Inferior nasal turbinate mucosa shrinkage prior to surgery under local anaesthesia
| Autor: | Małgorzata Lisiecka, Paweł Stręk, Olaf Zagólski, Przemyslaw Gorzedowski |
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| Rok vydání: | 2021 |
| Předmět: |
Nasal cavity
medicine.medical_specialty Inferior nasal turbinate business.industry Mucous membrane of nose General Medicine Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Under local anaesthesia Otorhinolaryngology 030220 oncology & carcinogenesis Common nasal meatus Nasal septum Medicine General anaesthesia 030223 otorhinolaryngology business Nasal Turbinate |
| Zdroj: | Acta Otorrinolaringologica (English Edition). 72:170-176 |
| ISSN: | 2173-5735 |
| Popis: | Introduction and Objectives Chronic rhinitis-related complaints may result from isolated hypertrophy of the inferior nasal turbinates. If the symptoms persist despite conservative management, turbinoplasty is indicated. However, the nasal mucosa lining the inferior turbinates seems decongested immediately before the surgery performed under local anaesthesia, compared to the examination when the patients were entered for surgery. The study aimed to confirm this observation and to hypothesize as to the reasons for its occurrence. Patients and Methods The measurements of the longest distances between the medial rim of the inferior nasal turbinate mucosa and nasal septum and the shortest distances between the lower rim of the turbinate and floor of the nasal cavity in the inferior part of both common nasal meatus, were carried out on photos taken during endoscopic examinations: the one entering the patient for turbinoplasty, and the other immediately before the procedure. The results in this group were compared to those obtained from patients operated on under general anaesthesia. Results In 130 patients aged 18-60 (mean = 40.7) years, operated on under local anaesthesia, the sum of the mean distances between the nasal septum and the medial rim of the lower turbinate in both nasal cavities, was 3.4 mm during the first examination, and 4.5 mm (p = .0008) during the second one. In the group of 42 participants aged 26-47, mean = 36.8 years operated on under general anaesthesia, the values were: 4.8 mm and 3.6 mm (p = .02), respectively. The differences were significantly smaller in the smokers (.3) compared to non-smokers (1.3; p = .04) mm. Conclusions Records of the entering examination must be considered before turbinoplasty under local anaesthesia. |
| Databáze: | OpenAIRE |
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