Grymer L F, Illum P, Hilberg O
ENT Department, University Hospital, Aarhus, Denmark.
J Laryngol Otol. 1993 May;107(5):413-7. doi: 10.1017/s0022215100123308.
The present study deals with the indication for inferior turbinate surgery in cases of concomitant anterior septal deviation. We define, by acoustic rhinometry, the characteristics of the obstructed nose and define mucosal turbinate hypertrophy. A random sample of 80 patients with nasal obstruction and anteriorly located septal deviation were objectively evaluated by acoustic rhinometry pre- and post-operatively. All had septoplasty and half were randomly selected to have anterior inferior turbinoplasty performed in the side opposite to the major septal deviation. Severe septal deviation, expressed by a minimal cross-sectional area less than 0.4 cm2 was present in 37 patients. In this group inferior turbinate reduction seems advisable. In the wide side, the minimal cross-sectional area and the cross-sectional areas at 3.3 and 4.0 cm from the nostrils increased in the turbinectomy group and decreased in the non-turbinectomy group after correction of the septal deviation. In the group with less pronounced septal deviation no influence of turbinate reduction could be detected.
本研究探讨了伴有鼻中隔前偏曲病例中下鼻甲手术的指征。我们通过鼻声反射测量法确定阻塞性鼻的特征并界定黏膜下鼻甲肥大。对80例伴有鼻中隔前偏曲的鼻塞患者进行随机抽样，在术前和术后通过鼻声反射测量法进行客观评估。所有患者均接受鼻中隔成形术，其中一半患者被随机选择在与主要鼻中隔偏曲相反的一侧进行下鼻甲前端成形术。37例患者存在严重鼻中隔偏曲，表现为最小横截面积小于0.4平方厘米。在该组中，下鼻甲缩小似乎是可取的。在宽侧，鼻中隔偏曲矫正后，鼻甲切除组距鼻孔3.3厘米和4.0厘米处的最小横截面积及横截面积增加，而非鼻甲切除组则减小。在鼻中隔偏曲不太明显的组中，未检测到鼻甲缩小的影响。
