Vijay Pradap, R (2014) Comparison of outcome of septoplasty and septoplasty combined with inferior turbinoplasty in cases of deviated nasal septum with inferior turbinate hypertrophy. Masters thesis, Madras Medical College, Chennai.
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Abstract
BACKGROUND: Inferior turbinate hypertrophy and deviated nasal septum have been the most common causes of nasal obstruction. Patients undergo septoplasty as a management of deviated nasal septum yet they complain of nasal obstruction. This is mostly because of the inferior turbinate hypertrophy. My study is about the additive effect of inferior turbinoplasty when combined with septoplasty OBSERVATON AND RESULTS: A study was conducted on 50 patients of which 25 patients were control group who have undergone septoplasty and the other 25 patients were test group who have undergone septoplasty and inferior turbinoplasty. The symptom scores and DNE were done 6 months post op. Results were as follows. Taking the symptoms like nasal obstruction, facial pain, difficulty in falling asleep, reduced concentration and irritability into account the total symptom score improved by 47.04% in test group and it has improved by 25.79% in control group. The post operative DNE is adequate both nasal cavities in all test patients while it is adequate on right side in 5 patients and in 9 patients on the left side of the control population. There is a gross improvement of nasal obstruction in the test group by 54.34% while it is 23.52 in control group. Facial pain, difficulty in falling asleep, reduced concentration and irritability have improved by 48.14%, 45.67%, 46.57% and 35.44% in test group and it is improved by 30.66%, 22.5%, 27.94% and 25% in control group respectively. CONCLUSION: Symptomatically exciting improvement is observed in the test group who have undergone septoplasty with inferior turbinoplasty both immediate as well as long term than those patients who have undergone septoplasty alone. Hence turbinoplasty is a useful adjunct procedure to septoplasty producing excellent results. There is also an appreciable increase in nasal breathing space as observed in preop and post op DNE findings in the test group in comparison with the control group. The associated morbidities of inferior turbinate surgeries like atrophic changes, crusting and exposure of bare bone which is common in other extensive inferior turbinate procedures is very negligible in submucosal debridement of inferior turbinate.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Turbinate reduction; turbinoplasty; septoplasty with turbinoplasty; microdebrider assisted turbinoplasty; powered turbinoplasty; septoplasty |
| Subjects: | MEDICAL > Otolaryngology |
| Depositing User: | Devi S |
| Date Deposited: | 04 Jul 2017 11:59 |
| Last Modified: | 04 Jul 2017 11:59 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/918 |
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