Passàli D, Lauriello M, Anselmi M, Bellussi L
Department of Otorhinolaryngology, University of Siena Medical School, Italy.
Ann Otol Rhinol Laryngol. 1999 Jun;108(6):569-75. doi: 10.1177/000348949910800608.
A number of surgical techniques are commonly performed to control the symptoms of inferior turbinate hypertrophy unresponsive to medical treatment. We report long-term results in 382 patients randomly assigned to receive electrocautery (62), cryotherapy (58), laser cautery (54), submucosal resection without lateral displacement (69), submucosal resection with lateral displacement (94), and turbinectomy (45). Outcomes of objective test results from rhinomanometry, acoustic rhinometry, mucociliary transport time, and secretory immunoglobulin A levels were compared to the symptom scores before and yearly after surgical treatment. These data indicate that submucosal resection with lateral displacement of the inferior turbinate results in the greatest increases in airflow and nasal respiratory function with the lowest risk of long-term complications.
为控制药物治疗无效的下鼻甲肥大症状，通常会采用多种外科技术。我们报告了382例患者的长期结果，这些患者被随机分配接受电灼术（62例）、冷冻疗法（58例）、激光烧灼术（54例）、无侧向移位的黏膜下切除术（69例）、有侧向移位的黏膜下切除术（94例）和鼻甲切除术（45例）。将鼻阻力测量、鼻声反射、黏液纤毛转运时间和分泌型免疫球蛋白A水平的客观测试结果与手术治疗前及术后每年的症状评分进行比较。这些数据表明，下鼻甲侧向移位的黏膜下切除术可使气流和鼻呼吸功能得到最大程度的改善，且长期并发症风险最低。
Zotero 插件