Dilemma of Inferior Turbinate Surgery

Khaled Mohamed Bofares

doi:doi:10.11648/j.ass.20150302.11

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Dilemma of Inferior Turbinate Surgery

Khaled Mohamed Bofares

Published in Advances in Surgical Sciences (Volume 3, Issue 2)

Received: 2 May 2015 Accepted: 21 June 2015 Published: 6 July 2015

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Abstract

Background and objectives: Inferiorturbinate surgery is considered as one of most commonly performed surgery in rhinology. It is usually done to reduce the bulk of inferior turbinates. It can be conducted for different indications such as relieving the mechanical nasal obstruction due to hypertrophied inferior turbinates, or to achieving a sufficient nasal surgical access during endoscopic sinus surgery, or removing the inferior turbinates as a part of wide and complete resection of rhino-sinus neoplastic lesions. The inferior turbinates have important role in the maintenance of nasal breathing function by providing the nasal valve mechanism necessary for the regulation of air flow through the nose. In spite of availability of well-established variable techniques for this surgery, the main goal of this surgery is yet not completely achieved. This could bean effect of different factors that are difficult to be predicted and controlled. Hence this pattern of surgery has become dilemmas in rhinology which need to be deeply evaluated and subsequently resolved. In order to evaluate and resolve this dilemma, this serial study was conducted prospectively. Patients and methods: 1337 patients aged 3 to -65 years suffering from hypertrophied inferior turbinates, presented with clinical pictures of mechanical nasal obstruction at ENT department – of Althowra central hospital and Al-tarahom private center Elbyda city- Libya between September 2005 to September 2014 they were operated by variable techniques of inferior turbinate surgery, namely sub-mucosal diathermy (SMD) (n=864 ), partial inferior turbinectomy (PIT) (n=427), CO2 laser vaporization of inferior turbinate (n=21), and turbinoplasty (n=25) . Post-operative atrophic rhinitis, and persistence, or recurrence of mechanical nasal obstruction the outcomes are that were studied in relation to different factors to shed-light on existing dilemma. Results and Conclusion: Proper selection of patient for this pattern of surgery is considered one of the main aspects of this issue and one of significant steps towards resolving of this dilemma. On the other hand, type of the technique for this surgery is an important selection criterion. In addition the amount of the inferior turbinate needed to be resected must be decided.

Published in	Advances in Surgical Sciences (Volume 3, Issue 2)
DOI	10.11648/j.ass.20150302.11
Page(s)	8-18
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Inferior Turbinate Surgery, Inferior Turbinectomy, Sub-Mucosal Diathermy, Turbinoplasty

References

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Khaled Mohamed Bofares. (2015). Dilemma of Inferior Turbinate Surgery. Advances in Surgical Sciences, 3(2), 8-18. https://doi.org/10.11648/j.ass.20150302.11

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Khaled Mohamed Bofares. Dilemma of Inferior Turbinate Surgery. Adv. Surg. Sci. 2015, 3(2), 8-18. doi: 10.11648/j.ass.20150302.11

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Khaled Mohamed Bofares. Dilemma of Inferior Turbinate Surgery. Adv Surg Sci. 2015;3(2):8-18. doi: 10.11648/j.ass.20150302.11

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@article{10.11648/j.ass.20150302.11,
  author = {Khaled Mohamed Bofares},
  title = {Dilemma of Inferior Turbinate Surgery},
  journal = {Advances in Surgical Sciences},
  volume = {3},
  number = {2},
  pages = {8-18},
  doi = {10.11648/j.ass.20150302.11},
  url = {https://doi.org/10.11648/j.ass.20150302.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20150302.11},
  abstract = {Background and objectives: Inferiorturbinate surgery is considered as one of most commonly performed surgery in rhinology. It is usually done to reduce the bulk of inferior turbinates. It can be conducted for different indications such as relieving the mechanical nasal obstruction due to hypertrophied inferior turbinates, or to achieving a sufficient nasal surgical access during endoscopic sinus surgery, or removing the inferior turbinates as a part of wide and complete resection of rhino-sinus neoplastic lesions. The inferior turbinates have important role in the maintenance of nasal breathing function by providing the nasal valve mechanism necessary for the regulation of air flow through the nose. In spite of availability of well-established variable techniques for this surgery, the main goal of this surgery is yet not completely achieved. This could bean effect of different factors that are difficult to be predicted and controlled. Hence this pattern of surgery has become dilemmas in rhinology which need to be deeply evaluated and subsequently resolved. In order to evaluate and resolve this dilemma, this serial study was conducted prospectively. Patients and methods: 1337 patients aged 3 to -65 years suffering from hypertrophied inferior turbinates, presented with clinical pictures of mechanical nasal obstruction at ENT department – of Althowra central hospital and Al-tarahom private center Elbyda city- Libya between September 2005 to September 2014 they were operated by variable techniques of inferior turbinate surgery, namely sub-mucosal diathermy (SMD) (n=864 ), partial inferior turbinectomy (PIT) (n=427), CO2 laser vaporization of inferior turbinate (n=21), and turbinoplasty (n=25) . Post-operative atrophic rhinitis, and persistence, or recurrence of mechanical nasal obstruction the outcomes are that were studied in relation to different factors to shed-light on existing dilemma. Results and Conclusion: Proper selection of patient for this pattern of surgery is considered one of the main aspects of this issue and one of significant steps towards resolving of this dilemma. On the other hand, type of the technique for this surgery is an important selection criterion. In addition the amount of the inferior turbinate needed to be resected must be decided.},
 year = {2015}
}

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TY  - JOUR
T1  - Dilemma of Inferior Turbinate Surgery
AU  - Khaled Mohamed Bofares
Y1  - 2015/07/06
PY  - 2015
N1  - https://doi.org/10.11648/j.ass.20150302.11
DO  - 10.11648/j.ass.20150302.11
T2  - Advances in Surgical Sciences
JF  - Advances in Surgical Sciences
JO  - Advances in Surgical Sciences
SP  - 8
EP  - 18
PB  - Science Publishing Group
SN  - 2376-6182
UR  - https://doi.org/10.11648/j.ass.20150302.11
AB  - Background and objectives: Inferiorturbinate surgery is considered as one of most commonly performed surgery in rhinology. It is usually done to reduce the bulk of inferior turbinates. It can be conducted for different indications such as relieving the mechanical nasal obstruction due to hypertrophied inferior turbinates, or to achieving a sufficient nasal surgical access during endoscopic sinus surgery, or removing the inferior turbinates as a part of wide and complete resection of rhino-sinus neoplastic lesions. The inferior turbinates have important role in the maintenance of nasal breathing function by providing the nasal valve mechanism necessary for the regulation of air flow through the nose. In spite of availability of well-established variable techniques for this surgery, the main goal of this surgery is yet not completely achieved. This could bean effect of different factors that are difficult to be predicted and controlled. Hence this pattern of surgery has become dilemmas in rhinology which need to be deeply evaluated and subsequently resolved. In order to evaluate and resolve this dilemma, this serial study was conducted prospectively. Patients and methods: 1337 patients aged 3 to -65 years suffering from hypertrophied inferior turbinates, presented with clinical pictures of mechanical nasal obstruction at ENT department – of Althowra central hospital and Al-tarahom private center Elbyda city- Libya between September 2005 to September 2014 they were operated by variable techniques of inferior turbinate surgery, namely sub-mucosal diathermy (SMD) (n=864 ), partial inferior turbinectomy (PIT) (n=427), CO2 laser vaporization of inferior turbinate (n=21), and turbinoplasty (n=25) . Post-operative atrophic rhinitis, and persistence, or recurrence of mechanical nasal obstruction the outcomes are that were studied in relation to different factors to shed-light on existing dilemma. Results and Conclusion: Proper selection of patient for this pattern of surgery is considered one of the main aspects of this issue and one of significant steps towards resolving of this dilemma. On the other hand, type of the technique for this surgery is an important selection criterion. In addition the amount of the inferior turbinate needed to be resected must be decided.
VL  - 3
IS  - 2
ER  -

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Khaled Mohamed Bofares

Otorhinolaryngology, Omar Almoukhtar University, Elbyda, Libya

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Khaled Mohamed Bofares. (2015). Dilemma of Inferior Turbinate Surgery. Advances in Surgical Sciences, 3(2), 8-18. https://doi.org/10.11648/j.ass.20150302.11

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ACS Style

Khaled Mohamed Bofares. Dilemma of Inferior Turbinate Surgery. Adv. Surg. Sci. 2015, 3(2), 8-18. doi: 10.11648/j.ass.20150302.11

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AMA Style

Khaled Mohamed Bofares. Dilemma of Inferior Turbinate Surgery. Adv Surg Sci. 2015;3(2):8-18. doi: 10.11648/j.ass.20150302.11

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@article{10.11648/j.ass.20150302.11,
  author = {Khaled Mohamed Bofares},
  title = {Dilemma of Inferior Turbinate Surgery},
  journal = {Advances in Surgical Sciences},
  volume = {3},
  number = {2},
  pages = {8-18},
  doi = {10.11648/j.ass.20150302.11},
  url = {https://doi.org/10.11648/j.ass.20150302.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20150302.11},
  abstract = {Background and objectives: Inferiorturbinate surgery is considered as one of most commonly performed surgery in rhinology. It is usually done to reduce the bulk of inferior turbinates. It can be conducted for different indications such as relieving the mechanical nasal obstruction due to hypertrophied inferior turbinates, or to achieving a sufficient nasal surgical access during endoscopic sinus surgery, or removing the inferior turbinates as a part of wide and complete resection of rhino-sinus neoplastic lesions. The inferior turbinates have important role in the maintenance of nasal breathing function by providing the nasal valve mechanism necessary for the regulation of air flow through the nose. In spite of availability of well-established variable techniques for this surgery, the main goal of this surgery is yet not completely achieved. This could bean effect of different factors that are difficult to be predicted and controlled. Hence this pattern of surgery has become dilemmas in rhinology which need to be deeply evaluated and subsequently resolved. In order to evaluate and resolve this dilemma, this serial study was conducted prospectively. Patients and methods: 1337 patients aged 3 to -65 years suffering from hypertrophied inferior turbinates, presented with clinical pictures of mechanical nasal obstruction at ENT department – of Althowra central hospital and Al-tarahom private center Elbyda city- Libya between September 2005 to September 2014 they were operated by variable techniques of inferior turbinate surgery, namely sub-mucosal diathermy (SMD) (n=864 ), partial inferior turbinectomy (PIT) (n=427), CO2 laser vaporization of inferior turbinate (n=21), and turbinoplasty (n=25) . Post-operative atrophic rhinitis, and persistence, or recurrence of mechanical nasal obstruction the outcomes are that were studied in relation to different factors to shed-light on existing dilemma. Results and Conclusion: Proper selection of patient for this pattern of surgery is considered one of the main aspects of this issue and one of significant steps towards resolving of this dilemma. On the other hand, type of the technique for this surgery is an important selection criterion. In addition the amount of the inferior turbinate needed to be resected must be decided.},
 year = {2015}
}

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TY  - JOUR
T1  - Dilemma of Inferior Turbinate Surgery
AU  - Khaled Mohamed Bofares
Y1  - 2015/07/06
PY  - 2015
N1  - https://doi.org/10.11648/j.ass.20150302.11
DO  - 10.11648/j.ass.20150302.11
T2  - Advances in Surgical Sciences
JF  - Advances in Surgical Sciences
JO  - Advances in Surgical Sciences
SP  - 8
EP  - 18
PB  - Science Publishing Group
SN  - 2376-6182
UR  - https://doi.org/10.11648/j.ass.20150302.11
AB  - Background and objectives: Inferiorturbinate surgery is considered as one of most commonly performed surgery in rhinology. It is usually done to reduce the bulk of inferior turbinates. It can be conducted for different indications such as relieving the mechanical nasal obstruction due to hypertrophied inferior turbinates, or to achieving a sufficient nasal surgical access during endoscopic sinus surgery, or removing the inferior turbinates as a part of wide and complete resection of rhino-sinus neoplastic lesions. The inferior turbinates have important role in the maintenance of nasal breathing function by providing the nasal valve mechanism necessary for the regulation of air flow through the nose. In spite of availability of well-established variable techniques for this surgery, the main goal of this surgery is yet not completely achieved. This could bean effect of different factors that are difficult to be predicted and controlled. Hence this pattern of surgery has become dilemmas in rhinology which need to be deeply evaluated and subsequently resolved. In order to evaluate and resolve this dilemma, this serial study was conducted prospectively. Patients and methods: 1337 patients aged 3 to -65 years suffering from hypertrophied inferior turbinates, presented with clinical pictures of mechanical nasal obstruction at ENT department – of Althowra central hospital and Al-tarahom private center Elbyda city- Libya between September 2005 to September 2014 they were operated by variable techniques of inferior turbinate surgery, namely sub-mucosal diathermy (SMD) (n=864 ), partial inferior turbinectomy (PIT) (n=427), CO2 laser vaporization of inferior turbinate (n=21), and turbinoplasty (n=25) . Post-operative atrophic rhinitis, and persistence, or recurrence of mechanical nasal obstruction the outcomes are that were studied in relation to different factors to shed-light on existing dilemma. Results and Conclusion: Proper selection of patient for this pattern of surgery is considered one of the main aspects of this issue and one of significant steps towards resolving of this dilemma. On the other hand, type of the technique for this surgery is an important selection criterion. In addition the amount of the inferior turbinate needed to be resected must be decided.
VL  - 3
IS  - 2
ER  -

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