Powered submucous resection of the inferior turbinate

Amaç: Bu çalışmada, alt konka hipertrofisinde endoskop ile güçlendirilmiş görüş altında submüköz rezeksiyon deneyimlerimizin sunulması ve tedavinin morfolojik ve fonksiyonel sonuçlarınının vurgulanması amaçlandı. Hastalar ve Yöntemler: Alt konka hipertrofili 64 hastaya iki yıllık bir süre içersinde mikrodebrider ile bilateral turbinoplasti uygulandı. Bütün hastalara dekonjesyon öncesi ve sonrası, ayrıca ameliyat öncesi ve sonrası nazal endoskopi, Cottle testi, görsel analog skala (VAS) değerlendirmesi ve nazal pasajın akustik rinometri ve rinomanometri ile objektif değerlendirmesi yapıldı. Hastalar ameliyat sonrası bir yıl takip edildi. Bulgular: Görsel analog skala değerlendirmesine göre nazal solumada belirgin düzelme görüldü (2.12 puan artış, %60). Toplam en küçük krosseksiyonel alanda 0.42 cm2 (%36) ve toplam nazal hacimde 3.82 cm3 artış görüldü (%32). Toplam nazal direnç 0.34 Pa/cm3/dk azaldı (%47). Nazal solumanın bütün fonksiyonel postoperatif verileri dekonjestansız halde iken toplandı. Sonuç: Mikroderbiderle güçlendirilmiş submüköz tubinoplasti, mukozanın korunarak mukoza altı ve kemiğin hassas rezeksiyonunu sağlar. Bu teknik, alt konkaların fonksiyonunu koruyarak optimal hacim küçültülmesine olanak tanıması nedeniyle tercih edilir.

Anahtar Kelimeler:

Turbinatlar, Hipertrofi, Burun kavitesi

Güçlendirilmiş submüköz inferior konka rezeksiyonu

Objectives: The objectivesof the present our experience with endoscopic powered modification of the submucous resection in inferior turbinate hypertrophy and to underline the morphological and functional results of the treatment. Patients and Methods: Sixty-five patients with inferior turbinate hypertrophy were treated by bilateral turbinoplasty with microdebriders for a period of 2 years. All patients underwent nasal endoscopy, Cottle's test, visual analogue (VAS) scale assessment and objective functional evaluation of nasal patency by acoustic rhinometry and rhinomanometry before and after decongestion before the operation. The patients were followed up to 1 year postoperatively. Results: VAS showed marked improvement in nasal breathing – increased by 2.12 points (60%). Total Minimal Crossectional Area (TMCA) –increased by 0.42 cm2 (36%) and the Total Nasal Volume (TNV) increased by 3.82 cm3 (32%). The Total Nasal Resistance (TNR) – decreased by 0.34 Pa/cm3/sec (47%). All postoperative data for the functional assessment of the nasal breathing were collected without decongestion. Conclusion: Powered submucous turbinoplasty with microdebriders allows precisely controlled resection of submucosa and bone with mucosal preservation, making this technique, the method of choice enabling optimal volume reduction with preservation of function of the inferior turbinate.

Keywords:

Turbinates, Hypertrophy, Nasal Cavity,

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