Department of Otolaryngology, Kayseri City Hospital, Kayseri, Turkey.
Department of Otolaryngology - Head and Neck Surgery, Faculty of Medicine, Erciyes University, Kayseri, Turkey.
Eur Arch Otorhinolaryngol. 2019 Jun;276(6):1671-1675. doi: 10.1007/s00405-019-05382-z. Epub 2019 Mar 15.
To evaluate the effect of inferior turbinate outfracture on nasolacrimal transit time by saccharin test.
Twenty patients who underwent septoplasty + unilateral radiofrequency ablation and outfracture of inferior turbinate were enrolled into study. They had no complaints about their eyes and denied previous ocular surgery. Their nasolacrimal saccharin transit times (NSTTs) were estimated preoperatively and postoperatively in the 1st and 2nd months. The non-fractured side eye was measured only once preoperatively. The fractured-side eye was measured three times. These times were compared statistically.
There were 8 men and 12 women. Mean age was 29.04. Killian incision was used in 14 and hemitransfixion incision was used in 6 patients. Median NSTT was 484, 461, 490 and 446 s for the non-fracture side, preoperatively and postoperatively in the 1st and 2nd months, respectively. There was no statistically significant difference between the two eyes preoperatively, and in the fractured side preoperatively and postoperatively in the 2nd month. There were significant differences between median NSTT in postoperative 1st month and median NSTT in the preoperative measure, and between postoperative 1st and 2nd months (p < 0.05). Median NSST in the 1st month was longer than the others.
Outfracture of inferior turbinate had no permanent effect on NSTT 2 months after surgery in patients that had a healthy nasolacrimal system.
通过糖精试验评估下鼻甲切开术对鼻泪管转运时间的影响。
本研究纳入了 20 例接受鼻中隔成形术+单侧射频消融和下鼻甲切开术的患者。他们对眼睛没有任何不适主诉，且否认有过眼部手术史。他们的鼻泪管糖精转运时间（NSTT）在术前、术后 1 个月和 2 个月进行了评估。未切开侧的眼睛仅在术前测量一次。切开侧的眼睛测量了 3 次。对这些时间进行了统计学比较。
8 名男性和 12 名女性，平均年龄为 29.04 岁。14 例采用 Killian 切口，6 例采用半横切口。未切开侧的中位数 NSTT 分别为 484、461、490 和 446 s，术前、术后 1 个月和 2 个月。术前两侧之间、切开侧术前和术后 2 个月之间均无统计学差异。术后 1 个月的中位数 NSTT 与术前测量值、术后 1 个月和 2 个月之间存在显著差异（p<0.05）。术后 1 个月的中位数 NSST 较长。
在鼻泪管系统健康的患者中，下鼻甲切开术在术后 2 个月对 NSTT 没有永久性影响。
