The Effectiveness of Inferior Turbinoplasty in Children with Nasal Obstruction.
To evaluate the effectiveness of medial flap inferior turbinoplasty for the treatment of nasal obstruction in children. Medial flap inferior turbinoplasty is safe and effective in the treatment of nasal obstruction in children with almost no complications was recorded.
Nasal obstruction caused by inferior turbinate hypertrophy is a common complaint among the pediatric population. Symptoms include mouth breathing, snoring or obstructive sleep apnea, and nasal drainage.
Medical treatments include inhaled nasal corticosteroids, nasal irrigation, systemic medications, and immunotherapy. When medical therapy has failed, surgical reduction of the inferior turbinates has become a popular option.
Goals for the ideal inferior turbinoplasty include maximizing nasal airflow while limiting crusting and synechiae formation by preserving the turbinate mucosa.
Current surgical techniques for IT include radiofrequency ablation, microdebridement, and partial turbinectomy, although no consensus on a superior method or device has been
established.
In our study, all children patients underwent medial flap inferior turbinoplasty to explore the success and failure of rates of this procedure in the treatment of nasal obstruction in children.
The procedure commences with the creation of a window to the inferior meatus, at the anterior inferior turbinate in the axilla between the inferior turbinate medially and the pyriform aperture laterally.
The turbinate bone and lateral mucosa are then removed along the vertex of the inferior meatus. The arterial supply, the
medial and lateral branches of the inferior turbinate artery, is then
identified and cautery is applied using a bayonet bipolar forceps.
The removal of both the lateral mucosa and the bone, as well as a controlled reduction of the medial mucosa,
is less likely to lead re-expansion of the turbinate with the passage of time.
Otolaryngol Open J. 2019; 5(2): 22-25. doi: 10.17140/OTLOJ-5-155
