No abstract available.
Turbinates*

Objectives: To propose a simple technique to preserve, medialize and stabilize the middle turbinate through a planned medial synechiae formation using a nasal septal flap Methods: a. Study Design: Case series, surgical innovation b. Setting: Tertiary hospital (Kumamoto University Hospital, Japan) c. Participants, Patients or Population: Six patients suffering from chronic sinusitis unresponsive to medication. The indication for doing this technique was unstable turbinates after removal of diseased mucosa. Results: Twelve weeks after surgery, the patients reported significant resolution of symptoms (headache, nasal congestion, rhinorrhea, post-nasal drip and loss of smell). CTand endoscopic findings likewise revealed clear ostio-meatal complex, drained sinuses, and complete removal of polypoid mucosa. No major side effects were noted. Conclusions: This technique is especially encouraged when surgeons encounter an unstable middle turbinate after removing massive pathologic mucosal lesions. This is a preliminary report and further investigations are being carried out to validate the technique. (Author)
TURBINATES

Septal deviation causes various nasal symptoms and other sinonasal disease. We evaluated the relationship between septal deviation and morphologic changes of the inferior turbinate. PNS CT of 31 patients (septal deviation group) and 20 normal subjects (normal control group) were reviewed. We measured the thickness of the inferior turbinate and the angle between the lateral nasal wall and the inferior turbinate in each group. Each measurements were analyzed using t-test and compared. The thic-kness of the inferior turbinate and the angle between the lateral nasal wall and the inferior turbinate showed no difference between the right and left side in the control group. The same measurement of the convex side in the septal deviation group were not different from those of the control group. However, the thickness of the inferior turbinate and the angle between the lateral nasal wall and the inferior turbinate differed significantly from the control group data. Changes of the inferior turbinate in septal deviation were caused not only by hypertrophy of the inferior turbinate, but also by the increased angle between the lateral nasal wall and the inferior turbinate.
Humans ; Hypertrophy ; Turbinates*

Septoplasty is one of the most commonly performed operations in otolaryngology. It is considered extremely valuable in addressing multiple issues and patient complaints. Inferior turbinate surgery results in favorable outcomes and continues to be recommended as a treatment for turbinate hypertrophy not responsive to medical therapy. There are many operative methods used for turbinate surgery such as partial or total turbinectomy and submucosal resection. Laser-assisted conchotomy and Coblation-assisted partial turbinoplasty are minimally invasive procedures that have recently become common. This study provides a comprehensive review of septoplasty and inferior turbinate surgery including current concepts, historical background, classification, updated surgical techniques, and management of complications.
Humans ; Hypertrophy ; Otolaryngology ; Turbinates

Fibrous dysplasia (FD) is a rare type of fibro-osseous lesion characterized by progressive replacement of normal bone with immature tissue. The involvement of craniofacial bones is reported in 10% of FD cases, while the involvement of sinonasal cavity is extremely rare. We report a unique case of FD in which the primary complaint was nasal obstruction. As FD cases involving the turbinate bones are very rare, we also reviewed all reported cases of FD involving the inferior or middle turbinates. Based on our experience and a review of the relevant literature, we conclude that inferior and/or middle turbinectomy via endoscopic approach and septoplasty can improve nasal symptoms.
Nasal Obstruction* ; Turbinates*

No abstract available.
Mucous Membrane* ; Muramidase* ; Turbinates*

BACKGROUND AND OBJECTIVES: Outfracture of the inferior turbinate (IT) is a less invasive procedurethan all other reductive turbinate surgeries. The aim of this study is to investigate the anatomical factors of IT affecting outcomes of outfracture of the IT. MATERIALS AND METHOD: This study comprises 206 cases of 103 patients who underwent outfracture from 2006 to 2012. Patients weregrouped according to good outcome and poor outcome,based on postoperative endoscopic assessments after decongestion. Angle and length of IT, width of IT head, and the distance of the IT to the lateral nasal wall were compared at three different sections viacomputed tomography. RESULTS: Significant differences in the length and angle of IT between the two groups were not found. The width of the IT head in the good outcome group was narrower than that in the poor outcome group. The distance of the IT to the lateral nasal wall was longer in the good outcome group, compared with that of the poor outcome group. These differences were especially prominent at the middle and posterior sections. CONCLUSION: This study suggests that some anatomical factors, especially the width of the inferior meatus, could play a role in affecting the outcome of outfracture IT surgery.
Head ; Humans ; Treatment Outcome ; Turbinates*

Chronic rhinosinusitis is one of the most common diseases in rhinology. The importance of the ostiomeatal complex (OMC) has been known. Anatomic abnormalities and inflammatory changes lead to sinus ostial obstruction and subsequently induce chronic or recurrent sinusitis. Therefore, anatomic variations of the nasal cavity were considered as important factors in causing chronic rhinosinusitis. Whereas pneumatization of the middle and superior turbinate is a common finding, that of uncinate process is extremely rare. It can cause obstruction of the OMC by narrowing the middle meatus and infundibulum. We have recently experienced a huge pneumatized uncinate process causing obstruction in patient with chronic rhinosinusitis. We could successfully perform endoscopic sinus surgery with good results. Therefore, we present this rare case and briefly discuss the possible pathogenesis.
Humans ; Nasal Cavity ; Sinusitis ; Turbinates

Objective: To compare the radiographic features of the nasal septal swell body (NSB) with the laterality of nasal septal deviation and investigate whether there is a correlation between the severity of the septal deviation and difference in NSB size. Methods: Design: Retrospective Observational Study. Setting: Tertiary Private University Hospital. Participants: 30 paranasal sinus computerized tomography scans from January to October 2017. Results: A septal deviation was present in 60% of the subjects. In 78% of cases with septal deviation, the NSB was noted to be significantly larger on the side opposite the nasal septal deviation (p < .05). Conclusion The correlation between the severity of the septal deviation and difference in NSB size had a value of (r = 0.37) therefore, no positive correlation was established. Subjects with almost symmetric NSB measurements tend to have no septal deviation. On the other hand, the NSB is more prominent contralateral to a septal deviation.
Paranasal Sinus Diseases ; Hypertrophy ; Turbinates

PURPOSE: To evaluate the morphometric differences of bony nasolacrimal ducts (BNLDs) using computed tomography (CT) in Koreans with primary acquired nasolacrimal duct obstruction (PANDO). METHODS: From March 2014 to March 2016, 40 unilateral PANDO patients and 40 control subjects were retrospectively reviewed. The axial, sagittal, and coronal planes of CT were used for image evaluation. The proximal, minimal, and distal transverse diameters (TDs) of the BNLD were assessed. The length, sagittal orientation angle of BNLD, relative lacrimal sac-BNLD angle, nasal floor-BNLD angle, and turbinate angle were investigated. In addition, the distance between the bilateral BNLD and inter-frontozygomatic suture distance were also measured. RESULTS: There were no morphologic differences between the PANDO and non-PANDO sides within PANDO patients. The proximal and minimum BNLD TD measurements were significantly narrower in the PANDO patients, as compared with the control group (p = 0.010 and p = 0.017, respectively). The lacrimal sac-BNLD angle, nasal floor-BNLD angle, and turbinate angle also exhibited statistically significant differences between the PANDO patients and the control group (p = 0.019, p = 0.001, and p < 0.001, respectively). CONCLUSIONS: Although this study was performed in a small group, the narrow proximal and minimum BNLD TD in PANDO patients (in both the PANDO and non-PANDO sides) may be associated with PANDO development in Koreans. Additionally, the narrow lacrimal sac-BNLD, nasal floor-BNLD, and turbinate angle might be possible causative factors of PANDO.
Humans ; Nasolacrimal Duct* ; Retrospective Studies ; Sutures ; Turbinates