Costal Cartilage Is a Superior Implant Material than Conchal Cartilage in the Treatment of Empty Nose Syndrome
Objective The objective of this study was to evaluate the outcomes of endonasal microplasty in treating empty nose syndrome by comparing the use of costal and conchal cartilage implants to construct neoturbinates. Study Design Case series with chart review. Setting Tertiary referral center. Subjects...
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| Veröffentlicht in: | Otolaryngology-head and neck surgery 2013-09, Vol.149 (3), p.500-505 |
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| creator | Jung, Jae Hoon Baguindali, Mohammad Ariff Park, Jin Taek Jang, Yong Ju |
| description | Objective
The objective of this study was to evaluate the outcomes of endonasal microplasty in treating empty nose syndrome by comparing the use of costal and conchal cartilage implants to construct neoturbinates.
Study Design
Case series with chart review.
Setting
Tertiary referral center.
Subjects and Methods
A total of 31 patients who were diagnosed with empty nose syndrome and underwent endonasal microplasty with conchal cartilage (n = 17) or costal cartilage implants (n = 14) were included. Each patient’s clinico-demographic profile was reviewed to compare the conchal cartilage group and the costal cartilage groups. Pre- and postoperative Sino-Nasal Outcome Test (SNOT-25) scores were also compared.
Results
Both groups showed a significant improvement in SNOT-25 scores following surgery (P < .05). The group who received costal cartilage implants demonstrated more significant improvements than the conchal cartilage group in terms of the mean difference between pre- and postoperative SNOT-25 scores (P = .023). Symptom outcomes related to depression demonstrated significant improvements in the conchal cartilage group (P < .05), while in the costal cartilage group, in addition to these 3 variables, 7 items related to functional problems also demonstrated significant improvements (P < .05).
Conclusions
Costal cartilage is a more useful material than conchal cartilage as implants for the treatment of empty nose syndrome patients. |
| doi_str_mv | 10.1177/0194599813491223 |
| format | Article |
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The objective of this study was to evaluate the outcomes of endonasal microplasty in treating empty nose syndrome by comparing the use of costal and conchal cartilage implants to construct neoturbinates.
Study Design
Case series with chart review.
Setting
Tertiary referral center.
Subjects and Methods
A total of 31 patients who were diagnosed with empty nose syndrome and underwent endonasal microplasty with conchal cartilage (n = 17) or costal cartilage implants (n = 14) were included. Each patient’s clinico-demographic profile was reviewed to compare the conchal cartilage group and the costal cartilage groups. Pre- and postoperative Sino-Nasal Outcome Test (SNOT-25) scores were also compared.
Results
Both groups showed a significant improvement in SNOT-25 scores following surgery (P < .05). The group who received costal cartilage implants demonstrated more significant improvements than the conchal cartilage group in terms of the mean difference between pre- and postoperative SNOT-25 scores (P = .023). Symptom outcomes related to depression demonstrated significant improvements in the conchal cartilage group (P < .05), while in the costal cartilage group, in addition to these 3 variables, 7 items related to functional problems also demonstrated significant improvements (P < .05).
Conclusions
Costal cartilage is a more useful material than conchal cartilage as implants for the treatment of empty nose syndrome patients.</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1177/0194599813491223</identifier><identifier>PMID: 23728068</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; autologous ; Cartilage - transplantation ; conchal cartilage ; costal cartilage ; Ear Cartilage - transplantation ; empty nose syndrome ; endonasal microplasty ; Female ; homologous ; Humans ; Iatrogenic Disease ; Male ; neoturbinate ; Nose Deformities, Acquired - surgery ; Retrospective Studies ; Rhinoplasty - methods ; Sino‐Nasal Outcome Test ; Syndrome ; Treatment Outcome ; turbinectomy</subject><ispartof>Otolaryngology-head and neck surgery, 2013-09, Vol.149 (3), p.500-505</ispartof><rights>American Academy of Otolaryngology—Head and Neck Surgery Foundation 2013</rights><rights>2013 American Association of Otolaryngology‐Head and Neck Surgery Foundation (AAO‐HNSF)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3862-d5b9774fb9f162ae7edb8e528ea853d80868d0c5a44fdf177411710418627df03</citedby><cites>FETCH-LOGICAL-c3862-d5b9774fb9f162ae7edb8e528ea853d80868d0c5a44fdf177411710418627df03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0194599813491223$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0194599813491223$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,1417,21819,27924,27925,43621,43622,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23728068$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jung, Jae Hoon</creatorcontrib><creatorcontrib>Baguindali, Mohammad Ariff</creatorcontrib><creatorcontrib>Park, Jin Taek</creatorcontrib><creatorcontrib>Jang, Yong Ju</creatorcontrib><title>Costal Cartilage Is a Superior Implant Material than Conchal Cartilage in the Treatment of Empty Nose Syndrome</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description>Objective
The objective of this study was to evaluate the outcomes of endonasal microplasty in treating empty nose syndrome by comparing the use of costal and conchal cartilage implants to construct neoturbinates.
Study Design
Case series with chart review.
Setting
Tertiary referral center.
Subjects and Methods
A total of 31 patients who were diagnosed with empty nose syndrome and underwent endonasal microplasty with conchal cartilage (n = 17) or costal cartilage implants (n = 14) were included. Each patient’s clinico-demographic profile was reviewed to compare the conchal cartilage group and the costal cartilage groups. Pre- and postoperative Sino-Nasal Outcome Test (SNOT-25) scores were also compared.
Results
Both groups showed a significant improvement in SNOT-25 scores following surgery (P < .05). The group who received costal cartilage implants demonstrated more significant improvements than the conchal cartilage group in terms of the mean difference between pre- and postoperative SNOT-25 scores (P = .023). Symptom outcomes related to depression demonstrated significant improvements in the conchal cartilage group (P < .05), while in the costal cartilage group, in addition to these 3 variables, 7 items related to functional problems also demonstrated significant improvements (P < .05).
Conclusions
Costal cartilage is a more useful material than conchal cartilage as implants for the treatment of empty nose syndrome patients.</description><subject>Adult</subject><subject>autologous</subject><subject>Cartilage - transplantation</subject><subject>conchal cartilage</subject><subject>costal cartilage</subject><subject>Ear Cartilage - transplantation</subject><subject>empty nose syndrome</subject><subject>endonasal microplasty</subject><subject>Female</subject><subject>homologous</subject><subject>Humans</subject><subject>Iatrogenic Disease</subject><subject>Male</subject><subject>neoturbinate</subject><subject>Nose Deformities, Acquired - surgery</subject><subject>Retrospective Studies</subject><subject>Rhinoplasty - methods</subject><subject>Sino‐Nasal Outcome Test</subject><subject>Syndrome</subject><subject>Treatment Outcome</subject><subject>turbinectomy</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkM1LwzAchoMobn7cPUmOXqpJmjbpUcvmBnM7bJ5L1v7qOtqmJi3S_96MTkFBPAXyvs9L8iB0Q8k9pUI8EBrxIIok9XlEGfNP0JiSSHihpOIUjQ-xd8hH6MLaPSEkDIU4RyPmCyZJKMeojrVtVYljZdqiVG-A5xYrvO4aMIU2eF41papb_KJad-GK7U7VONZ1uvtBFbVLAG8MqLYCB-gcT6qm7fFSW8Drvs6MruAKneWqtHB9PC_R63SyiWfeYvU8jx8XXurLkHlZsI2E4Pk2ymnIFAjIthICJkHJwM8kkaHMSBoozvMsdya400EJpw4WWU78S3Q37DZGv3dg26QqbAql-wvoziaUMxlQHgaRq5KhmhptrYE8aUxRKdMnlCQHy8lvyw65Pa532wqyb-BLqyvIofBRlND_O5isZsunKSWCMod6A2qd1mSvO1M7UX-_5ROrJJOy</recordid><startdate>201309</startdate><enddate>201309</enddate><creator>Jung, Jae Hoon</creator><creator>Baguindali, Mohammad Ariff</creator><creator>Park, Jin Taek</creator><creator>Jang, Yong Ju</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201309</creationdate><title>Costal Cartilage Is a Superior Implant Material than Conchal Cartilage in the Treatment of Empty Nose Syndrome</title><author>Jung, Jae Hoon ; Baguindali, Mohammad Ariff ; Park, Jin Taek ; Jang, Yong Ju</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3862-d5b9774fb9f162ae7edb8e528ea853d80868d0c5a44fdf177411710418627df03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>autologous</topic><topic>Cartilage - transplantation</topic><topic>conchal cartilage</topic><topic>costal cartilage</topic><topic>Ear Cartilage - transplantation</topic><topic>empty nose syndrome</topic><topic>endonasal microplasty</topic><topic>Female</topic><topic>homologous</topic><topic>Humans</topic><topic>Iatrogenic Disease</topic><topic>Male</topic><topic>neoturbinate</topic><topic>Nose Deformities, Acquired - surgery</topic><topic>Retrospective Studies</topic><topic>Rhinoplasty - methods</topic><topic>Sino‐Nasal Outcome Test</topic><topic>Syndrome</topic><topic>Treatment Outcome</topic><topic>turbinectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jung, Jae Hoon</creatorcontrib><creatorcontrib>Baguindali, Mohammad Ariff</creatorcontrib><creatorcontrib>Park, Jin Taek</creatorcontrib><creatorcontrib>Jang, Yong Ju</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jung, Jae Hoon</au><au>Baguindali, Mohammad Ariff</au><au>Park, Jin Taek</au><au>Jang, Yong Ju</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Costal Cartilage Is a Superior Implant Material than Conchal Cartilage in the Treatment of Empty Nose Syndrome</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2013-09</date><risdate>2013</risdate><volume>149</volume><issue>3</issue><spage>500</spage><epage>505</epage><pages>500-505</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>Objective
The objective of this study was to evaluate the outcomes of endonasal microplasty in treating empty nose syndrome by comparing the use of costal and conchal cartilage implants to construct neoturbinates.
Study Design
Case series with chart review.
Setting
Tertiary referral center.
Subjects and Methods
A total of 31 patients who were diagnosed with empty nose syndrome and underwent endonasal microplasty with conchal cartilage (n = 17) or costal cartilage implants (n = 14) were included. Each patient’s clinico-demographic profile was reviewed to compare the conchal cartilage group and the costal cartilage groups. Pre- and postoperative Sino-Nasal Outcome Test (SNOT-25) scores were also compared.
Results
Both groups showed a significant improvement in SNOT-25 scores following surgery (P < .05). The group who received costal cartilage implants demonstrated more significant improvements than the conchal cartilage group in terms of the mean difference between pre- and postoperative SNOT-25 scores (P = .023). Symptom outcomes related to depression demonstrated significant improvements in the conchal cartilage group (P < .05), while in the costal cartilage group, in addition to these 3 variables, 7 items related to functional problems also demonstrated significant improvements (P < .05).
Conclusions
Costal cartilage is a more useful material than conchal cartilage as implants for the treatment of empty nose syndrome patients.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>23728068</pmid><doi>10.1177/0194599813491223</doi><tpages>6</tpages></addata></record> |
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| ispartof | Otolaryngology-head and neck surgery, 2013-09, Vol.149 (3), p.500-505 |
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| source | Access via SAGE; MEDLINE; Access via Wiley Online Library |
| subjects | Adult autologous Cartilage - transplantation conchal cartilage costal cartilage Ear Cartilage - transplantation empty nose syndrome endonasal microplasty Female homologous Humans Iatrogenic Disease Male neoturbinate Nose Deformities, Acquired - surgery Retrospective Studies Rhinoplasty - methods Sino‐Nasal Outcome Test Syndrome Treatment Outcome turbinectomy |
| title | Costal Cartilage Is a Superior Implant Material than Conchal Cartilage in the Treatment of Empty Nose Syndrome |
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