We conclude that medialization middle turbinoplasty
is an effective solution to a problem faced by many sinus surgeons.
Various methods of surgical management of inferior turbinate hypertrophy have been suggested including total inferior turbinectomy, partial inferior turbinectomy, submucosal resection of turbinate, inferior turbinoplasty
, outfracture of inferior turbinate, cryotherapy, electrocautery, laser turbinectomy and argon plasma surgery.
Exclusion criteria included personal or family history of allergy or hypersensitivity to testosterone or related drugs, past history of anaphylaxis or angioedema, any major illness in the past 3 months or any clinically significant ongoing chronic medical illness (e.g., congestive heart failure, hepatitis, pancreatitis, etc.), prior nasal fractures, subjects with chronic mucosal inflammatory disorders (pemphigus or Sjogren's syndrome, rhinitis sicca), subjects with sinus disease (acute sinusitis, chronic sinusitis, allergic fungal sinusitis), history of nasal surgery (turbinoplasty
, septoplasty, rhinoplasty or sinus surgery), and subjects demonstrating a serum prostate specific antigen (PSA) [greater than or equal to] 4 ng/mL.
In some patients, the septoplasty is combined with a resection of the lower turbinate (turbinoplasty
) in an attempt to secure increased nasal patency postoperatively.
The steps for the Double Barrel Technique include (1) decongest the nose with oxymetazoline (if the patient did not undergo inferior turbinoplasty
surgery), (2) place a layer of mupirocin ointment on the nasal trumpets, (3) place the longer nasal trumpet into the nostril in which there is more space available based on inferior turbinate size and presence of a nasal septal deviation, (4) place the smaller nasal trumpet into the nostril in which there is less space available, and (5) keep the nasal trumpets in place until the patient is in the postanesthesia care unit (PACU) and is alert enough to request the removal of the nasal trumpets, at which point they can be removed by sliding them out.
Intranasal steroids or radiofrequency turbinoplasty
in persistent allergic rhinitis: effects on quality of life and objective parameters.
of concha bullosa: long term results.
Objective: The objective of this study was to compare post-operative nasal patency following microdebrider-assisted turbinoplasty
with submucosal diathermy in patients of hypertrophic inferior turbinates.
Septoplasty and turbinoplasty
were performed on all patients as primary treatment.
Many different reduction techniques have been applied intending to increase nasal airway passages, such as total or partial turbinectomy, turbinoplasty
, submucosal diathermy, radiofrequency coblation technique, cryosurgery and laser treatment.
It is possible that a turbinoplasty
would have made the NPATs' use tolerable; however, since the patient had no nasal obstruction at baseline, he did not want to pursue a turbinoplasty
simply as a means to wear the NPATs during sleep.