Korean J Otolaryngol-Head Neck Surg.  2005 Mar;48(3):326-331.

Effectiveness of the Turbinoplasty in the Patient with Deviated Septum of Nose

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Dong-A University College of Medicine, Busan, Korea. kimdy@daunet.donga.ac.kr

Abstract

BACKGROUND AND OBJECTIVES
Deviated septum of nose (DSN) causes an airflow difference between two nasal cavities, and it leads to compensatory inferior turbinate hypertrophy. Although compensatory inferior turbinate hypertrophy can be reduced by correction of an airflow difference after septoplasty, it may take a long time. We aimed to evaluate the effectiveness of turbinoplasty accompanied with septoplasty for the earlier relief of nasal obstruction in patients with DSN and compensatory inferior turbinate hypertrophy. SUBJECTS AND METHOD: Forty-two patients complaining of nasal obstruction from DSN and compensatory inferior turbinate hypertrophy were divided into two groups, septoplasty only group (S group) and septoplasty and turbinoplasty group (S-T group). We analyzed symptom changes using a visual analog scale, changes of the cross-sectional area of the conchal notch (C-notch) and the volume of nasal cavity using acoustic rhinometry before and after the operation through the regular follow-up period of upto 12 weeks in the concave side of nasal cavity. RESULTS: Twenty-four patients (92%) of the S-T group and 10 patients (63%) of the S group showed improvement of nasal obstruction within 4 weeks after the operation. From 2 weeks after the operation, there were statistical differences in the symptom score, the C-notch area and the volume of nasal cavity in the S-T group (p<0.05). However, there were no differences in the S group up to 12 weeks after the operation. CONCLUSION: Turbinoplasty accompanied with septoplasty may be useful for the earlier relief of nasal obstruction in patients with DSN and compensatory inferior turbinate hypertrophy.

Keyword

Nasal obstruction; Nasal septum; Septal deviation; Turbinates
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