Surgical Interventions for Inferior Turbinate Hypertrophy: A Comprehensive Review of Current Techniques and Technologies

Surgical treatment of the inferior turbinates is required for hypertrophic inferior turbinates refractory to medical treatments. The main goal of surgical reduction of the inferior turbinate is to relieve the obstruction while preserving the function of the turbinate. There have been a variety of su...

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Bibliographic Details
Published in:International journal of environmental research and public health 2021-03, Vol.18 (7), p.3441
Main Authors: Abdullah, Baharudin, Singh, Sharanjeet
Format: Article
Language:English
Subjects:
Acoustics
Bone
Catheter Ablation
Cold remedies
Complications
Histamine
Humans
Hypertrophy
Hypertrophy - surgery
Lasers
Medical treatment
Mucosa
Nasal Obstruction - surgery
Nose
Pain
Review
Rhinitis
Surgery
Surgical techniques
Thyroid gland
Tomography
Treatment Outcome
Turbinates - surgery
Veins & arteries
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Summary:Surgical treatment of the inferior turbinates is required for hypertrophic inferior turbinates refractory to medical treatments. The main goal of surgical reduction of the inferior turbinate is to relieve the obstruction while preserving the function of the turbinate. There have been a variety of surgical techniques described and performed over the years. Irrespective of the techniques and technologies employed, the surgical techniques are classified into two types, the mucosal-sparing and non-mucosal-sparing, based on the preservation of the medial mucosa of the inferior turbinates. Although effective in relieving nasal block, the non-mucosal-sparing techniques have been associated with postoperative complications such as excessive bleeding, crusting, pain, and prolonged recovery period. These complications are avoided in the mucosal-sparing approach, rendering it the preferred option. Although widely performed, there is significant confusion and detachment between current practices and their basic objectives. This conflict may be explained by misperception over the myriad of available surgical techniques and misconception of the rationale in performing the turbinate reduction. A comprehensive review of each surgical intervention is crucial to better define each procedure and improve understanding of the principle and mechanism involved.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph18073441