Septoplasty and compensatory inferior turbinate hypertrophy: Long-term results after randomized turbinoplasty
Septoplasty and compensatory inferior turbinate hypertrophy: Long-term results after randomized turbinoplasty
复制标题
DOI：
10.1007/bf02439733
复制
发表时间：
1997-01-01
影响因子：
2.6
通讯作者：
Illum, P
中科院分区：
文献类型：
--
作者：
Illum, P
在鼻中隔偏曲患者中，鼻中隔偏曲的鼻侧常出现代偿性下鼻甲肥大，尽管鼻中隔成形术联合下鼻甲切除术是一种相对常见的临床手术，但其有效性尚不清楚，适应证和技术也有很大差异。50例鼻阻塞和鼻中隔前偏曲患者在术后5年接受了问卷调查。其中37名患者可进行客观检查和声学测量。在进行手术时，病人被随机分为两组。在一组中进行鼻中隔成形术，而另一组在鼻中隔成形术的基础上，在主要鼻中隔偏曲的对侧进行前下鼻甲成形术。主观总体评价不受鼻甲成形术的影响，结痂的频率也没有变化。总的来说，24%的患者对手术结果不满意，只有43%的患者对最终结果完全满意。未检测到鼻甲缩小的影响。声反射测量还显示，与正常对照组相比，两侧鼻子的尺寸之间仍然存在显著差异，并且两侧的术后空间条件仍然降低。
In patients with septal deviation, compensatory inferior turbinate hypertrophy in the side of the nose opposite the major septal deviation is often found. Although turbinectomy in connection with septoplasty is a relatively common clinical procedure, the effectiveness of the procedure is unknown, and the indications and technique applied vary considerably. Fifty patients with nasal obstruction and anterior septal deviations responded to a questionnaire 5 years after operation. Thirty-seven of these patients were available for objective examinations and acoustic rhinometry. In connection with their operations patients had been randomized into two groups. Septoplasty was performed in one group, while the other had a septoplasty supplemented with an anterior inferior turbinoplasty performed on the side opposite the major septal deviation. The subjective overall evaluation was not influenced by turbinoplasty, and no changes in the frequency of crusting were found. In all, 24% of the patients were dissatisfied with the results of surgery, and only 43% were completely satisfied with final results. No influence of turbinate reduction was detectable. Acoustic rhinometry also showed, that there was still a marked difference between the dimensions of the two sides of the nose, and that postoperative spatial conditions were still decreased on both sides when compared with normal controls.