Document Detail

Transoral Submucosal Resection of the Inferior Turbinate: A Novel Approach to Functional Rhinoplasty.
MedLine Citation:
PMID:  21467907     Owner:  NLM     Status:  Publisher    
BACKGROUND:: In the presence of turbinate dysfunction, an inferior turbinectomy for persistent hypertrophy of bone and/or mucosa may be performed. We sought to explore anatomic feasibility of a transoral turbinectomy. METHODS:: After transoral inferior turbinectomy in 12 cadavers, average distances from the external nasal valve to inferior turbinate and from pyriform aperture to inferior turbinate were compared. Average "area of access" was calculated. Preoperative and postoperative nasal length, tip projection, and alar-base width were also compared. RESULTS:: Average distance from external nasal valve to inferior turbinate was 32.4 mm. Average distance from aperture to inferior turbinate was 2.4 mm (P < 0.0001). Average "areas of access" to nasal vault through the external nasal valve and mouth were 183.9 mm and 243.6 mm (P = 0.07), respectively. CONCLUSIONS:: The transoral approach provides a larger "area of access" to the turbinate, a statistically significant reduction of distance to target, no postoperative changes in nasal soft tissue, and easier instrumentation.
Devinder P Singh; Antonio J V Forte; John G Apostolides; Hamid R Zahiri; Jeffrey Stromberg; Nivaldo Alonso; John A Persing
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-4
Journal Detail:
Title:  Annals of plastic surgery     Volume:  -     ISSN:  1536-3708     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-4-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
From the *Division of Plastic Surgery, University of Maryland School of Medicine, Baltimore, MD; †Division of Plastic Surgery, Yale University School of Medicine, New Haven, CT; ‡Division of Plastic Surgery, Johns Hopkins School of Medicine, Baltimore, MD; §Division of General Surgery, University of Maryland School of Medicine, Baltimore, MD; and ¶Division of Plastic Surgery, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
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