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>Microdebrider-assisted inferior turbinoplasty: Minimally invasive technique for the treatment of nasal airway obstruction caused by enlarged turbinates [Shaver-Turbinoplastik: Minimalinvasives Verfahren zur Therapie der behinderten Nasenatmung bei vergr??erten Nasenmuscheln]
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Microdebrider-assisted inferior turbinoplasty: Minimally invasive technique for the treatment of nasal airway obstruction caused by enlarged turbinates [Shaver-Turbinoplastik: Minimalinvasives Verfahren zur Therapie der behinderten Nasenatmung bei vergr??erten Nasenmuscheln]
Background: Various methods are available for the surgical treatment of nasal airway obstruction caused by enlarged turbinates. These methods include partial turbinectomy, submucosal electrocautery, radiofrequency surgery, and laser turbinoplasty, all of which can have adverse effects such as defects of the mucous lining of the turbinates, prolonged postoperative healing, and bleeding. The purpose of this study was to analyse the effectiveness and potential adverse effects of microdebrider-assisted inferior turbinoplasty (MAIT), which is a less commonly used treatment option. Materials and methods: In a prospective randomized study, 35 patients underwent microdebrider-assisted inferior turbinoplasty. Two control groups (35 patients each) underwent conventional partial turbinectomy or submucosal electrocautery. Endoscopic and functional studies (active anterior rhinomanometry, saccharin test) were performed before surgery and 2, 4, and 24 weeks after surgery. Pain and other postoperative problems were assessed using analogue scales. Results: After 2 weeks, MAIT patients, unlike the other patients, showed almost no more mucosal lesions. After 4 weeks, mean saccharin clearance time was 11.1 min in the MAIT group, 15.9 min in the partial turbinectomy group, and 13.7 min in the electrocautery group. When the patients were asked to rate their symptoms on a scale of 0-10, the mean score in the fourth postoperative week was 6.1 in the MAIT group, 7.7 in the partial turbinectomy group, and 7.8 in the electrocautery group. Rhinomanometry showed a mean flow rate increase from 178 ml/s to 574 ml/s after MAIT (401 ml/s after partial turbinectomy, 361 ml/s after electrocautery). Conclusion: Microdebrider-assisted inferior turbinoplasty is a minimally invasive method for reducing inferior turbinate size and maintaining mucosal integrity. It has the advantages of a short healing time, only a mild decrease in mucociliary clearance, only minor postoperative problems, and a good functional outcome.
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机译：背景：有多种方法可用于外科治疗因鼻甲增大而引起的鼻气道阻塞。这些方法包括部分涡轮切开术，粘膜下电灼，射频外科手术和激光鼻甲成形术，所有这些方法都可能产生不良影响，例如鼻甲的粘膜缺损，术后愈合时间延长和出血。这项研究的目的是分析微清创术辅助下鼻甲成形术（MAIT）的有效性和潜在的不良反应，这是一种较不常用的治疗选择。材料和方法：在一项前瞻性随机研究中，有35例患者接受了微清创术辅助下鼻甲成形术。两个对照组（每个35例）进行了常规的部分肾小管切开术或粘膜下电灼。术前和术后2、4和24周进行内窥镜和功能研究（主动式前鼻压力计，糖精试验）。使用模拟量表评估疼痛和其他术后问题。结果：2周后，与其他患者不同，MAIT患者几乎没有更多的粘膜病变。 4周后，MAIT组的平均糖精清除时间为11.1分钟，部分肾小管切开术组为15.9分钟，电灼组为13.7分钟。当要求患者以0-10的等级对其症状进行评分时，MAIT组在术后第四周的平均评分为6.1，部分肾小管切开术组为7.7，电灼组为7.8。鼻腔测压法显示MAIT后平均流速从178 ml / s增加到574 ml / s（部分涡轮切开术后为401 ml / s，电灼后为361 ml / s）。结论：微清创术辅助下鼻甲成形术是减少下鼻甲大小并保持粘膜完整性的微创方法。它具有治愈时间短，粘膜纤毛清除率仅轻度降低，术后出现小问题以及功能良好的优点。
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