Barbosa Adriano de Amorim, Caldas Nelson, Morais Alberto Xavier de, Campos Alexandre José da Costa, Caldas Sílvio, Lessa Fábio
Hospital das Clínicas, Federal University of Pernambuco.
Braz J Otorhinolaryngol. 2005 Jul-Aug;71(4):468-71. doi: 10.1016/s1808-8694(15)31201-5. Epub 2005 Dec 15.
Partial inferior turbinectomy is a procedure directed to treat nasal obstruction secondary to hypertrophy rhinitis. This study evaluates the impact of this procedure in the quality of life of the patients, analyzing the improvement of other symptoms such as rhinorrhea, nasal itching and sneezing after six months of the surgical procedure.
Clinical prospective.
Forty-nine patients submitted to turbinectomy associated or not with septoplasty, received questionnaires to grade the intensity of symptoms. Through the comparison of severity of symptoms before and after six months of the surgery, it was possible to evaluate the degree of improvement of each symptom. The results were classified as null, good, moderate and great, and we subtracted postoperative score from the preoperative score.
The nasal obstruction presented good or great results in 98% of the patients. For rhinorrhea, the surgery has resulted in good or great improvement in 49% of the cases. Sneezing presented good or great results in 81.6% of the patients and, nasal itching, 45%.
The study showed that the clinical benefits obtained with the partial inferior turbinectomy are not limited to nasal obstruction, extending also to others symptoms of rhinitis, mainly in relation to sneezing crisis.
部分下鼻甲切除术是一种针对治疗肥厚性鼻炎继发鼻阻塞的手术。本研究评估该手术对患者生活质量的影响,分析手术六个月后其他症状如鼻溢、鼻痒和打喷嚏的改善情况。
临床前瞻性研究。
49例接受下鼻甲切除术(无论是否联合鼻中隔成形术)的患者,接受问卷调查以对症状强度进行分级。通过比较手术六个月前后症状的严重程度,评估每种症状的改善程度。结果分为无改善、改善良好、改善中等和改善显著,用术前评分减去术后评分。
98%的患者鼻阻塞症状改善良好或显著。对于鼻溢,手术使49%的病例改善良好或显著。81.6%的患者打喷嚏症状改善良好或显著,45%的患者鼻痒症状改善良好或显著。
该研究表明,部分下鼻甲切除术带来的临床益处不仅限于鼻阻塞,还扩展到鼻炎的其他症状,主要是与打喷嚏发作有关的症状。