AI Article Synopsis
- Researchers examined the feasibility of performing a transoral turbinectomy to treat turbinate dysfunction in cadavers.
- After procedures on 12 cadavers, they found that the transoral approach significantly reduced the distance to the inferior turbinate while also providing a larger access area compared to traditional methods.
- The study concluded that this method does not affect postoperative nasal soft tissue and allows for more straightforward instrumentation during the surgery.
Article Abstract
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(2) and 243.6 mm(2) (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.
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| http://dx.doi.org/10.1097/SAP.0b013e318211510b | DOI Listing |
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