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Power Microdebrider-Assisted Modification of Endoscopic Inferior Turbinoplasty: A Preliminary Report.

Author(s): Chieh-Feng Lee | Tai-An Chen

Journal: Chang Gung Medical Journal
ISSN 2072-0939

Volume: 27;
Issue: 05;
Start page: 359;
Date: 2004;
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Keywords: microdebrider | endoscopic | turbinoplasty.

Background: In this article, microdebrider-assisted modification of endoscopic inferiorturbinoplasty is described. It has the advantage of superior visualization duringelevation of the mucosal flap and allows precise tailoring of the resectionto the needs of patients.Methods: From November 2001 to December 2002, 29 patients with chronic hypertrophicrhinitis treated with power endoscopic inferior turbinoplasty wereavailable for follow-up examinations. Questionnaires and rhinomanometricstudies were performed for subjective and objective evaluations. Thesepatients were followed up for an average of 15.3 months after the operation.Results: The overall improvement in nasal obstruction was 91% in our study. Twentytwopatients received rhinomanometric studies 1 week preoperatively and 2months postoperatively. The average nasal airflow was increased by 187ml/min. In addition, complete relief of headaches was achieved. But theremission rates of persistent rhinorrhea and post-nasal dripping were less significant,at about 58% and 54%, respectively. Atrophic change and permanentsynechiae had not yet been observed.Conclusions: Power endoscopic turbintoplasty is a safe, simple, and effective method forthe treatment of chronic hypertrophic rhinitis. It is especially handy inadjunct to endoscopic septoplasty or sinosurgery, and appears to provide asurgical choice of a minimally invasive technique. However, further studywith a prospective design is needed to strengthen the evidence.
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