Carbonell Casasús J, Bleda Vázquez C, Cánovas Llorens D, Mas S
Servicio O.R.L., Hospital Son Dureta, Palma de Mallorca.
An Otorrinolaringol Ibero Am. 1997;24(2):151-60.
Nasal blockage is one of the most habitual symptoms in otolaryngologist office and the concha nasalis inferior hypertrophy the commonest cause of the trouble. Cases in which medical treatment is refractory, surgery could be an optional resort in accordance of a great deal of specialists. The possibility of give rise to atrophic rhinitis or even ozenatous lesions has been refraining this surgery lately. In our series are contemplated the outcomes of several surgical procedures as mode of management of the hypertrophy of the lower turbinal. In the article are assessed the results of several surgical techniques dealing with hypertrophy of concha nasalis inferior. 75 patients were operated under endoscopic control. Some underwent a submucous decompression (SD) other partial resection (PR). Results at half and long term of both techniques-the conservative one (SD) and that a little more aggressive (PR)-are compared, and so are the factors conditioning the selection of the surgical procedure done. We consider the partial resection of the inferior concha, under endoscopic vision, as the best way for improving the nose obstruction due to inferior concha hypertrophy, provided conservative measures are not wise at all. Furthermore because with our own hands we reach very good outcomes, both in breathing and nasal comfort. Only the patient's age may influence the last decision.
鼻塞是耳鼻喉科门诊最常见的症状之一，下鼻甲肥大是造成这种问题的最常见原因。对于药物治疗无效的病例，根据许多专家的意见，手术可能是一种选择。然而，这种手术可能导致萎缩性鼻炎甚至臭鼻症病变，这一可能性近来一直限制着该手术的开展。在我们的系列研究中，考虑了几种手术方法治疗下鼻甲肥大的效果。本文评估了几种处理下鼻甲肥大的手术技术的结果。75例患者在内镜控制下接受了手术。一些患者接受了黏膜下减压术（SD），另一些接受了部分切除术（PR）。比较了两种技术——保守的（SD）和稍激进的（PR）——的短期和长期结果，以及影响所采用手术方式选择的因素。我们认为，在内镜视野下部分切除下鼻甲，是改善下鼻甲肥大所致鼻阻塞的最佳方法，前提是保守措施完全无效。此外，因为我们自己实施手术能取得很好的效果，无论是在呼吸还是鼻腔舒适度方面。只有患者的年龄可能会影响最终的决定。
