Kunachak Somyos
Department of Otolaryngology Head and Neck Surgery, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Laryngoscope. 2002 May;112(5):870-2. doi: 10.1097/00005537-200205000-00017.
To introduce a minimally invasive method to eliminate the symptoms of contact-point rhinologic cephalgia.
A prospective study of 55 patients with chronic nasal or glabellar pain and endoscopically proven nasal origin.
All 55 patients in whom endoscopic examination demonstrated a contact point between the middle turbinate and the nasal septum were treated by fracturing the middle turbinate lateralward using a small metal tongue depressor under 10% lidocaine HCL topical anesthesia.
Of the treated cohort, 48 (87%) of the patients had complete clinical symptom resolution after one treatment and all had resolution after two treatments. Recurrence occurred in 1 patient. There were no short-term or long-term adverse sequelae. The results persisted at a mean follow-up time of 50 months (range, 6-84 mo).
Middle turbinate lateralization is safe and effective in eliminating the symptoms of rhinologic cephalgia induced by contact point between the middle turbinate and nasal septum.
介绍一种微创方法以消除接触点性鼻源性头痛的症状。
对55例慢性鼻或眉间疼痛且经内镜证实为鼻源性的患者进行前瞻性研究。
55例经内镜检查显示中鼻甲与鼻中隔存在接触点的患者，在10%盐酸利多卡因局部麻醉下，使用小型金属压舌板将中鼻甲向外侧骨折进行治疗。
在接受治疗的队列中，48例（87%）患者经一次治疗后临床症状完全缓解，所有患者经两次治疗后均缓解。1例患者复发。无短期或长期不良后遗症。平均随访50个月（范围6 - 84个月）时结果持续存在。
中鼻甲外移术在消除由中鼻甲与鼻中隔接触点引起的鼻源性头痛症状方面安全有效。
