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Partial Inferior Turbinectomy Using the Microdébrider

Authors: David, Wexler; Itzhak, Braverman;

Partial Inferior Turbinectomy Using the Microdébrider

Abstract

A microdébrider was selected to accomplish partial inferior turbinectomy, allowing for controlled and rapid removal of hypertrophic soft tissue while preserving the general turbinate form.To assess the clinical outcome, healing, and any adverse consequences from the microdébrider partial turbinectomy procedure.A public hospital in north-central Israel.A nonrandomized prospective study of 35 adults who were referred for nasal airway surgery, including turbinectomy.All patients underwent bilateral inferior turbinate reduction with the microdébrider, with removal of mucosa from the medial and inferior portions of the inferior turbinates. Detailed follow-up was accomplished at 4 or more months postoperatively, including a visual analogue scale questionnaire and videoendoscopy. For seven patients, pre- and postoperative mucosal biopsies were available to evaluate healing and epithelial regeneration.Nasal endoscopy showed well-healed turbinate membranes and preservation of the turbinate form, with widening of the inferomedial nasal airway space. Subjective nasal patency improved after surgery, p < .01, and the subjective sense of smell was improved, p < .01, without associated crusting, pain, irritation, sneezing, or dryness. Postoperative biopsies showed subepithelial fibrosis and regenerated epithelium, generally of respiratory differentiation.Inferior turbinate reduction can be accomplished efficiently with the microdébrider device, without undue side effects.Further experience and long-term follow-up with this technique are warranted.

Related Organizations
Keywords

Adult, Male, Hypertrophy, Middle Aged, Turbinates, Otorhinolaryngologic Surgical Procedures, Smell, Debridement, Humans, Female, Prospective Studies, Nasal Obstruction

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
24
Average
Top 10%
Average
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