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下鼻甲骨折外移术的中期疗效。

Midterm outcomes of outfracture of the inferior turbinate.

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Haseki Research and Training Hospital, Istanbul, Turkey.

出版信息

Otolaryngol Head Neck Surg. 2010 Oct;143(4):579-84. doi: 10.1016/j.otohns.2010.06.915.

Abstract

OBJECTIVE

A variety of medical and surgical treatment alternatives exists for the management of inferior turbinate hypertrophy, indicating a lack of consensus on the optimal technique. The purpose of the present study was to evaluate the inferior turbinate objectively by means of radiologic methodology during the early and late periods in patients treated with inferior turbinate outfracture.

STUDY DESIGN

Case series with planned data collection.

SETTING

Tertiary referral center.

SUBJECTS AND METHODS

Eighty inferior turbinates of 40 patients (28 males, 12 females) who underwent surgery because of septum deviation and inferior turbinate hypertrophy were included in this prospective clinical study. All patients were evaluated by paranasal sinus computed tomography preoperatively and at one and six months postsurgery. The angle and the distance between the inferior turbinate and the lateral wall of the nasal fossa and the area lateral to the inferior turbinate bone were measured on the coronal plane anterior posteriorly at five different anatomic levels.

RESULTS

Statistically significant reductions were noted in the angle and distances in all sections one and six months postoperatively when compared with the preoperative measurements (P < 0.005).

CONCLUSION

Compared with the preoperative status, those patients who underwent turbinate outfracture procedures displayed a reduction in the angle and the distance between the inferior turbinate bone and the lateral wall of the nasal fossa and the area lateral to the inferior turbinate bone one month following surgery. Ongoing outcomes of this treatment method have been objectively shown.

摘要

目的

下鼻甲肥大的治疗方法多种多样,这表明对于最佳技术仍缺乏共识。本研究旨在通过下鼻甲切开术治疗患者的早期和晚期的影像学方法来客观评估下鼻甲。

研究设计

有计划数据收集的病例系列。

设置

三级转诊中心。

受试者和方法

本前瞻性临床研究共纳入 40 例患者(28 名男性,12 名女性)的 80 个下鼻甲,这些患者因鼻中隔偏曲和下鼻甲肥大而接受手术治疗。所有患者均在术前和术后 1 个月和 6 个月进行鼻窦计算机断层扫描评估。在冠状面从前向后测量 5 个不同解剖水平的下鼻甲与鼻腔外侧壁之间的角度和距离以及下鼻甲骨外侧的区域。

结果

与术前测量值相比,术后 1 个月和 6 个月所有节段的角度和距离均有统计学显著降低(P < 0.005)。

结论

与术前相比,接受鼻甲切开术的患者在下鼻甲骨与鼻腔外侧壁之间的角度和距离以及下鼻甲骨外侧的区域在术后 1 个月时均减小。客观显示了这种治疗方法的持续效果。

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