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Inferior turbinate debriding technique: Ten‐year results
Abstract
Objectives To evaluate the efficacy and long-term outcomes (10 years) of the submucous stroma debriding technique (SSD) in nonallergic chronic hyperthrophy of the inferior turbinates (N/A-ChITOHD). Study design Prospective cohort study. Methods From June 1994 to October 1996, a group of 350 nonallergic patients with chronic obstructive hypertrophy of the inferior turbinates were followed-up after SSD and compared with a group of 323 normal patients. None of them exhibited obstructive septal deviation or sinus disease. Preoperative and postoperative evaluations were obtained from visual analog scale graded questionnaire, endoscopy, acoustic rhinometry, and mucociliary saccharin transit time. End results were obtained at 6 months, 1, 5, and 10 years intervals. Biopsies from 35 volunteer SSD patients were obtained. Results Symptom-free patients were observed in 91.3%, partial symptoms in 5.2%; 3.5% of the patients had recurrence of nasal obstruction 10 years postoperatively. Endoscopy, anterior rhinometry, and mucociliary transit time revealed long-term improvements. Few complications were observed. Conclusion SSD has long-lasting effects and it is the only sparing ciliated epithelium technique.
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Procedures that excise mucosa and turbinate bone may have better results.
“In procedures that act by excising mucosa and turbinate bone (partial turbinectomy, submucosal resection [203]), the risk of complication seems somewhat higher [191,204,205], although the results may be better [193,205-209].”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [208]
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Position Paper on Nasal Obstruction: Evaluation and Treatment
SEAIC Rhinoconjunctivitis Committee & SEORL Rhinology, A., Valero, A., Navarro, A., del Cuvillo, A., Alobid, I., Benito, Jr., Colás, C., de los Santos, G., Fernández Liesa, R., García-Lliberós, A., et al. (2018) · Journal of Investigational Allergology and Clinical Immunology · doi:10.18176/jiaci.0232 · Cited by 76
Metadata
- Authors
- YaÑez, C., & Mora, N.
- Affiliations
- Sinus Surgery and Image Guided Resource Center at The American British Cowdray Medical Center Mexico City Mexico
- Venue
- Otolaryngology–Head and Neck Surgery
- Publisher
- Wiley
- Published
- 2008-02
- Volume
- 138
- Issue
- 2
- Pages
- 170-175
- ISSN
- 0161-6439 (ISSN-L)
- 0194-5998
- 1097-6817
- OpenAlex
- W2036274104
- Cited by
- 39
- References
- 0
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 4 · 2016: 4 · 2015: 2 · 2014: 3 · 2013: 2 · 2012: 3
- FWCI
- 2.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Otolaryngology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Health Sciences › Medicine › Immunology and Allergy › Allergic Rhinitis and Sensitization
- Keywords
- inferior turbinate hypertrophy, nasal obstruction, long-term outcomes, recurrence, mucociliary clearance, septal deviation
- MeSH terms
- Biopsy, Chronic Disease, Debridement, Endoscopy, Follow-Up Studies, Rhinitis, Allergic, Seasonal, Humans, Hypertrophy, Prospective Studies, Severity of Illness Index, Time Factors, Turbinates, Nasal Obstruction, Treatment Outcome, Rhinometry, Acoustic
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