Overview
Submucous resection of the inferior turbinates is a surgical procedure that involves the removal of a portion of the turbinate's inner bone to reduce the size of the inferior turbinates and address nasal obstruction caused by inferior turbinatal hypertrophy. This procedure is typically performed by highly skilled sub-specialty trained physicians who have vast experience with this technique.
Indications
Submucous resection of the inferior turbinates is indicated for patients who have moderate to severe inferior turbinatal hypertrophy that is not responsive to medical therapy. The most common significant deviation of the septum that may require submucous resection is a vomerocartilaginous ridge. This deviation begins at the maxillary crest, inferiorly and anteriorly on one side and extends obliquely in a posterior and inferior direction.
##Procedure Techniques and Outcomes
The procedure is performed with a combination of techniques, including the use of powered instruments and microscopic visualization to aid in the precise removal of the affected bone. Postoperatively, the lining of the turbinate is typically replaced, and the remaining bone is pushed outwardly to enlarge the nasal airway.
Complications and Adverse Events
The overall risk of complications following submucous resection of the inferior turbinates is relatively low, with common short-term complications including postoperative infection and epistaxis requiring intervention. Long-term complications are less common and typically require revision surgery.
Outcomes and Results
The outcomes of submucous resection of the inferior turbinates are generally positive, with many patients experiencing improvement in their symptoms following the procedure. It is important for patients to understand that the submucous resection of the inferior turbinates is a surgical procedure and not a medical treatment for allergies. The procedure is generally not recommended for patients with mild鼻炎 or those with a history of recurrent infections.
##Submucous resection of the inferior turbinates is a safe and effective treatment for selective patients with inferior turbinatal hypertrophy causing nasal obstruction. The procedure involves a meticulous approach to ensure accurate and safe removal of the affected bone, and postoperative care is crucial to achieve optimal outcomes.
References
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Ochsner Clinic: Submucous Resection of Inferior Turbinates
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Johns Hopkins University Hospital: Submucous Resection of Inferior Turbinates
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Mount Sinai Hospital: Submucous Resection of Inferior Turbinates
