Transoral submucosal resection of the inferior turbinate: a novel approach to functional rhinoplasty
In the presence of turbinate dysfunction, an inferior turbinectomy for persistent hypertrophy of bone and/or mucosa may be performed. We sought to explore anatomic feasibility of a transoral turbinectomy. After transoral inferior turbinectomy in 12 cadavers, average distances from the external nasal...
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| Veröffentlicht in: | Annals of plastic surgery 2012-01, Vol.68 (1), p.46-48 |
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| container_title | Annals of plastic surgery |
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| creator | Singh, Devinder P Forte, Antonio J V Apostolides, John G Zahiri, Hamid R Stromberg, Jeffrey Alonso, Nivaldo Persing, John A |
| description | In the presence of turbinate dysfunction, an inferior turbinectomy for persistent hypertrophy of bone and/or mucosa may be performed. We sought to explore anatomic feasibility of a transoral turbinectomy.
After transoral inferior turbinectomy in 12 cadavers, average distances from the external nasal valve to inferior turbinate and from pyriform aperture to inferior turbinate were compared. Average "area of access" was calculated. Preoperative and postoperative nasal length, tip projection, and alar-base width were also compared.
Average distance from external nasal valve to inferior turbinate was 32.4 mm. Average distance from aperture to inferior turbinate was 2.4 mm (P < 0.0001). Average "areas of access" to nasal vault through the external nasal valve and mouth were 183.9 mm(2) and 243.6 mm(2) (P = 0.07), respectively.
The transoral approach provides a larger "area of access" to the turbinate, a statistically significant reduction of distance to target, no postoperative changes in nasal soft tissue, and easier instrumentation. |
| doi_str_mv | 10.1097/SAP.0b013e318211510b |
| format | Article |
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After transoral inferior turbinectomy in 12 cadavers, average distances from the external nasal valve to inferior turbinate and from pyriform aperture to inferior turbinate were compared. Average "area of access" was calculated. Preoperative and postoperative nasal length, tip projection, and alar-base width were also compared.
Average distance from external nasal valve to inferior turbinate was 32.4 mm. Average distance from aperture to inferior turbinate was 2.4 mm (P < 0.0001). Average "areas of access" to nasal vault through the external nasal valve and mouth were 183.9 mm(2) and 243.6 mm(2) (P = 0.07), respectively.
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After transoral inferior turbinectomy in 12 cadavers, average distances from the external nasal valve to inferior turbinate and from pyriform aperture to inferior turbinate were compared. Average "area of access" was calculated. Preoperative and postoperative nasal length, tip projection, and alar-base width were also compared.
Average distance from external nasal valve to inferior turbinate was 32.4 mm. Average distance from aperture to inferior turbinate was 2.4 mm (P < 0.0001). Average "areas of access" to nasal vault through the external nasal valve and mouth were 183.9 mm(2) and 243.6 mm(2) (P = 0.07), respectively.
The transoral approach provides a larger "area of access" to the turbinate, a statistically significant reduction of distance to target, no postoperative changes in nasal soft tissue, and easier instrumentation.</description><subject>Feasibility Studies</subject><subject>Humans</subject><subject>Mouth</subject><subject>Nasal Mucosa - surgery</subject><subject>Nose - anatomy & histology</subject><subject>Nose - surgery</subject><subject>Organ Size</subject><subject>Rhinoplasty - methods</subject><subject>Turbinates - anatomy & histology</subject><subject>Turbinates - surgery</subject><issn>0148-7043</issn><issn>1536-3708</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE1LAzEQhoMotlb_gUhunrZmkuxm11spfkFBwXpeknSWrmyTmuwK_femWj14mjm8zzvDQ8glsCmwSt28zl6mzDAQKKDkADkwc0TGkIsiE4qVx2TMQJaZYlKMyFmM74wBL2VxSkYcZKEqpsZktQzaRR90R-NgNoP1Ma0BI9q-9Y76hvZrpK1rMLQ-0H4IpnW6x1uqqfOf2FG93Qav7Zr2njaD--b2HevW-W2nY787JyeN7iJeHOaEvN3fLeeP2eL54Wk-W2SW53mf6ZWQUAotTVVwJTQaDRVakaNGgbJRvJCojOUFz0UlioanDChuGC8h142YkOuf3vTQx4CxrzdttNh12qEfYl1BagAmVErKn6QNPsaATb0N7UaHXQ2s3uutk976v96EXR0OJFe4-oN-fYovtfN4eQ</recordid><startdate>201201</startdate><enddate>201201</enddate><creator>Singh, Devinder P</creator><creator>Forte, Antonio J V</creator><creator>Apostolides, John G</creator><creator>Zahiri, Hamid R</creator><creator>Stromberg, Jeffrey</creator><creator>Alonso, Nivaldo</creator><creator>Persing, John A</creator><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>201201</creationdate><title>Transoral submucosal resection of the inferior turbinate: a novel approach to functional rhinoplasty</title><author>Singh, Devinder P ; Forte, Antonio J V ; Apostolides, John G ; Zahiri, Hamid R ; Stromberg, Jeffrey ; Alonso, Nivaldo ; Persing, John A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c255t-ad34183a4b96273aeba19ec35eae3e4f7264e7bc26253936f23ae172b02815af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Feasibility Studies</topic><topic>Humans</topic><topic>Mouth</topic><topic>Nasal Mucosa - surgery</topic><topic>Nose - anatomy & histology</topic><topic>Nose - surgery</topic><topic>Organ Size</topic><topic>Rhinoplasty - methods</topic><topic>Turbinates - anatomy & histology</topic><topic>Turbinates - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Singh, Devinder P</creatorcontrib><creatorcontrib>Forte, Antonio J V</creatorcontrib><creatorcontrib>Apostolides, John G</creatorcontrib><creatorcontrib>Zahiri, Hamid R</creatorcontrib><creatorcontrib>Stromberg, Jeffrey</creatorcontrib><creatorcontrib>Alonso, Nivaldo</creatorcontrib><creatorcontrib>Persing, John A</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>Annals of plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Singh, Devinder P</au><au>Forte, Antonio J V</au><au>Apostolides, John G</au><au>Zahiri, Hamid R</au><au>Stromberg, Jeffrey</au><au>Alonso, Nivaldo</au><au>Persing, John A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transoral submucosal resection of the inferior turbinate: a novel approach to functional rhinoplasty</atitle><jtitle>Annals of plastic surgery</jtitle><addtitle>Ann Plast Surg</addtitle><date>2012-01</date><risdate>2012</risdate><volume>68</volume><issue>1</issue><spage>46</spage><epage>48</epage><pages>46-48</pages><issn>0148-7043</issn><eissn>1536-3708</eissn><abstract>In the presence of turbinate dysfunction, an inferior turbinectomy for persistent hypertrophy of bone and/or mucosa may be performed. We sought to explore anatomic feasibility of a transoral turbinectomy.
After transoral inferior turbinectomy in 12 cadavers, average distances from the external nasal valve to inferior turbinate and from pyriform aperture to inferior turbinate were compared. Average "area of access" was calculated. Preoperative and postoperative nasal length, tip projection, and alar-base width were also compared.
Average distance from external nasal valve to inferior turbinate was 32.4 mm. Average distance from aperture to inferior turbinate was 2.4 mm (P < 0.0001). Average "areas of access" to nasal vault through the external nasal valve and mouth were 183.9 mm(2) and 243.6 mm(2) (P = 0.07), respectively.
The transoral approach provides a larger "area of access" to the turbinate, a statistically significant reduction of distance to target, no postoperative changes in nasal soft tissue, and easier instrumentation.</abstract><cop>United States</cop><pmid>21467907</pmid><doi>10.1097/SAP.0b013e318211510b</doi><tpages>3</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Feasibility Studies Humans Mouth Nasal Mucosa - surgery Nose - anatomy & histology Nose - surgery Organ Size Rhinoplasty - methods Turbinates - anatomy & histology Turbinates - surgery |
| title | Transoral submucosal resection of the inferior turbinate: a novel approach to functional rhinoplasty |
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