Evaluation of preoperative and postoperative structure, function, symptom between two different operations in patients with inferior turbinate hypertrophy
10.16066/j.1672-7002.2017.07.010
- VernacularTitle:生活质量问卷与鼻声反射测量在下鼻甲肥大不同术式疗效评价中的应用研究
- Author:
Ming ZHENG
;
Xiangdong WANG
;
Hui QING
;
Chengshuo WANG
;
Xiaohong SONG
;
Hongfei LOU
;
Kuiji WANG
;
Luo ZHANG
- Keywords:
Turbinates;
Quality of Life;
Rhinometry;
Acoustic;
outfracture surgery;
submucosal inferior turbinectomy
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2017;24(7):359-364
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To evaluate the clinical outcome of submucosal inferior turbinectomy and outfracture surgery of inferior turbinates. METHODS All patients receiving two different operations were measured by acoustic rhinometry and questionnaire of QOL at preoperative 1 week and postoperative 12 months, seperately. RESULTS Forty-seven patients with inferior turbinate hypertrophy were enrolled in this study. Evaluation of SNOT-20 discovered both surgeries could improve patients' QOL with similar outcome. Preoperative '5 important items' in patients with inferior turbinate hypertrophy were 'lack of a good night's sleep', 'need to blow nose', 'thick nasal discharge', 'fatigue' and 'dizziness'. Postperative '5 important items' were 'postnasal discharge', 'runny nose', 'sneezing', 'reduced concentration' and 'reduced productivity'. Both surgeries could make acoustic rhinometry parameters change obviously, such as minimal cross-sectional area, 0-5 cm nasal volume(NV) and 2-5 cm NV. Furthermore, submucosal inferior turbinectomy produced more volume in nasal cavity than outfacture surgery, (7.28±2.01)cm3 vs (6.01±1.22)cm3, (5.99±1.87)cm3 vs (4.23±1.08)cm3(P<0.05), seperately. There was no correlation between the data of SNOT-20 and acoustic rhinometry. CONCLUSION We recommend outfracture surgery of inferior turbinate as the preferred surgical choice for patients with mild inferior turbinate hypertrophy.
