Early influence of bilateral turbinoplasty combined with septoplasty on intranasal air conditioning.

Joerg Lindemann, Tilman Keck, Richard Leiacker, Rene Dzida, Kerstin Wiesmiller
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引用次数: 17

Abstract

Background: Too extensive resection of the inferior turbinates (ITs) during nasal surgery leads to a severely disturbed intranasal air conditioning. Data comparing nasal air conditioning before and after turbinoplasty in nasal surgery are still lacking. The aim of this study was to determine the early effect of bilateral turbinoplasty combined with septoplasty on intranasal heating and humidification.

Methods: Twelve patients were included into this prospective study. In one-half of the patients a bilateral turbinoplasty of the IT during nasal surgery was performed, in the other half no surgery on the IT was performed. Intranasal air temperature and humidity were measured before and after surgery. A combined miniaturized thermocouple and a humidity sensor were used for simultaneous in vivo intranasal measurements.

Results: There were no statistically significant differences in temperature and humidity values between the two study groups before surgery (p > 0.05). In both groups, the postoperative temperature and humidity values were statistically significantly higher compared with the preoperative ones (p < 0.05). Regarding the two patient groups, the postoperative increase in temperature and humidity was even more pronounced in patients undergoing additional bilateral turbinoplasty.

Conclusion: According to the results of this study, patients seemed to overall benefit from nasal surgery, with and without a preserving bilateral turbinoplasty, because intranasal air conditioning was improved after surgery. A carefully performed and conservative reduction of the IT in nasal surgery seems to even improve intranasal air conditioning.

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双侧鼻甲成形术联合鼻中隔成形术对鼻内空气调节的早期影响。
背景:鼻外科手术中过度切除下鼻甲(ITs)会导致鼻内空调严重紊乱。比较鼻甲成形术前后鼻腔空气调节的数据仍然缺乏。本研究的目的是确定双侧鼻甲成形术联合鼻中隔成形术对鼻内加热和湿化的早期影响。方法:对12例患者进行前瞻性研究。在一半的患者中,在鼻手术期间对IT进行了双侧鼻甲成形术,而在另一半患者中,没有对IT进行手术。测量手术前后鼻内空气温度和湿度。结合微型热电偶和湿度传感器用于同时进行体内鼻内测量。结果:两组患者术前温度、湿度比较,差异均无统计学意义(p > 0.05)。两组患者术后温度、湿度值均高于术前,差异均有统计学意义(p < 0.05)。对于两组患者,术后温度和湿度的增加在接受额外双侧鼻甲成形术的患者中更为明显。结论:根据本研究的结果,患者似乎总体上受益于鼻手术,无论是否保留双侧鼻甲成形术,因为手术后鼻内空调得到改善。在鼻部手术中谨慎保守的IT复位似乎甚至可以改善鼻内空气调节。
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