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Concho-antropexy or total inferior turbinectomy for hypertrophy of the inferior turbinates? a prospective randomized study

Published online by Cambridge University Press:  29 June 2007

M. A. Salam*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Hull Royal Infirmary, Hull
C. Wengraf
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Hull Royal Infirmary, Hull
*
Mr M. A. Salam, 6 Arundel Close, Warwick, Warwickshire CV34 5HZ

Abstract

Twenty-five patients with bilateral nasal obstruction due to hypertrophy of the inferior turbinates were entered into a prospective study to compare the efficacy and the associated complications of total inferior turbinectomy and concho-antropexy. We found no significant statistical difference in the efficacy of these procedures in relieving nasal obstruction and discharge (>0.5). Total inferior turbinectomy was associated with more postoperative pain (p<0.05) and with long-term dryness and crusting (p<0.05) which were statistically significant. This is the first trial where concho-antropexy and total inferior turbinectomy are compared.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1993

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References

Courtiss, E. H., Goldwyn, R. M.O‘Brien, J. J. (1978) Resection of obstructing inferior nasal turbinates. Plastic and Reconstructive Surgery 62: 249257CrossRefGoogle ScholarPubMed
Dawes, P. J. D. (1987) The early complications of inferior turbinectomy. Journal of Laryngology and Otology 101: 11361139CrossRefGoogle ScholarPubMed
Fateen, M. (1967) Concho-antropexy (C.A.P.) in vasomotor rhinitis and chronic nasal obstruction. International Rhinology 1: 2024Google Scholar
Fukutake, T., Yamashita, T., Tomada, T., Kumazawa, T. (1986) Laser surgery for allergic rhinitis. Archives of Otolaryngology 112: 12801282CrossRefGoogle ScholarPubMed
Gluckman, J. L. (1980) The clinical approach to nasal obstruction. In Otolaryngology, vol. 3, (Paparella, M. M., Shumrick, P. A., eds.),W. B. Saunders Co., Philadelphia, pp 20452050Google Scholar
Goode, R. L. (1977) Diagnosis and treatment of turbinate dysfunction: a self instructional package, American Academy of Otolaryngology, Washington, D.C., pp 3652Google Scholar
Guyton, A. C. (1981). Textbook of Medical Physiology, W. B. Saunders Co., Philadelphia, pp 486487Google Scholar
House, H. P. (1951) Submucous resection of the inferior turbinate bone. Laryngoscope 61: 637648CrossRefGoogle Scholar
Martinez, S. A., Nissen, A. J., Stock, C. R., Tesmer, T. (1983) Nasal turbinate resection for relief of nasal obstruction. Laryngoscope 93: 871975CrossRefGoogle ScholarPubMed
Moore, G. E.Bicknell, P. G. (1980) A comparison of cryotherapy and submucous diathermy in vasomotor rhinitis. Journal of Laryngology and Otology 94: 14111431.CrossRefGoogle Scholar
Moore, G. F.Freeman, I. J., Orgren, J. P., Yonker, A. J. (1985) Extended follow-up of total inferior turbinate resection for relief of chronic nasal obstruction. Laryngoscope 95: 10951099CrossRefGoogle ScholarPubMed
Ophir, D., Shapira, A., Marshak, G. (1985) Total inferior turbinectomy for nasal obstruction. Archives of Otolaryngology 111: 9395CrossRefGoogle Scholar
Ozenberger, J. M. (1973) Cryosurgery for treatment of chronic rhinitis. Laryngoscope 83: 508512CrossRefGoogle ScholarPubMed
Wengraf, C. L., Glesson, M. J., Siodlak, M. Z. (1986) The stuffy nose: a comparative study of two common methods of treatment. Clinical Otolaryngology 11: 6168CrossRefGoogle Scholar