하비갑개 수술 후 재발성 비폐색을 보이는 환자에서 하비갑개 후방 절제술의 효용성

오현명; 김남국; 김주영; 김대웅; 최동진; 이장수

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자료유형: 학술저널

저자정보: 오현명 김남국 김주영 김대웅 최동진 이장수

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제57권 제4호

발행연도: 2014.1

수록면: 239 - 243 (5page)

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Background and Objectives Various surgical techniques have been tried to relieve nasal obstruction in patients who have hypertrophic inferior turbinate. Recently, coblators and microdebriders are the favored surgical procedure. This study is aimed at evaluating the long term efficacy of posterior resection of inferior turbinate performed on patients for whom the previous inferior turbinate surgery had not relieved the symptoms of nasal obstruction. Subjects and Method We selected 27 patients who have had previous inferior turbinate surgery, but were not relieved of the symptom for nasal obstruction. Under local or general anesthesia, hypertrophied posterior part of inferior turbinate was removed. The symptom changes of nasal obstruction and patients satisfaction were checked pre and postoperatively at 1, 2, 3, 6, 12 month by Visual Analogue Scale (VAS) score. The minimal cross-sectional area of second notch and volume of nasal cavity were measured at 1, 2, 3, 6, 12 month after operation. Results There were significant improvement in the VAS score of nasal obstruction and patient satisfaction after the operation. The minimal cross-sectional area of second notch did not change significantly after surgery, but the nasal cavity volume was significantly improved after surgery. Conclusion This study suggests that posterior resection of inferior turbinate is an effective surgical procedure for patients who have hypertrophic inferior turbinate especially on the posterior part. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(4):239-43

#Nasal surgical procedures #Rhinitis #Turbinates

참고문헌 (17)

참고문헌 신청

Cingi C / 2010 / Microdebrider-assisted versus radiofrequency-assisted inferior turbinoplasty: a prospective study with objective and subjective outcome measures / Acta Otorh

Croce C / 2006 / In vitro experiments and numerical simulations of airflow in realistic nasal airway geometry / Ann Biomed Eng 34 (6) : 997 ~ 1007

Friedman M / 1999 / A safe, alternative technique for inferior turbinate reduction / Laryngoscope 109 (11) : 1834 ~ 1837

Grymer LF / 1993 / Septoplasty and compensatory inferior turbinate hypertrophy: a randomized study evaluated by acoustic rhinometry / J Laryngol Otol 107 (5) : 413 ~ 417

Hol MK / 2000 / Treatment of inferior turbinate pathology: a review and critical evaluation of the different techniques / Rhinology 38 (4) : 157 ~ 166