Skip to main content
Top
Published in: Aesthetic Plastic Surgery 5/2019

Open Access 01-10-2019 | Rhinoplasty | Original Article

Comparative Study of the Effectiveness of sub mucosal Partial Inferior Turbinectomy and Out fracture of Inferior Turbinate in the Nasal Respiratory Function of Rhinoplasty Patients

Authors: Mahmood Omranifard, Mehrdad Adib, Sajad Ebrahimpour Boroujeni, Farbod Dadkhah Tirani, Samira Asadi

Published in: Aesthetic Plastic Surgery | Issue 5/2019

Login to get access

Abstract

Introduction

The inferior turbinate is a critical and dynamic structure during rhinoplasty in the internal valve. Many surgeons try to preventively reduce its resistance against the path in the post-rhinoplasty period. To this end, the two methods of “sub mucosal partial inferior turbinectomy” and “inferior turbinate out fracture” are compared in the present study.

Methods

In this clinical study, 110 rhinoplasty candidates were randomly divided into two groups, namely sub mucosal partial inferior turbinectomy and out fracture of the inferior turbinate. To assess the complications, the Sino-Nasal Outcome Test (SNOT-22) was used prior to surgical intervention, and 1, 2, 3, 6, and 12 months following the rhinoplasty procedures.

Results

Based on the results of this clinical study and according to the SNOT-22 questionnaire, there was no significant difference between the two groups prior to surgery and a month following the surgery (P > 0.05). However, the average SNOT-22 score for the sub mucosal partial inferior turbinectomy group was significantly lower than that of the group with the out fracture of the inferior turbinate, 2, 3, 6, and 12 months following the surgery.

Conclusion

Both “sub mucosal partial inferior turbinectomy” and “out fracture of inferior turbinate” are effective methods in improving the respiratory function of rhinoplasty patients, yet the former method is more effective than the latter as regards improving the respiratory function of patients.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Literature
1.
go back to reference Rettinger G (2007) Risks and complications in rhinoplasty. GMS Curr Top Otorhinolaryngol Head Neck Surg. 6 Rettinger G (2007) Risks and complications in rhinoplasty. GMS Curr Top Otorhinolaryngol Head Neck Surg. 6
2.
go back to reference Barone M, Cogliandro A, Di Stefano N, Tambone V, Persichetti P (2017) A systematic review of patient-reported outcome measures after rhinoplasty. Eur Arch Oto-Rhino-Laryngol 274(4):1807–1811CrossRef Barone M, Cogliandro A, Di Stefano N, Tambone V, Persichetti P (2017) A systematic review of patient-reported outcome measures after rhinoplasty. Eur Arch Oto-Rhino-Laryngol 274(4):1807–1811CrossRef
3.
go back to reference Pontell J, Slavit DH, Kern EB (1998) The role of out fracture in correcting post-rhinoplasty nasal obstruction. Ear Nose Throat J 77(2):106CrossRefPubMed Pontell J, Slavit DH, Kern EB (1998) The role of out fracture in correcting post-rhinoplasty nasal obstruction. Ear Nose Throat J 77(2):106CrossRefPubMed
4.
go back to reference Rohrich RJ, Lee MR (2013) External approach for secondary rhinoplasty: advances over the past 25 years. Plast Reconstr Surg 131(2):404–416CrossRefPubMed Rohrich RJ, Lee MR (2013) External approach for secondary rhinoplasty: advances over the past 25 years. Plast Reconstr Surg 131(2):404–416CrossRefPubMed
5.
go back to reference Berger G, Hammel I, Berger R, Avraham S, Ophir D (2000) Histopathology of the inferior turbinate with compensatory hypertrophy in patients with deviated nasal septum. Laryngoscope 110(12):2100–2105CrossRefPubMed Berger G, Hammel I, Berger R, Avraham S, Ophir D (2000) Histopathology of the inferior turbinate with compensatory hypertrophy in patients with deviated nasal septum. Laryngoscope 110(12):2100–2105CrossRefPubMed
6.
go back to reference Sinno S, Mehta K, Lee Z-H, Kidwai S, Saadeh PB, Lee MR (2016) Inferior turbinate hypertrophy in rhinoplasty: systematic review of surgical techniques. Plast Reconstr Surg 138(3):419e–429eCrossRefPubMed Sinno S, Mehta K, Lee Z-H, Kidwai S, Saadeh PB, Lee MR (2016) Inferior turbinate hypertrophy in rhinoplasty: systematic review of surgical techniques. Plast Reconstr Surg 138(3):419e–429eCrossRefPubMed
7.
go back to reference Nurse LA, Duncavage JA (2009) Surgery of the inferior and middle turbinates. Otolaryngol Clin North Am 42(2):295–309CrossRefPubMed Nurse LA, Duncavage JA (2009) Surgery of the inferior and middle turbinates. Otolaryngol Clin North Am 42(2):295–309CrossRefPubMed
8.
go back to reference Scheithauer MO (2010) Surgery of the turbinates and “empty nose” syndrome. GMS Curr Top Otorhinolaryngol Head Neck Surg 9:Doc3 Scheithauer MO (2010) Surgery of the turbinates and “empty nose” syndrome. GMS Curr Top Otorhinolaryngol Head Neck Surg 9:Doc3
9.
go back to reference Hol MK, Huizing EH (2000) Treatment of inferior turbinate pathology: a review and critical evaluation of the different techniques. Rhinology 38(4):157–166PubMed Hol MK, Huizing EH (2000) Treatment of inferior turbinate pathology: a review and critical evaluation of the different techniques. Rhinology 38(4):157–166PubMed
10.
go back to reference Rubin JP, Neligan PC (2017) Plastic surgery-e-book: aesthetic surgery, vol 2. Elsevier Health Sciences, Amsterdam Rubin JP, Neligan PC (2017) Plastic surgery-e-book: aesthetic surgery, vol 2. Elsevier Health Sciences, Amsterdam
11.
go back to reference Chen X, Leong S, Lee H, Chong V, Wang D (2010) Aerodynamic effects of inferior turbinate surgery on nasal airflow: a computational fluid dynamics model. Rhinology 48(4):394–400PubMed Chen X, Leong S, Lee H, Chong V, Wang D (2010) Aerodynamic effects of inferior turbinate surgery on nasal airflow: a computational fluid dynamics model. Rhinology 48(4):394–400PubMed
12.
go back to reference Khosa SH, Sheikh AH, Nadeem MA (2014) Role of partial inferior turbinectomy in patients with chronic hypertrophic rhinitis. Pak J Med Health Sci 8:681–683 Khosa SH, Sheikh AH, Nadeem MA (2014) Role of partial inferior turbinectomy in patients with chronic hypertrophic rhinitis. Pak J Med Health Sci 8:681–683
13.
go back to reference Buyuklu F, Cakmak O, Hizal E, Donmez FY (2009) Outfracture of the inferior turbinate: a computed tomography study. Plast Reconstr Surg 123(6):1704–1709CrossRefPubMed Buyuklu F, Cakmak O, Hizal E, Donmez FY (2009) Outfracture of the inferior turbinate: a computed tomography study. Plast Reconstr Surg 123(6):1704–1709CrossRefPubMed
14.
go back to reference Lachanas VA, Tsea M, Tsiouvaka S, Hajiioannou JK, Skoulakis CE, Bizakis JG (2014) The sino-nasal outcome test (SNOT)-22: validation for Greek patients. Eur Arch Oto-Rhino-Laryngol 271(10):2723–2728CrossRef Lachanas VA, Tsea M, Tsiouvaka S, Hajiioannou JK, Skoulakis CE, Bizakis JG (2014) The sino-nasal outcome test (SNOT)-22: validation for Greek patients. Eur Arch Oto-Rhino-Laryngol 271(10):2723–2728CrossRef
15.
go back to reference Nassif Filho ACN, Ballin CR, Maeda CAS, Nogueira GF, Moschetta M, de Campos DS (2006) Comparative study of the effects of submucosal cauterization of the inferior turbinate with or without outfracture. Braz J Otorhinolaryngol 72(1):89–95CrossRefPubMed Nassif Filho ACN, Ballin CR, Maeda CAS, Nogueira GF, Moschetta M, de Campos DS (2006) Comparative study of the effects of submucosal cauterization of the inferior turbinate with or without outfracture. Braz J Otorhinolaryngol 72(1):89–95CrossRefPubMed
16.
go back to reference Tanna N, Im DD, Azhar H, Roostaeian J, Lesavoy MA, Bradley JP et al (2014) Inferior turbinoplasty during cosmetic rhinoplasty: techniques and trends. Ann Plast Surg 72(1):5–8CrossRefPubMed Tanna N, Im DD, Azhar H, Roostaeian J, Lesavoy MA, Bradley JP et al (2014) Inferior turbinoplasty during cosmetic rhinoplasty: techniques and trends. Ann Plast Surg 72(1):5–8CrossRefPubMed
17.
go back to reference Gandomi B, Arzaghi MH, Sharifi L, Tabibi A, Alipoor A (2011) The effects of partial turbinectomy on patients undergoing rhinoplasty. Iran J Otorhinolaryngol 23(3):79–86 Gandomi B, Arzaghi MH, Sharifi L, Tabibi A, Alipoor A (2011) The effects of partial turbinectomy on patients undergoing rhinoplasty. Iran J Otorhinolaryngol 23(3):79–86
18.
go back to reference Moura BH, Migliavacca RO, Lima RK, Dolci JE, Becker M, Feijó C et al (2018) Partial inferior turbinectomy in rhinoseptoplasty has no effect in quality-of-life outcomes: a randomized clinical trial. Laryngoscope 128(1):57–63CrossRefPubMed Moura BH, Migliavacca RO, Lima RK, Dolci JE, Becker M, Feijó C et al (2018) Partial inferior turbinectomy in rhinoseptoplasty has no effect in quality-of-life outcomes: a randomized clinical trial. Laryngoscope 128(1):57–63CrossRefPubMed
19.
go back to reference Lee DC, Jin S-G, Kim BY, Yoo S, Han S, Lee YJ et al (2017) Does the effect of inferior turbinate outfracture persist? Plast Reconstr Surg 139(2):386e–391eCrossRefPubMed Lee DC, Jin S-G, Kim BY, Yoo S, Han S, Lee YJ et al (2017) Does the effect of inferior turbinate outfracture persist? Plast Reconstr Surg 139(2):386e–391eCrossRefPubMed
Metadata
Title
Comparative Study of the Effectiveness of sub mucosal Partial Inferior Turbinectomy and Out fracture of Inferior Turbinate in the Nasal Respiratory Function of Rhinoplasty Patients
Authors
Mahmood Omranifard
Mehrdad Adib
Sajad Ebrahimpour Boroujeni
Farbod Dadkhah Tirani
Samira Asadi
Publication date
01-10-2019
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 5/2019
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-019-01423-4

Other articles of this Issue 5/2019

Aesthetic Plastic Surgery 5/2019 Go to the issue