Nassif Filho Antonio Celso Nunes, Ballin Carlos Roberto, Maeda Carlos Augusto Seiji, Nogueira Gustavo Fabiano, Moschetta Matheus, de Campos Danielle Salvatti
Otolaryngology Department, Santa Casa de Misericórdia, Curitiba, Brazil.
Braz J Otorhinolaryngol. 2006 Jan-Feb;72(1):89-95. doi: 10.1016/s1808-8694(15)30039-2.
The objective of this study was to compare the effects of submucosal cauterization of the inferior turbinate with or without outfracture.
Clinical prospective.
Twenty patients with inferior turbinate hypertrophy were randomized and divided into two groups. The first one was submitted to submucosal cauterization associated with outfracture, and the second one without fracture. Five items were assessed to compare both methods: pain, nasal bleeding, scarring--analyzed through anterior rhinoscopy, observing edema, hyperemia and seropurulent secretion; crust formation (seen through anterior rhinoscopy); and nasal airway patency. Follow-up was performed on days 7, 14, 30.
In both groups crusting formation was similar. Scarring showed better results in the outfracture group in the first two weeks postoperative. The analysis of nasal airway patency showed good results in 80% of the patients submitted to submucosal cauterization with outfratcture on day 30 postoperatively.
We concluded that submucosal cauterization of inferior turbinate with outfracture is better than the procedure without outfracture.
本研究的目的是比较下鼻甲黏膜下烧灼术伴或不伴外骨折的效果。
临床前瞻性研究。
将20名下鼻甲肥大患者随机分为两组。第一组接受黏膜下烧灼术并伴外骨折,第二组不进行骨折处理。通过五项指标来比较两种方法:疼痛、鼻出血、瘢痕形成(通过前鼻镜检查分析,观察水肿、充血和脓性分泌物);痂皮形成(通过前鼻镜观察);以及鼻气道通畅情况。在第7天、14天、30天进行随访。
两组痂皮形成情况相似。在前两周,外骨折组的瘢痕形成效果更好。术后30天,对接受黏膜下烧灼术并伴外骨折的患者进行鼻气道通畅情况分析,结果显示80%的患者效果良好。
我们得出结论,下鼻甲黏膜下烧灼术伴外骨折比不伴外骨折的手术效果更好。