A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Singh, Hemant K. R.
- Comparison of Sub Mucosal Diathermy and Partial Resection of Inferior Turbinate in the Treatment of Symptomatic Nasal Valve Blockage
Authors
1 Department of ENT, Saraswathi Institute of Medical Sciences Hapur Ghaziabad, IN
2 Deptt. of Gyn. & Obst., LLRM Medical College, Meerut, IN
3 Deptt. of Community Medicine, SIMS, Hapur, Ghaziabad, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 2 (2012), Pagination: 80-82Abstract
Objectives
To evaluate the efficacy of sub mucosal diathermy (SMD) and partial resection of inferior turbinate (PRIT) in the treatment of symptomatic enlarged inferior turbinate.
Study Design
Prospective
Methods
Sixty patients of age group 18 -56 yrs. with symptomatic enlarged inferior turbinate had given choices for SMD and PRIT. All the patients had history of failed medical treatment.
Results
Each thirty patients underwent SMD (group I), PRIT (group II), eight patients of group1, have anterior nasal packing after surgery for bleeding. Four patients complained of excessive rhinorrhoea for first 2 weeks while 4 patients of Group 1 complained of nasal blockage for 1 week even after intervention. In group 2, 8 patients have reanterior nasal packing after pack removal. Both groups followed up for 6 months. 13 patients were lost in follow up, so excluded from the study. Following 6 months of follow up, 8 patient of group I had recurrence with nasal blockage and in gr. II none had recurrence.
Conclusion
PRIT is better than SMD in long course; nevertheless it should be reserved for failed SMD, not as a primary option. Ink described the nasal valve in 1903. The nasal valve is formed medially by the septum and laterally by the caudal edge of the upper lateral cartilage and it accounts for approximately 50% of total upper airway resistance. The anterior tip of the inferior turbinate is found in the nasal valve region, and hypertrophy of this structure can cause exponential increase in airway resistance.
References
- Anggard, A. and Edwall, L. (1974): The effect of sympathetic nerve stimulation on tracer disappearance rate and local blood content in the nasal mucosa. Acta Otolaryngologica, 77,131- 139.
- Aschan, G and Drettner, B.(1964): An objective investigation of the decongestive effective of xylometazoline. Eye, Ear, Nose, Throat Monthly, 43, 66-74.
- Cauna, N. and Cauna, D.(1975): The fine structure and intervention of vthe cushion veins of the human nasal respiratory mucosa. Anatomy research.181, 1-16.
- Jones, A.S., Lancer, J.(1987): Does submucosal diathermy to the inferior turbinates reduces nasal resistance to airflow in the long term? Journal of Laryngology and Otology, 101,448-451
- Jones, A., Wight,R.G, Kabil, Y. and Beckingham. E.(1989): Predicting theoutcome of submucosal diatheermy to the inferior turbinates. Clinical Otolaryngology,14, 41-44.
- Martinez, S. A., Nissan, A. J., Stock, C.R. and Tesmer. T.(1983): Nasal turbinate resection for relief of nasal obstruction. Laryngoscope,93, 871-875
- Ophir, D., Shapira, A. and Marshak, G.(1985): Total inferior turbinectomy for nasal airway obstruction. Archives of Otolaryngology, 111, 93-95.
- Wight. R. G., Jones, A. S. and Beckingham, E.(1990): Trimming of the inferior turbinates a prospective study long-term study. Clinical otolaryngology, 15, 347-350
- Wight. R. G., Jones, A. S. and Clegg, R.T.(1988): A comparison of anterior and radical trimming of the inferior nasal turbinate and the effects on nasal resistance to airflow.Clinical Otolaryngology,13, 223-226