ACTA OTORHINOLARYNGOL ITAL 15/3 (1995) 219-228

Comparative study of most recent surgical techniques for the treatment of the hypertrophy of inferior turbinates

Passali D., Lauriello M., De Filippi A., Bellussi L.

Istituto di Discipline O.R.L., Policlinico Le Scotte, Universita` di Siena.

Abstract
The choice among the several techniques carried out to treat the hypertrophy of inferior turbinates is still difficult and matter of great interest. In the present study the Authors evaluated the efficacy and sequelae of the most common operations suitable for this pathology. The surgical procedures taken into consideration were (1) electrocautery; (2) cryotheraphy; (3) lasertherapy; (4) submucosal decongestion without lateral outfracture; (5) sub-mucosal decongestion with lateral outfracture; (6) turbinectomy. The six groups of patients (total 382) have been followed up for 4 years after surgery. At this aim the rhinomanometry, acoustic rhinometry, MCTt and SIgA dosage have been checked up together with the symptomatologic score. The conclusion was that the submucosal decongestion with lateral outfracture was the most effective technique for the chronic nasal obstruction, able to respect all the nasal functions.

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