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[Partial lower turbinectomy in children: indications, technique, results]
J Percodani1, R Nicollas, P Dessi
1CHU de Rangueil, Service ORL et Chirurgie Cervico-Faciale, Toulouse, France.
Revue De Laryngologie - Otologie - Rhinologie
|January 1, 1996
Summary
Inferior turbinate surgery effectively treats severe childhood hypertrophic rhinitis unresponsive to medication. This procedure improved nasal obstruction in 90% of pediatric patients with minimal complications.
Area of Science:
- Otorhinolaryngology
- Pediatric Surgery
Context:
- Severe childhood hypertrophic rhinitis often requires surgical intervention when medical management fails.
- Inferior turbinate hypertrophy can significantly impair nasal breathing in children.
Purpose:
- To evaluate the efficacy and safety of bilateral inferior turbinectomy in children with refractory hypertrophic rhinitis.
- To assess the impact of turbinectomy on associated conditions like asthma and sinus pathology.
Summary:
- Thirty-eight children (9-16 years) underwent bilateral inferior turbinectomy, with follow-up ranging from 6 months to 4 years.
- The surgery was performed either in isolation (16 cases) or combined with other procedures (22 cases).
- Functional obstructive symptoms improved in nearly 90% of cases, and asthma symptoms improved or resolved in 27.3% without worsening.
Impact:
- Inferior turbinectomy demonstrates significant efficacy in improving nasal obstruction in pediatric patients.
- The procedure is associated with a low complication rate, suggesting it is a safe option when indications and techniques are precise.
- Turbinectomy may positively influence associated asthma symptoms in children with hypertrophic rhinitis.