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Inferior Turbinate Hypertrophy in Rhinoplasty: Systematic Review of Surgical Techniques
Abstract
Background Inferior turbinate hypertrophy is often encountered by plastic surgeons who perform rhinoplasty. Many treatment options are available to treat the inferior turbinate. The objective of this study was to systematically review outcomes of available techniques and provide guidance to surgical turbinate management. Methods A MEDLINE search was performed for means of treating inferior turbinate hypertrophy. Studies selected focused on treatment of the inferior turbinate in isolation and excluding patients with refractory allergic rhinitis, vasomotor rhinitis, or hypertrophic rhinitis. Results Fifty-eight articles were identified, collectively including the following surgical treatments of inferior turbinate hypertrophy: total turbinectomy, partial turbinectomy, submucosal resection, laser surgery, cryotherapy, electrocautery, radiofrequency ablation, and turbinate outfracture. Outcomes and complications were collected from all studies. Procedures such as turbinectomy (partial/total) and submucosal resection showed crusting and epistaxis at comparatively higher rates, whereas more conservative treatments such as cryotherapy and submucous diathermy failed to provide long-term results. Submucosal resection and radiofrequency ablation were shown to decrease nasal resistance and preserve mucosal function. No literature exists to support the belief that turbinate outfracture alone is an effective treatment for turbinate hypertrophy. Conclusions Treatment of inferior turbinate…
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Procedures that excise mucosa and turbinate bone (partial turbinectomy, submucosal resection) have a somewhat higher risk of complication.
“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 [191]
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Cited by
Sorted by citations
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
Avashia, Y. J., Glener, A. D., & Marcus, J. R. (2022) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000009290 · Cited by 11
Metadata
- Authors
- Sinno, S., Mehta, K., Lee, Z.-H., Kidwai, S., Saadeh, P. B., & Lee, M. R.
- Affiliations
- NYU Langone Health (US)
- Venue
- Plastic & Reconstructive Surgery
- Published
- 2016-09
- Volume
- 138
- Issue
- 3
- Pages
- 419e-429e
- ISSN
- 0032-1052 (ISSN-L)
- OpenAlex
- W2507787967
- Cited by
- 60
- References
- 0
- Citations by year
- 2026: 6 · 2025: 2 · 2024: 4 · 2023: 11 · 2022: 9 · 2021: 10 · 2020: 3 · 2019: 7 · 2018: 6 · 2017: 1
- FWCI
- 0.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Plastic & Reconstructive Surgery (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, rhinoplasty, turbinate surgery, submucous resection, radiofrequency ablation, turbinectomy, cryotherapy, electrocautery, laser surgery, postoperative complications, nasal resistance
- MeSH terms
- Humans, Hypertrophy, Outcome and Process Assessment, Health Care, Rhinoplasty, Turbinates, Catheter Ablation, Cryotherapy
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