Nasal Air-Conditioning after Partial Turbinectomy: Myths versus Facts
Autor: | George Kekes, Victor Vital, Jannis Constantinidis, Evangelia Tsakiropoulou |
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Rok vydání: | 2015 |
Předmět: |
Adult
Male Rhinometry Acoustic Otorhinolaryngologic Surgical Procedures medicine.medical_treatment Subjective perception Turbinectomy Turbinates Partial turbinectomy Young Adult Acoustic rhinometry Surveys and Questionnaires medicine Humans Immunology and Allergy Air Conditioning Major complication Aged medicine.diagnostic_test business.industry Temperature Endoscopy Humidity General Medicine Middle Aged Treatment Outcome Otorhinolaryngology Anesthesia Female Nasal administration Nasal Cavity Nasal Obstruction business |
Zdroj: | American Journal of Rhinology & Allergy. 29:e59-e62 |
ISSN: | 1945-8932 1945-8924 |
DOI: | 10.2500/ajra.2015.29.4151 |
Popis: | Background Turbinectomy, although a common procedure, is often accused of having a negative impact in all nasal functions. This study is the first in vivo study that evaluates objectively the effect of partial turbinectomy on nasal air-conditioning capacity. Methods In total, 57 patients with prior partial inferior turbinectomy and 28 healthy controls were examined. Intranasal temperature and humidity values were measured at the level of the head of inferior and middle turbinate. Nasal patency was evaluated by means of acoustic rhinometry. The clinical assessment was completed with nasal endoscopy and the Nasal Obstruction Symptom Evaluation questionnaire for subjective evaluation of nasal patency. Results Significant changes of temperature were found in both detection sites with 13% reduced heating capacity of the air at the level of the inferior and 19% at the level of the middle turbinate, respectively. No similar results were found for humidity measurements. No correlations were found between air-conditioning values and acoustic rhinometry results for both study groups. Nasal endoscopy revealed normal healing in all patients. No major complications were reported by the patients. Their subjective ratings of nasal obstruction were similar to healthy controls. Conclusion Partial turbinectomy seems to have a negative impact on intranasal air heating but not to humidification. This effect has no impact on clinical condition and subjective perception of surgical outcome. |
Databáze: | OpenAIRE |
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