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[Possibilities of treating nasal turbinates in the framework of endonasal microsurgery]
1Zentrum der Hals-Nasen-Ohrenheilkunde Johann-Wolfgang-Goethe-Universität Frankfurt am Main.
Abstract:
Pathologic alterations of the turbinates are common in infectious diseases of the nose and paranasal sinuses. Over 300 patients were treated for paranasal sinuses disease from 1986 to 1989 by endonasal microsurgery. One-third of the patients were found intraoperatively to have alterations of the middle and inferior turbinate causing obstruction and functional disorders of the nose and sinuses. Our concept comprises a step-by-step microsurgical approach to the turbinates. The technique and the results are presented.
Insights
Pathologic turbinate alterations are common in sinus infections. Endonasal microsurgery effectively addresses these issues, improving nasal and sinus function in over a third of patients.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Anatomy
Context:
- Infectious diseases frequently cause pathologic alterations of the nasal turbinates.
- Turbinate abnormalities contribute to nasal obstruction and sinus dysfunction.
- Endonasal microsurgery is a treatment modality for sinonasal diseases.
Purpose:
- To present a microsurgical technique for addressing turbinate pathology.
- To evaluate the efficacy of this approach in patients with sinonasal disease.
Summary:
- Over 300 patients with paranasal sinus disease underwent endonasal microsurgery between 1986 and 1989.
- Intraoperative findings revealed turbinate alterations in one-third of patients, causing nasal obstruction and functional disorders.
- A step-by-step microsurgical concept for turbinate management was developed and applied.
Impact:
- The study details a microsurgical technique for turbinate alterations.
- It highlights the prevalence of turbinate pathology in sinonasal disease.
- The findings contribute to understanding and managing nasal obstruction and sinus dysfunction.