EVALUATION OF INFERIOR TURBINATE HYPERTROPHY IN PATIENTS WITH DEVIATED NASAL SEPTUM - A HOSPITAL-BASED STUDY

2019 ◽  
Vol 11 (1) ◽  
pp. 16-19
Author(s):  
RAIES AHMAD BEGH ◽  
◽  
ADITIYA SARAF ◽  
Keyword(s):  
Nasal Septum ◽  
Inferior Turbinate ◽  
Deviated Nasal Septum ◽  
Turbinate Hypertrophy ◽  
Inferior Turbinate Hypertrophy

scholarly journals Comparing the outcome of septoplasty and septoplasty with turbinectomy in patients with deviated nasal septum

2019 ◽  
Vol 5 (5) ◽  
pp. 1185
Author(s):  
Nayanna Karodpati ◽  
Mayur Ingale ◽  
Sharad Rawat ◽  
Vinayak Kuradagi
Keyword(s):  
Nasal Obstruction ◽  
Nasal Septum ◽  
Inferior Turbinate ◽  
Symptom Improvement ◽  
Deviated Nasal Septum ◽  
Medical College ◽  
Turbinate Hypertrophy ◽  
Symptom Evaluation ◽  
Postoperative Symptoms ◽  
Inferior Turbinate Hypertrophy

<p class="abstract"><strong>Background:</strong> Deviated nasal septum is a bodily disorder results in nasal obstruction. Many surgical procedures are available in correcting the disorder. The present study aimed to compare the surgical outcome of septoplasty alone and septoplasty with turbinectomy in patients with deviated nasal septum.</p><p class="abstract"><strong>Methods:</strong> This prospective study was done on 50 patients attending to the department of ENT of Dr. D. Y. Patil Medical College and Hospital, DPU with complaints of nasal obstruction due to inferior turbinate hypertrophy with deviated nasal septum. The severity of nasal obstruction was assessed by NOSE (nasal obstruction symptom evaluation) scale. Of them, 25 patients were managed with septoplasty alone and other 25 patients with septoplasty and turbinectomy. The outcome of both the procedures was assessed statistically by using NOSE scale.  </p><p class="abstract"><strong>Results:</strong> Postoperative symptom improvement was seen in the both groups following surgery (p&lt;0.05). When the NOSE scores are compared between two groups, statistically significant improvement in the symptoms (NOSE score) was seen in the group of patients treated with septoplasty and turbinectomy compared to septoplasty alone (p&lt;0.05).</p><p class="abstract"><strong>Conclusions:</strong> This study re-iterates both septoplasty and concurrent turbinectomy are established mode of treatment in deviated nasal septum along with hypertrophy of inferior turbinates when the preoperative and postoperative symptoms are compared. However, the symptomatic outcomes and diagnostic nasal endoscopic findings are significantly better in patients who underwent septoplasty with concurrent resection of the inferior turbinate. </p>

Bilateral Antrochoanal Polyps: An Analysis from Four Cases

2016 ◽  
Vol 50 (4) ◽  
pp. 173-175
Author(s):  
Prachi Jain ◽  
Lokesh K Penubarthi ◽  
Eshaan Kaushik
Keyword(s):  
Nasal Septum ◽  
Close Association ◽  
Inferior Turbinate ◽  
Sinus Surgery ◽  
Easy Access ◽  
Rare Entity ◽  
Deviated Nasal Septum ◽  
Turbinate Hypertrophy ◽  
Inferior Turbinate Hypertrophy

ABSTRACT Bilateral antrochoanal polyps (ACPs) are a rare entity. We studied four cases of bilateral ACPs that presented to us. We found a close association of allergy (75%) and chronic rhinosinusitis (CRS) (50%) as etiological factors. The anatomical factors like deviated nasal septum (75%), inferior turbinate hypertrophy (50%), and concha bullosa (25%) are also commonly associated with bilateral ACPs. Endoscopic sinus surgery was performed in all the patients with special emphasis to correct the anatomical factors. Inferior meatal antrostomy was performed in two cases to allow easy access of the angled microdebrider blade for clearing the polyp from the anterolateral and anterosuperior limits of the antrum. After a mean follow-up period of 23 months, no recurrence was found. How to cite this article Virk RS, Penubarthi LK, Gupta AK, Jain P, Kaushik E. Bilateral Antrochoanal Polyps: An Analysis from Four Cases. J Postgrad Med Edu Res 2016;50(4):173-175.

Association Between Deviated Nasal Septum With Inferior Turbinate Hypertrophy and the Risk of Male Infertility

2020 ◽  
Vol 35 (1) ◽  
pp. 17-25
Author(s):  
Hsin-Chien Chen ◽  
Chi-Hsiang Chung ◽  
Wu-Chien Chien
Keyword(s):  
Male Infertility ◽  
Incidence Rate ◽  
Nasal Septum ◽  
Inferior Turbinate ◽  
Control Group ◽  
Deviated Nasal Septum ◽  
Turbinate Hypertrophy ◽  
Obstructive Sleep ◽  
Male Patients ◽  
Inferior Turbinate Hypertrophy

Objectives Obstructive sleep apnea is associated with an increased risk of male infertility, and one of its causes is deviated nasal septum with inferior turbinate hypertrophy (DNS/ITH). However, the risk of male infertility associated with DNS/ITH remains unclear. Methods Using the Taiwan Longitudinal Health Insurance Database, we conducted a retrospective matched cohort study to investigate the risk of infertility in male patients diagnosed with DNS/ITH (N = 61,761) from 2000 to 2015 in comparison with matched controls without DNS/ITH (N = 247,044). We further analyzed the effect of septoturbinoplasty (STP), including septoplasty and turbinoplasty, on the risk of male infertility in DNS/ITH patients. Results At the end of the follow-up period, 46 (0.07%, 46/61,761, incidence rate: 6.25 per 100,000 person-years) patients developed infertility in the DNS/ITH group versus 72 (0.03%, 72/247,044, incidence rate: 2.28 per 100,000 person-years) in the control group; the incidence rate was 2.740-fold higher in the DNS/ITH group (log-rank P < 0.001). Cox proportional hazards regression revealed that the risk of infertility increased in the DNS/ITH group [adjusted hazard ratio (HR): 1.080, 95% confidence interval (CI), 1.049–1.514, P = 0.001]. Compared with the control group, the risk of infertility was highest in the DNS/ITH group without STP (adjusted HR: 2.842, 95% CI, 1.715–4.082, P < 0.001), followed by the DNS/ITH group with STP (adjusted HR: 1.074, 95% CI, 1.035–1.488, P = 0.012). The intervention of STP reduced the risk of infertility in the DNS/ITH group by 45.1% compared with those without STP (P = 0.033). Conclusion Clinicians should be aware of the risk of infertility in male patients presenting with DNS/ITH. Improving the nasal airway by STP may decrease the risk of male infertility.

scholarly journals COMPUTED TOMOGRAPHIC EVALUATION OF INFERIOR TURBINATE HYPERTROPHY IN ADULT INDO-DRAVIDIAN PATIENTS WITH DEVIATED NASAL SEPTUM

2017 ◽  
Vol 10 (7) ◽  
pp. 342
Author(s):  
Niranjan Sahu ◽  
Satyasundar G Mohapatra ◽  
Siba Narayan Rath ◽  
Rabindra Nath Padhy
Keyword(s):  
Nasal Septum ◽  
Inferior Turbinate ◽  
Septal Deviation ◽  
Total Width ◽  
Deviated Nasal Septum ◽  
Maximum Width ◽  
Turbinate Hypertrophy ◽  
Group I ◽  
Group Ii ◽  
Inferior Turbinate Hypertrophy

Objective: Aim of the study was to evaluate the prevalence and significance of inferior turbinate hypertrophy (ITH) in adult indo-dravidian patients with deviated nasal septum (DNS). Methods: Analysis of sinonasal computerized tomography (CT) images of 86 patients having DNS was done during October 2015-December 2016 for evaluation of severity of the associated ITH. Values of maximum width of medial mucosa, bone and total width of the turbinate were measured. Patients with inflammatory or expansile sinonasal masses were excluded. Results: Total 86 patients with varying degrees of septal deviation with ages ranging from 18 to 72 years (mean age of 42.8 years) were distributed as: Group I, mild cases and Group II, moderate and severe DNS cases. Patients having ITH on the contralateral side of deviation were included in the study group. The dimensions of the ITH were evaluated. The medial mucosal component of the ITH underwent maximum hypertrophy as compared to bone and lateral mucosa components. The average medial mucosa, bone and total turbinate widths of the inferior nasal concha as well as lateral offset in Group II DNS cases were 5.21 mm, 1.76 mm, 9.96 mm and 8.74 mm, respectively. Total width and width of medial mucosa of ITH in relation to the severity of septal deviation was statistically significant (p=0.0001 and 0.0098). Conclusion: Present study evaluated the relationship between DNS and compensatory ITH. The findings support the decision to excise the inferior turbinate at the time of septoplasty, because of the significant mucosal expansion.

Evaluation of inferior turbinate hypertrophy in patients with congenital and traumatic nasal septum deviation

2012 ◽  
Vol 126 (8) ◽  
pp. 784-788 ◽  
Author(s):  
A Y Korkut ◽  
F Islim ◽  
S Gulseven Ciftci ◽  
R Dogan ◽  
O Gedikli ◽  
...  
Keyword(s):  
Nasal Septum ◽  
Group Versus ◽  
Inferior Turbinate ◽  
Septal Deviation ◽  
Septum Deviation ◽  
Turbinate Hypertrophy ◽  
Nasal Septum Deviation ◽  
Traumatic Group ◽  
The Difference ◽  
Inferior Turbinate Hypertrophy

AbstractObjective:To compare mucosal and bony measurements in patients with congenital and traumatic nasal septum deviation and compensatory inferior turbinate hypertrophy.Methods:The study examined 50 patients with nasal septum deviation (25 congenital and 25 traumatic) and compensatory inferior turbinate hypertrophy in the contralateral nasal cavity, confirmed by computed tomography.Results:The study compared inferior turbinate measurements on the concave and convex sides of the septum, in the congenital and traumatic groups. Measurements comprised: the shortest distance from the median line to the medial border of the conchal bone; the distances from the most medial part of the conchal mucosa and the conchal bone to the lateral line; the projection angle of the inferior turbinate; and the widest parts of the whole inferior turbinate and the inferior turbinate conchal bone. The differences between the concave and convex side measurements were compared in the congenital group versus the traumatic group; for three measurements, the difference between these two groups was statistically significant (p < 0.05).Conclusion:The present study findings suggest that the conchal bone has a marked influence on nasal patency in patients with congenital septal deviation. These findings supported the decision to excise the inferior turbinate bone at the time of septoplasty, especially when treating congenital septal deviation.

scholarly journals Septoplasty and septoplasty with inferior turbinoplasty in the management of nasal septal deviation with inferior turbinate hypertrophy

2020 ◽  
Vol 6 (5) ◽  
pp. 960
Author(s):  
K. Rajashekhar ◽  
K. Parameshwar ◽  
K. P. Goud
Keyword(s):  
Nasal Obstruction ◽  
Inferior Turbinate ◽  
Septal Deviation ◽  
Deviated Nasal Septum ◽  
Nasal Septal Deviation ◽  
Turbinate Hypertrophy ◽  
First Pass ◽  
The Mean ◽  
Group 2 ◽  
Inferior Turbinate Hypertrophy

<p class="abstract"><strong>Background:</strong> Nasal obstruction is a highly prevalent problem caused by nasal septal deviation, with or without inferior turbinate hypertrophy. Nasal septoplasty and inferior turbinoplasty can improve the nasal airways. This study was designed to assess the efficacy of septoplasty alone and septoplasty with inferior turbinoplasty in cases having nasal septal deviation with inferior turbinate hypertrophy.</p><p class="abstract"><strong>Methods:</strong> A total 70 cases clinically diagnosed with the deviated nasal septum and inferior turbinate hypertrophy were randomly divided into two groups. Group 1 cases were under septoplasty alone and group 2 cases were under septoplasty with inferior turbinoplasty. Symptom improvement scores was assessed by sino nasal outcome test-20 (SNOT-20).  </p><p class="abstract"><strong>Results:</strong> The mean reduction symptom score of nasal obstruction was 1.73 in septoplasty with inferior turbinoplasty group, while in septoplasty group it was 1.06. The mean reduction symptom score in group 2 was statistically significant. All the cases of group 2 had adequate first pass diagnostic nasal endoscopy (DNE). While in group 1, majority cases had inadequate first pass DNE.  </p><p class="abstract"><strong>Conclusions:</strong> First pass DNE findings were favourable in the cases under septoplasty with inferior turbinoplasty Septoplasty with inferior turbinoplasty is effective in the reduction of nasal obstruction, facial pain, sleep difficulty, decrease in attentiveness and irritability in cases having deviated nasal septum with inferior turbinate hypertrophy.</p>

scholarly journals The Role of Quantic Molecular Resonance (QMR) in the Treatment of Inferior Turbinate Hypertrophy (ITH): Our Experience With Long-Term Follow-Up in Allergic and Nonallergic Rhinitis Refractory to Medical Therapy. Preliminary Results

2021 ◽  
pp. 014556132110015
Author(s):  
Filippo Ricciardiello ◽  
Davide Pisani ◽  
Pasquale Viola ◽  
Raul Pellini ◽  
Giuseppe Russo ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Inferior Turbinate ◽  
Nonallergic Rhinitis ◽  
Turbinate Hypertrophy ◽  
Group A ◽  
Group B ◽  
Inferior Turbinate Hypertrophy ◽  
Molecular Resonance

Objective: The aim of this study was to assess the long-term effectiveness of quantic molecular resonance (QMR) in the treatment of inferior turbinate hypertrophy (ITH) in allergic and nonallergic rhinitis refractory to medical therapy. Methods: This study enrolled 281 patients, 160 males (56.9%) and 121 females (43.1%), mean age 37.8 ± 4.1 years, range 18 to 71. Fifty-four patients have been lost to follow up and have been therefore excluded from the final analysis. Based on skin prick test results, 69 patients were considered allergic (group A) and 158 nonallergic (group B). All subjects underwent before surgery (T0) and 3 (T1), 12 (T2), 24 (T3), and 36 months (T4) after QMR treatment to: 4-phase rhinomanometric examination, nasal endoscopy evaluation, and visual analogue scale to quantify the subjective feelings about nasal obstruction. Results: Subjective and objective parameters showed statistically significant improvement in both groups. Group B parameters not changed during follow-up, while group A showed significant worsening between T1 and subsequent assessments. T4 outcome indicates a better result in nonallergic patients. Conclusions: In accordance with the literature, our preliminary data validate QMR treatment as a successful therapeutic option for nasal obstruction due to ITH. Nonallergic patients had a very good T4 outcome. Allergic patients showed a worsening trend after 1 year probably due to other causes.

scholarly journals Morphological and histopathological study of hypertrophied inferior nasal turbinate in Egyptian patients: in clinical perspective

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Ashraf Ali El-Demerdash ◽  
Essam Abdel Wanees Beheiry ◽  
Sherif Maher El-Aini ◽  
Asmaa Shams El-Dein Mohamed ◽  
Ahmed Mohamed Ibrahim Khattab
Keyword(s):  
Layer Thickness ◽  
Nasal Septum ◽  
Inferior Turbinate ◽  
Military Hospital ◽  
Deviated Nasal Septum ◽  
Nasal Turbinate ◽  
Egyptian Patients ◽  
Mucosal Layer ◽  
Group A ◽  
Group B

Abstract Background The inferior nasal turbinates have important role in the maintenance of nasal breathing function by providing the nasal valve mechanism necessary for the regulation of air flow through the nose. Hypertrophied inferior nasal turbinates are the second most common cause of chronic nasal obstruction. Our aim of this study is to evaluate the morphological and histopathological features of hypertrophied inferior nasal turbinate in Egyptian patients. Methods Our descriptive comparative study was carried on 30 patients presented with hypertrophied inferior nasal turbinate by clinical and radiological assessment. Patients are divided into two groups according to CT scan and endoscopic examination as group A for patients with deviated nasal septum with compensatory hypertrophied inferior nasal turbinate and group B for patients with hypertrophied inferior nasal turbinate due to allergic rhinosinusitis. Both groups underwent the same operation which partial controlled posterior inferior turbinectomy. During the period from June 2018 till May 2019, patients were selected from out-patient’s clinic of Otorhinolaryngology Department at Menoufia University Hospital and Shebin El-Kom Teaching Hospital, and Military Hospital. Results By histopathological examination of the specimens, we found out that the bony layer thickness was more prominent in group A and the mucosal layer thickness was more prominent in group B. The prominent inflammatory cells were lymphocytes in group A and eosinophils plus mast cells in group B. Conclusion The bony layer thickness should be excised during the surgical treatment of cases presented with deviated nasal septum with hypertrophied inferior turbinate where in cases of allergic rhinitis with hypertrophied inferior turbinate, the mucosal layer is enough to be excised.

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