Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-18T22:18:09.985Z Has data issue: false hasContentIssue false
  • English
  • Français

Septoplasty and compensatory inferior turbinate hypertrophy: a randomized study evaluated by acoustic rhinometry

Published online by Cambridge University Press:  29 June 2007

L. F. Grymer ,
P. Illum  and
O. Hilberg
L. F. Grymer*
Affiliation:
ENT Department, University HospitalAarhus, Denmark.
P. Illum
Affiliation:
ENT Department, University HospitalAarhus, Denmark.
O. Hilberg
Affiliation:
ENT Department, University HospitalAarhus, Denmark.
*
Luisa F. Grymer, M. D., The Mermaid Clinic, DK-8700 Ebeltoft, Denmark.
Get access Rights & Permissions [Opens in a new window]

Abstract

The present study deals with the indication for inferior turbinate surgery in cases of concomitant anterior septal deviation. We define, by acoustic rhinometry, the characteristics of the obstructed nose and define mucosal turbinate hypertrophy. A random sample of 80 patients with nasal obstruction and anteriorly located septal deviation were objectively evaluated by acoustic rhinometry pre– and post–operatively. All had septoplasty and half were randomly selected to have anterior inferior turbinoplasty performed in the side opposite to the major septal deviation. Severe septal deviation, expressed by a minimal cross–sectional area less than 0.4 cm2 was present in 37 patients. In this group inferior turbinate reduction seems advisable. In the wide side, the minimal cross–sectional area and the cross–sectional areas at 3.3 and 4.0 cm from the nostrils increased in the turbinectomy group and decreased in the non–turbinectomy group after correction of the septal deviation. In the group with less pronounced septal deviation no influence of turbinate reduction could be detected.

Keywords

TurbinatesNasal septum, surgeryRhinometry, acoustic
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 5 , May 1993 , pp. 413 - 417
Copyright
Copyright © JLO (1984) Limited 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Cole, Ph., Chahan, R., Nailo, K. (1988) The obstructive nasal septum. Archives of Otolaryngology. Head Neck Surgery. 114: 410–412.Google Scholar
Dommerby, H., Rasmussen, O. R., Rosborg, J. (1985) Long term results of septoplaslic operations. Journal for Oto-Rhnio-laryngology and Its Related Specialities 47: 151–157Google ScholarPubMed
Fanous, N. (1986) Anterior turbinectomy. Archives of Otolaryngology Head and Neck Surgery. 112: 850–852.Google Scholar
Freer, O. (1911) The inferior turbinate: its longitudinal resection for chronic intumescence, Largyngoscope. 21: 1136–1144CrossRefGoogle Scholar
Grymer, L. K., Rosborg, J. (1987) The aging nose, long-term results following plastic septal surgery. The Journal of Lartngology and Otology 101: 363–365Google Scholar
Grymer, L. K., Hilberg, O., Hlbronil, O., Pedersen, O. F. (1989) Acoustic rhinometry: evaluation of the nasal casits with septal deviations, before ami after septoplastv Largyngoscope. 99 1180–1187.CrossRefGoogle Scholar
Grymer, L. F., Hilberg, O., Pedersen, O., Rasmussen, T. R. (1991) Acoustic rhinometry: values from adults with subjective nasal patency Rhinolovy. 29: 35–47Google Scholar
Hilberg, O., Jackson, A. C, Swift, D. L., Pedersen, O. F. (1989) Acoustic rhinometry: evaluation of the nasal cavity by acoustic reflections. Journal of Applied Physiology, 66: 295–303Google Scholar
Hilberg, O., Grymer, L. E, Pedersen, O. E, Elbrond, O. (1990) Turbinate hypertrophy: evaluation of the nasal cavity by acoustic rhinometry. Archives of Otolaryngology, Head and Neck Surgery, 116: 283–289CrossRefGoogle ScholarPubMed
Jones, M. (1895) Turbinectomy. Lancet, 2: 879.Google Scholar
Mabry, R. L. (1982) Inferior turbinoplasty. Laryngoscope, 92: 459–461CrossRefGoogle ScholarPubMed
Ophir, D., Shapira, A., Marshak, E. (1985) Total inferior turbinectomy for nasal airway obstruction. Archives of Otolaryngology, Head and Neck Surgery, 111: 93–95CrossRefGoogle ScholarPubMed
Peacock, M. R. (1981) Submucous resection of the nasal septum. The Journal of Laryngology and Otology, 95: 341–356CrossRefGoogle ScholarPubMed
Warren, D. W. (1984) A quantitative technique for assessing nasal airway impairment. American Journal of Orthodontics, Dentofacial Orthopedics, 86: 306–314CrossRefGoogle ScholarPubMed
Wight, R. G., Jones, A. S., Beckingham, E. (1988) Radical trimming of the inferior turbinate and its effect on nasal resistance to airflow. The Journal of Laryngology and Otology, 102: 694–696.CrossRefGoogle ScholarPubMed