Chhabra Nipun, Houser Steven M
Department of Surgery, University of Illinois College of Medicine, Saint Anthony Medical Center, Rockford, IL.
Int Forum Allergy Rhinol. 2014 Sep;4 Suppl 2:S79-83. doi: 10.1002/alr.21387.
Allergic rhinitis (AR) is a highly prevalent disorder that significantly impacts quality of life and affects millions of people annually. The most bothersome complaint is nasal obstruction, which is most commonly due to inferior turbinate hypertrophy.
This work presents a review of the literature and an overview of operative techniques.
A variety of methods are available for addressing inferior turbinate hypertrophy in patients afflicted with AR. Although no single modality has been defined as the gold standard for treatment, the otolaryngologist should be familiar with an armamentarium of surgical techniques.
The inferior turbinate is the initial deposit point for allergens and undergoes dynamic changes through the allergic cascade, which results in nasal obstruction. Targeting the inferior turbinate to augment the nasal airway is the mainstay of surgical treatment in AR. Judicious technique and a mucosal sparing philosophy are necessary to maximize outcomes and improve quality of life.
变应性鼻炎（AR）是一种高度流行的疾病，严重影响生活质量，每年影响数百万人。最困扰人的症状是鼻塞，这最常见的原因是下鼻甲肥大。
本文对文献进行综述并概述手术技术。
有多种方法可用于治疗患有AR的患者的下鼻甲肥大。虽然没有单一的方法被定义为治疗的金标准，但耳鼻喉科医生应熟悉一系列手术技术。
下鼻甲是变应原的初始沉积点，并通过变应性级联反应发生动态变化，从而导致鼻塞。针对下鼻甲以扩大鼻气道是AR手术治疗的主要方法。明智的技术和保留黏膜的理念对于最大化治疗效果和改善生活质量是必要的。
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