How I Do It: Inferior Turbinectomy: Modified Techniques for Submucosal Resection.
How I Do It: Inferior Turbinectomy: Modified Techniques for Submucosal Resection.
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DOI：
10.1177/21526567211034736
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发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
Otori N
中科院分区：
文献类型：
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作者：
Omura K;Nomura K;Takeda T;Yanagi N;Kuroyanagi H;Yanagihara T;Tanaka Y;Kojima H;Otori N
虽然下鼻甲切除术和粘膜下切除术有效地减少了下鼻甲的体积，但外科手术仍有改进的余地。已经开发了技术来减少结壳和出血，同时有效地实现体积减少。描述了与局部注射部位、切口线、骨膜暴露、鼻甲骨粘膜下骨折、多余粘膜修剪和切口线修整有关的最先进程序。对术前和术后鼻阻塞症状评估（NOSE）评分和术后下鼻甲出血和结痂进行评价。对于分析的18例连续患者，术前和术后NOSE评分分别为67.8 ± 14.8和16.1 ± 13.0（P = .0002）。术后，无出血，仅在13例患者中观察到轻微缝线结痂。总之，我们的新技术提高了手术的有效性以及下鼻甲的术后质量。
Although inferior turbinectomy with submucosal resection effectively reduces the volume of the inferior turbinate, there is room for improvement in surgical procedures. Techniques have been developed to reduce crusting and bleeding while efficiently achieving volume reduction. State-of-the-art procedures pertaining to the local injection site, incision line, exposure of the periosteum, submucosal outfracture of the turbinate bone, trimming of redundant mucosa, and incision line suturing are described. Pre and postoperative Nasal Obstruction Symptom Evaluation (NOSE) scores and postoperative inferior turbinate bleeding and crusting were evaluated. For the 18 consecutive patients analyzed, the pre and postoperative NOSE scores were 67.8 ± 14.8 and 16.1 ± 13.0, respectively (P = .0002). Postoperatively, bleeding was absent, and only minor suture thread crusting was observed in 13 patients. In conclusion, our novel technique improves the effectiveness of surgery as well as the postoperative quality of the inferior turbinate.