scholarly journals COMPARISON OF SUB MUCOSAL DIATHERMY AND PARTIAL RESECTION OF INFERIOR TURBINATE IN THE TREATMENT OF SYMPTOMATIC SANAL VALVE BLOCKAGE

2017 ◽  
Vol VOLUME 5 (VOLUME 5 NUMBER 2 JULY 2017) ◽  
pp. 15-17
Author(s):  
Kapil kumar Singh
Keyword(s):  
Airway Resistance ◽  
Upper Airway ◽  
Inferior Turbinate ◽  
Partial Resection ◽  
Nasal Packing ◽  
Nasal Valve ◽  
Nasal Blockage ◽  
Group I ◽  
Group 2

OBJECTIVEES: To evaluate the efficacy of sub mucosal diathermy (SMD) and partial resection of inferior turbinate (PRIT) in the treatment of symptomatic enlarged inferior turbinate. STUDY DESIGN: Prospective, METHODS: Sixty patents at age group 18 -56 yrs. with symptomatic enlarged inferior turbinate had given choices for SMD and PRIT. All the patients had history of failed medical treatment. RESULTS: Each thirty patients underwent SMD (group I), PRIT (group II), eight patients of group l, have anterior nasal packing after surgery for bleeding. Four patients complained of excessive rhinorrhea for first 2 weeks while 4 patients of Group 1 complained of nasal blockage for 1 week even after intervention. In group 2, 8 patients have re-anterior nasal packing after pack removal. Both groups followed up for 6 months. 13 patients were lost in follow up, so excluded from the study. Following 6 months of follow up, 8 patient of group I had recurrence with nasal blockage and in gr. II none had recurrence. CONCLUSION: PRIT is better than SMD in long course; nevertheless it should be reserved for failed SMD, not as a primary option. Ink described the nasal valve in 1903. The nasal valve is formed medially by the septum and laterally by the caudal edge of the upper lateral cartilage and it accounts for approximately 50% of total upper airway resistance. The anterior tip of the inferior turbinate is found in the nasal valve region, and hypertrophy of this structure can cause exponential increase in airway resistance.

scholarly journals Bioabsorbable Implant for Treatment of Nasal Valve Collapse with or without Concomitant Procedures

2021 ◽  
Author(s):  
Douglas M. Sidle ◽  
Pablo Stolovitzky ◽  
Ellen M. O'Malley ◽  
Randall A. Ow ◽  
Nathan E. Nachlas ◽  
...  
Keyword(s):  
Adverse Events ◽  
Nasal Obstruction ◽  
Large Population ◽  
Inferior Turbinate ◽  
Nasal Valve ◽  
Serious Adverse Events ◽  
Vas Scores ◽  
Nasal Implant ◽  
Nasal Valve Collapse

AbstractThe aim of the study is to report outcomes after treatment of nasal valve collapse with a bioabsorbable nasal implant. It involves two prospective, multicenter, post-market studies evaluating long-term effectiveness of the LATERA implant for severe to extreme nasal obstruction. Participants underwent implant alone or with concomitant inferior turbinate reduction (ITR) and/or septoplasty. Outcome measures included the change from baseline Nasal Obstruction Symptom Evaluation (NOSE) scores, NOSE responder rates, visual analog scale (VAS) scores, and adverse events. A total cohort of 277 participants (109 implants only, 67 implants + ITR, 101 implants + septoplasty + ITR) enrolled at 19 U.S. centers was available for analysis with 177 participants (69 implants only, 39 implants + ITR, 69 implants + septoplasty + ITR) available at 2 years. The mean changes from baseline in NOSE scores and VAS scores were statistically significant (p < 0.001) at all follow-up periods. The baseline NOSE score of 77.8 ± 13.6 was improved to 24.2 ± 23.6 at 24 months. Greater than 90% of participants were NOSE responders across all follow-up periods, 6.1% withdrew for lack of treatment effect. The baseline VAS score of 66.7 ± 18.8 was improved to 21.1 ± 23.9 at 24 months. There were no serious adverse events related to the device or implant procedure. Implant retrieval rate was 4.0% (22/543 implants). Nonserious adverse events were mild to moderate in severity, typically occurred within 6 months of implant, and resolved or were stable. Significant reductions in NOSE and VAS scores and high responder rates from our large population of patients with nasal obstruction who had nasal valve implants confirm sustained effectiveness at 24 months after treatment. The studies are registered on www.clinicaltrials.gov (NCT02952313 and NCT02964312).

Snoring Management with Nasal Surgery and Upper Airway Radiofrequency Ablation

2012 ◽  
Vol 146 (6) ◽  
pp. 1023-1027 ◽  
Author(s):  
William Carroll ◽  
Christina S. Wilhoit ◽  
Jared Intaphan ◽  
Shaun A. Nguyen ◽  
M. Boyd Gillespie
Keyword(s):  
Radiofrequency Ablation ◽  
Case Series ◽  
Upper Airway ◽  
Inferior Turbinate ◽  
Nasal Surgery ◽  
Community Based ◽  
Nasal Blockage ◽  
Related Quality ◽  
Repeated Applications

Objective. To review techniques and outcomes of nasal surgery with upper airway radiofrequency ablation (RFA) when used for socially disruptive snoring, including the rate of infection with reused RFA applicator tips. Study Design. Case series with chart review. Setting. Community-based sleep-disordered breathing clinic. Methods. A prospectively acquired sleep quality assurance database was reviewed to determine demographics, complications, snoring outcomes, level of daytime sleepiness, and sleep-related quality of life in patients with socially disruptive snoring treated with nasal surgery and upper airway RFA. Results. One hundred thirty patients (48 women; 82 men) with a mean age of 50 years (range, 24-83 years) underwent nasal surgery and upper airway RFA for the treatment of chronic nasal blockage with socially disruptive snoring. All patients underwent septoplasty with or without inferior turbinate reduction and RFA to the soft palate and/or base of tongue. Patients received a mean of 2.2 (range, 1-4) applications of upper airway RFA during the course of treatment. No infections occurred with reuse of applicator tips. Fifty-four bed partners (42%) reported complete snoring resolution, whereas 68 (52%) reported residual snoring that was improved. Snoring resolution was more common in patients who underwent repeated applications of upper airway RFA (odds ratio 2.39; 95% confidence interval, 1.09-5.26). Conclusion. Nasal surgery combined with upper airway RFA improved snoring with few complications in this series of patients with anatomic nasal obstruction with socially disruptive snoring. Reuse of RFA applicator tips at palatal sites reduces cost without an observed increase in the risk of upper airway infection.

scholarly journals Uretero-Pelvic Junction Stenosis: Considerations on the Appropriate Timing of Correction Based on an Infant Population Treated with a Minimally-Invasive Technique

Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 107
Author(s):  
Mario Lima ◽  
Niel Di Salvo ◽  
Andrea Portoraro ◽  
Michela Maffi ◽  
Giovanni Parente ◽  
...  
Keyword(s):  
Reduction Rate ◽  
Invasive Technique ◽  
Urinary Flow ◽  
Group I ◽  
Group 2 ◽  
First 90 Days ◽  
Early Timing ◽  
Statistical Improvement ◽  
Group 1

There is no univocal consensus about timing of intervention and best surgical approach for infants with asymptomatic uretero-pelvic junction obstruction (UPJO). We conducted a retrospective analysis of patients undergoing one-trocar-assisted pyeloplasty (OTAP) in a 13 year range period by creating two homogenous groups (indications for surgery were the same for all patients): patients operated on in the first 90 days of life (34 patients; Group 1) and patients operated on between 3 and 12 months of life (34 patients; Group 2). We observed no statistically significant differences between groups in regard to mean operative time, conversion rate to open surgery, mean hospital stay, early complications (urinary leakage) rate and mean antero-posterior diameter (APD) reduction rate. Moreover, no statistical improvement was seen between groups in regard to separate renal function (SRF) at 1-year-follow-up renogram. Thanks to the HSS calculated before and 1 year after surgery, we registered an important improvement in Group I patients (p = 0.023). In our study, there was no significant evidence, in terms of intraoperative data and early postoperative outcomes, between patients who underwent an early pyeloplasty and those who underwent a delayed correction. Nevertheless, we registered a significant improvement in those patients with an impaired SRF that underwent an early surgical correction, especially in terms of urinary flow. Even though this study cannot definitely establish the superiority of early timing of correction, it is evident that further research is needed to clarify this aspect.

scholarly journals Efficacy of Papacarie for Caries Removal: An in vivo Study

2011 ◽  
Vol 2 (3) ◽  
pp. 183-186 ◽  
Author(s):  
Pallavi Urs ◽  
Sunil Raj
Keyword(s):  
Conventional Method ◽  
Pediatric Dentistry ◽  
Pressure Effects ◽  
Secondary Caries ◽  
Group I ◽  
Caries Removal ◽  
Group 2 ◽  
Mean Time

ABSTRACT Objectives Conventional caries removal is associated with unpleasant perception of drilling, requirement of local anesthesia, pressure effects on the pulp, etc. The chemomechanical method of caries removal has overcome these shortcomings. It is not only more comfortable to the patient but also preserves the healthy tissue. The present study was undertaken to evaluate and compare the time taken for caries removal, perception of pain and presence of secondary caries after a period of 10 months with Papacarie (Formulae One, Brazil 2003) and the conventional method. Bilateral primary molars in 52 children age ranging from 5-12 years were selected and divided into group I (conventional method) and group II (chemomechanical method) and compared. Results Mean time taken in the conventional method (14.5 ± 5.367 sec) was significantly higher than papain gel (11.2 ± 5.959 secs). The pain score in group 1 was significantly higher than in group 2. The pain experienced in the conventional method ranged from a minimum of 0 (none) to a maximum of 4 (uncomfortable). Whereas in papain gel, it ranged from 0 (none) to 2 (annoying). The presence of secondary caries after a follow-up of 10 months was not statistically significant. Conclusion Papacarie method seems to be promising as an alternative treatment procedure in pediatric dentistry.

scholarly journals Use of the Nd-YAG Laser for Inferior Turbinectomy: A comparative study

2010 ◽  
Vol 3 ◽  
pp. CMENT.S3740
Author(s):  
Nazik E. Abdullah ◽  
Nafie A. Al-Muslet
Keyword(s):  
Hospital Stay ◽  
Nasal Obstruction ◽  
Inferior Turbinate ◽  
Nasal Packing ◽  
Yag Laser ◽  
Turbinate Hypertrophy ◽  
Nasal Symptoms ◽  
Group 3 ◽  
Group 2 ◽  
Inferior Turbinate Hypertrophy

Nasal obstruction resulting from inferior turbinate hypertrophy was treated by Nd-YAG laser inferior turbinectomy (laser IT). The effectiveness of the procedure was assessed and compared with both functional endoscopic turbinoplasty (turbinoplasty) and conventional partial turbinectomy (conventional IT). Materials and methods A retrospective analytic study was carried out for 53 patients suffering from inferior turbinate hypertrophy. Twenty patients underwent Nd-YAG Laser IT (Group 1), 24 patients underwent turbinoplasy (Group 2) and 9 patients underwent conventional IT (Group 3). Improvement in nasal symptoms were assessed. Intra-operative bleeding, duration of hospital stay, and post-operative medications and instrumentation were compared between the three groups. Results The symptoms of sneezing, hyposmia and rhinorhoea were significantly reduced post-operatively among patients in the three groups and there were no differences statistically between them. The Nd-YAG laser turbinectomy group showed marked reduction in blood loss (average = 12 ml per patient) compared to the turbinoplasy group (average = 181 ml per patient) and conventional IT group (average 201 ml per patient). Hospital stay was much shorter in the laser IT group (average = 0.05 days) compared to Group 2 (1.2 days) and Group 3 (1.3 days). Only one patient in the laser IT group required nasal packing, whereas all patients in the other two groups required nasal packing routinely. Conclusions Nd-YAG laser IT was effective in reducing the symptoms of nasal obstruction, as well as other nasal symptoms without significant complications. The Nd-YAG laser is recommended as an alternative method, when applicable, in treating patients with nasal obstruction resulting from inferior turbinate hypertrophy.

Balanced Cantilever Graft for Supporting the Cartilaginous Side Wall of Nose

2021 ◽  
Author(s):  
Ullas Raghavan ◽  
Mahmoud Daoud ◽  
Emily G Heywood ◽  
Gautham Ullas
Keyword(s):  
Objective Assessment ◽  
Side Wall ◽  
Inferior Turbinate ◽  
Lateral Wall ◽  
Septal Cartilage ◽  
Lateral Nasal Wall ◽  
Nasal Valve ◽  
Flow Through ◽  
Nasal Peak Inspiratory Flow

Abstract Background Many locations for the nasal valve have been suggested. Later came the concept of the flow limiting segment. Rather than an internal and external valve, flow through the nose is regulated by the cartilaginous side wall, septum and inferior turbinate. Objectives To assess the use of balanced cantilever graft (BCLG), a technique to support the lateral nasal wall. Methods Patients undergoing primary open septorhinoplasty over a 2-year period were studied. Follow up period was a minimum of 6 months to a maximum of 24 months. Subjective improvement of function was measured with VAS and aesthesis by FACE Q score. Objective assessment of airway was done by a Nasal Peak Inspiratory Flow (NPIF) meter. Strips of septal cartilage of sufficient dimensions were placed in submucosal pockets created under the area of the lateral wall to be supported. Results Sixty patients underwent BCLG. VAS for nasal obstruction increased from 2.6 pre-operatively to 8.1 post-operatively. FACE Q increased from 16.7 pre-operatively to 36.6 post-operatively. NPIF was 74.9 L/minute pre-operatively, improving to 95 L/min post-operatively. Statistically significant improvements were seen in functional and aesthetic scores. Conclusions Balanced cantilever grafts support the weakened part of lateral nasal wall by their elastance. Minimal cartilage is required and can be altered to support various parts of the lateral nasal wall. This graft does not cause an aesthetic deficiency whilst providing adequate support.

scholarly journals Comparative study between partial inferior turbinectomy and submucosal diathermy for treatment of inferior turbinate hypertrophy due to allergic rhinitis

2018 ◽  
Vol 4 (2) ◽  
pp. 362 ◽  
Author(s):  
Datta R. K. ◽  
Ramya B. ◽  
Vinay S. R.
Keyword(s):  
Allergic Rhinitis ◽  
Nasal Obstruction ◽  
Inferior Turbinate ◽  
Effective Technique ◽  
Main Symptom ◽  
Turbinate Hypertrophy ◽  
Group I ◽  
Invasive Method ◽  
Inferior Turbinate Hypertrophy

<p class="abstract"><strong>Background:</strong> Nasal obstruction due to inferior turbinate hypertrophy is one of the most common symptoms of Allergic rhinitis (AR) which causes significant debility. Surgery is one of the modalities of treatment to relieve patients of nasal obstruction. Objective of the study was to evaluate the efficacy of submucosal diathermy (SMD) and partial inferior turbinectomy (PIT) in the treatment of hypertrophied inferior turbinate.</p><p class="abstract"><strong>Methods:</strong> Sixty patients with allergic rhinitis and hypertrophied inferior turbinates were randomised into two groups with thirty patients each (group I underwent SMD and group II underwent PIT). They were assessed for relief of nasal obstruction by subjective and objective methods.  </p><p class="abstract"><strong>Results:</strong> Nasal obstruction due to hypertrophy of inferior turbinate was the main symptom with 45 (75%) patients having severe obstruction and 15 (25%) patients moderate obstruction. Both the surgical procedures were effective in reducing nasal obstruction &amp; other symptoms of AR. Though the total symptom score was significantly reduced by both the methods (p=0.001) SMD was superior in relieving nasal obstruction at 3months follow up while PIT was more effective at 6 months follow up.</p><p class="abstract"><strong>Conclusions:</strong> SMD is an easier, less invasive method with lesser postoperative discomfort and complications as compared to PIT. Our study recommends SMD as an effective technique for relief of nasal obstruction in allergic rhinitis.</p>

Biocompatiblibility analysis of the decellularized bovine pericardium

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
A. Sokol ◽  
◽  
D. Grekov ◽  
G. Yemets ◽  
O. Galkin ◽  
...  
Keyword(s):  
Tissue Engineering ◽  
Sodium Dodecyl ◽  
Bovine Pericardium ◽  
Surrounding Tissue ◽  
Tissue Samples ◽  
Group I ◽  
Alternative Material ◽  
Decellularized Scaffolds ◽  
Group 2 ◽  
Potential Use

The decellularized bovine pericardium and its potential use as a natural scaffold is a promising approach in the field of tissue engineering and regenerative medicine. The reaction of the host toward decellularized scaffolds depends on their biocompatibility, which should be satisfied being before applied in clinical use. Purpose: to evaluate the biocompatibility of the extracellular matrices, which were decellularized by trypsin enzyme and anionic sodium dodecyl sulfate (SDS) detergent. Material and methods. Pericardial sacs were acquired from 12-18 months’ age bulls. Tissue decellularization was performed by using 0.25 % Trypsin solution and 1 % ionic SDS for group I and 0.1 % SDS for group II samples. The implantation was performed on Wistar rats. The tissue samples were stained with hematoxylin & eosin, Congo red and Masson's Trichrome for histological analysis. Results. In group 1 in 3 months after subcutaneous implantation in rats we noticed the inflammation in surrounding tissue and degradation of the implant. Under the same conditions in animals of group 2 implant replacement with growing immature connective tissue was noted. Bio-implant of this group did not degrade, moreover it's integrated to the tissues of experimental rats. Conclusion. Our results showed that decellularized bovine pericardium by 0.1 % SDS can become an alternative material for tissue engineering and has the potential for further use in human surgery.

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