin Korkut, Atakoy 9, Kisim, D7/B, D15 34156, Istanbul, Turkey Fax: 00 90 212 617 3091 E-mail: dryaseminkorkut@yahoo.com

References

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1 Lai, VW, Corey, JP. The objective assessment of nasal patency. Ear Nose Throat J 1993;72:395–6, 399–400
2 Li, KK, Powell, NB, Riley, RW, Troell, RJ, Guilleminault, C. Radiofrequency volumetric reduction of the palate: an extended follow-up study. Otolaryngol Head Neck Surg 2000;122:410–14
3 Berger, G, Hammel, I, Berger, R, Avraham, S, Ophir, D. Histopathology of the inferior turbinate with compensatory hypertrophy in patients with deviated nasal septum. Laryngoscope 2000;110:2100–5
4 Rohrich, RJ, Krueger, JK, Adams, WP Jr, Marple, BF. Rationale for submucous resection of hypertrophied inferior turbinates in rhinoplasty: an evolution. Plast Reconstr Surg 2001;108:536–46
5 Egeli, E, Demirci, L, Yazici, B, Harputluoglu, U. Evaluation of the inferior turbinate in patients with deviated nasal septum by using computed tomography. Laryngoscope 2004;114:113–17
6 Berger, G, Gass, S, Ophir, D. The histopathology of the hypertrophic inferior turbinate. Arch Otolaryngol Head Neck Surg 2006;132:588–94
7 Pollock, RA, Rohrich, RJ. Inferior turbinate surgery: an adjunct to successful treatment of nasal obstruction in 408 patients. Plast Reconstr Surg 1984;74:227–34
8 Courtiss, EH, Goldwyn, RM, O'Brien, JJ. Resection of obstructing inferior nasal turbinates. Plast Reconstr Surg 1978;62:249–57
9 Hilberg, O, Grymer, LF, Pedersen, OF, Elbrønd, O. Turbinate hypertrophy. Evaluation of the nasal cavity by acoustic rhinometry. Arch Otolaryngol Head Neck Surg 1990;116:283–9
10 Bingham, B, Wang, RG, Hawke, M, Kwok, P. The embryonic development of the lateral nasal wall from 8 to 24 weeks. Laryngoscope 1991;101:992–7
11 Neskey, D, Eloy, JA, Casiano, RR. Nasal, septal, and turbinate anatomy and embryology. Otolaryngol Clin North Am 2009;42:193205
12 Grymer, LF, Pallisgaard, C, Melsen, B. The nasal septum in relation to the development of the nasomaxillary complex: a study in identical twins. Laryngoscope 1991;101:863–8
13 Gupta, A, Mercurio, E, Bielamowicz, S. Endoscopic inferior turbinate reduction: an outcomes analysis. Laryngoscope 2001;111:1957–9
14 Rakover, Y, Rosen, G. A comparison of partial inferior turbinectomy and cryosurgery for hypertrophic inferior turbinates. J Laryngol Otol 1996;110:732–5
15 Fairbanks, DNF, Kaliner, M. Nonallergic rhinitis and infection. In: Cummings, CW, Fredrickson, JM, Harker, AL, Krause, CJ, Richardson, MA, Schuller, DE, eds. Otolaryngology Head Neck Surgery, 3rd edn. St Louis: Mosby, 1998;2:910–20
16 Jun, BC, Kim, SW, Kim, SW, Cho, JH, Park, YJ, Yoon, HR. Is turbinate surgery necessary when performing a septoplasty? Eur Arch Otorhinolaryngol 2009;266:975–80
17 Kim, DH, Park, HY, Kim, HS, Kang, SO, Park, JS, Han, NS et al. Effect of septoplasty on inferior turbinate hypertrophy. Arch Otolaryngol Head Neck Surg 2008;134:419–23

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Evaluation of inferior turbinate hypertrophy in patients with congenital and traumatic nasal septum deviation

  • A Y Korkut (a1), F Islim (a2), S Gulseven Ciftci (a2), R Dogan (a1), O Gedikli (a1), V Kahya (a1) and G Gunes (a2)...

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