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    Inferior Turbinate Hypertrophy PDF

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    Suprit Sn
    The document discusses inferior turbinate hypertrophy, which can be caused by mucosal or bony hypertrophy or both. Mucosal hypertrophy is more common and causes nasal obstruction, while bony hypertrophy results in a fixed structural obstruction. Treatment depends on the degree and type of hypertrophy, and may involve medical management, surgical procedures to reposition or reduce the turbinates, or a combination approach for mucosal and bony hypertrophy cases. Surgical complications can include epistaxis, synechiae, dryness, and bone necrosis in rare cases.

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    Inferior Turbinate Hypertrophy PDF

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    Suprit Sn
    788 views3 pages
    The document discusses inferior turbinate hypertrophy, which can be caused by mucosal or bony hypertrophy or both. Mucosal hypertrophy is more common and causes nasal obstruction, while bony hypertrophy results in a fixed structural obstruction. Treatment depends on the degree and type of hypertrophy, and may involve medical management, surgical procedures to reposition or reduce the turbinates, or a combination approach for mucosal and bony hypertrophy cases. Surgical complications can include epistaxis, synechiae, dryness, and bone necrosis in rare cases.

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    The document discusses inferior turbinate hypertrophy, which can be caused by mucosal or bony hypertrophy or both. Mucosal hypertrophy is more common and causes nasal obstruction, while bony hypertrophy results in a fixed structural obstruction. Treatment depends on the degree and type of hypertrophy, and may involve medical management, surgical procedures to reposition or reduce the turbinates, or a combination approach for mucosal and bony hypertrophy cases. Surgical complications can include epistaxis, synechiae, dryness, and bone necrosis in rare cases.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    788 views3 pages

    Inferior Turbinate Hypertrophy PDF

    Uploaded by

    Suprit Sn
    The document discusses inferior turbinate hypertrophy, which can be caused by mucosal or bony hypertrophy or both. Mucosal hypertrophy is more common and causes nasal obstruction, while bony hypertrophy results in a fixed structural obstruction. Treatment depends on the degree and type of hypertrophy, and may involve medical management, surgical procedures to reposition or reduce the turbinates, or a combination approach for mucosal and bony hypertrophy cases. Surgical complications can include epistaxis, synechiae, dryness, and bone necrosis in rare cases.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Dr.

    Supreet Singh Nayyar, AFMC

    2012

    Inferior Turbinate Hypertrophy


    Pathophysiology
    Inferior turbinate hypertrophy can result from o Mucosal hypertrophy o Bony hypertrophy o Both Bony hypertrophy causes a fixed structural obstruction and is best treated with surgery More commonly, the problem is mucosal hypertrophy causing impingement on the nasal valve, increased nasal resistance, and nasal obstruction This can be managed medically or surgically depending on the degree of hypertrophy and responsiveness to medical management

    Aetiology
    Post rhinoplasty Allergic rhinitis Vasomotor rhinitis Chronic rhinosinusitis DNS to opposite Congenital Rhinitis medicamentosa Pregnancy OCPs Hypothyroidism Wegeners granulomatosis Sarcoidosis

    History
    Nasal obstruction Alteration or unilaterality may indicate a dynamic versus structural problem Features of allergic rhinitis vasomotor rhinitis Nasal decongestant usage H/o nasal surgery

    Examination
    Patency of the nasal valve cottle Anterior rhinoscopy o Septal deformities o Inferior turbinate hypertrophy o Apply topical decongestant to evaluate the response of the turbinate mucosa assist in delineating mucosal versus bony hypertrophy Rigid or flexible nasal endoscopy Purulent drainage may indicate sinusitis Signs of other systemic disorders (wegeners, hypothyroidism)

    Investigations
    Xray PNS CT is not indicated in the workup of inferior turbinate hypertrophy alone. However, if a CT scan of the head, facial bones, or sinuses has been obtained for other reasons, it may provide useful information bony versus mucosal hypertrophy

    Rhinomanometry / acoustic rhinometry Allergy testing

    www.nayyarENT.com

    Dr. Supreet Singh Nayyar, AFMC

    2012

    Medical Therapy
    Therapy for allergic and vasomotor rhinitis Submucosal injection of corticosteroids has been tried results are rapid but temporary relief incidence of permamnent blindness noticed therefore now abandoned

    Surgical Therapy
    Surgical therapies o Reposition the turbinate o Address mucosal hypertrophy o Address bony hypertrophy o Address both mucosal and bony hypertrophy Repositioning the turbinate o Laterally within the nasal valve area is accomplished by lateral out-fracture o This technique does not address either mucosal or bony hypertrophy but rather the spatial relation of the inferior turbinate within the nasal valve Mucosal hypertrophy o Submucosal techniques Designed to produce submucosal tissue injury while preserving overlying mucosa Resultant tissue loss and subsequent scarring lead to a reduction in bulk of the inferior turbinate mucosa and submucosa Techniques Submucosal diathermy Microdebridder Cryotherapy Coblation Radiofrequency Ultrasonic aspirator

    www.nayyarENT.com

    Dr. Supreet Singh Nayyar, AFMC o Surface electrocautery o Laser vaporization Bony hypertrophy o Submucous resection Periosteal flap is developed Underlying bone removed Flap is replaced Mucosal and bony hypertrophies o Best dealt with via a partial inferior turbinectomy or inferior turbinoplasty

    2012

    Partial turbinectomy

    Inferior turbinoplasty.

    Complications
    Epstaxis Synaechiae Dryness and crusting / atrophic rhinitis Turbinate bone necrosis and sequestrum requires removal of sequestrum

    www.nayyarENT.com

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