Effect of partial inferior turbinectomy operation on pulmonary function tests
Keywords:Turbinectomy, Pulmonary functions, Nasal obstruction, Walking test
Background: Nasal obstruction due to persistent hypertrophy of inferior turbinates is very common affecting respiration and daily activity. Partial inferior turbinectomy is a very safe and effective operation overcoming the nasal obstruction and nasal resistance caused by hypertrophied turbinates.
Methods: In this prospective descriptive study, we tried to evaluate the effect of the operation on pulmonary functions and daily activity objectively by using spirometry and 6-minutes walking test before and after the operation. Thirty patients were included in this study.
Results: Significant improvement after the operation. Also, we use a subjective VAS score which revealed the same results, proving that, the pulmonary function tests improved significantly after partial inferior turbinectomy operation.
Conclusions: Partial inferior turbinectomy is a very effective operation in the management of nasal obstruction caused by persistent hypertrophy of inferior turbinates resulting in improvement of the pulmonary function tests and daily activity after the operation without marked complications.
Steiner W, Werner A.J. Lasers in otorhinolaryngology, head and neck surgery. Tuttlingen: Endo-Press; 2006.
Leong S, Eccles R. Inferior turbinate surgery and nasal airflow: evidenced- based management. Curr Opin Otolaryngol Head Neck Surg. 2010;18(1):54-9.
Hanif J, Jawad S, Eccles R. The nasal cycle in health and disease. Clin Otolaryngol Allied Sci. 2000;25(6):461-7.
Corren J. Allergic rhinitis and asthma, how important is the link? J Allergy Clin Immunol. 1997;99:781–6.
Hira HS, Singh H. Assessment of upper airway obstruction by pulmonary function testing. J Assoc Physicians India. 1994;42:531–4.
Woodson GE, Robbins KT. Nasal obstruction and pulmonary function: The role of humidification. Otolaryngol Head Neck Surg. 1985;93:505–11.
Passali D, Passali FM, Damiani V. Treatment of inferior turbinate hypertrophy: a randomized clinical trial. Ann Otol Rhinol Laryngol. 2003;112:683-8.
Wight RG, Jones AS, Beckingham E. Trimming of the inferior turbinates: a prospective long-term study. Clin Otolaryngol. 1990;15:347-50.
Lund VJ, Kennedy DW. Quantification for staging sinusitis. The staging and Therapy Group. Ann Otol Rhinol Laryngol. 1995;167:17-21.
Martinez SA, Nissen AJ, Stock CR. Nasal Turbinate Resection for Relief of Nasal Obstruction. Laryngoscope. 1983:93:871-5.
Gary F, Todd J, Frederic P. Extended Follow up of Total Inferior Turbinate Resection for Relief of Chronic Nasal Obstruction. Laryngoscope. 1985;95:1095-9.
Behlfelt K, Linderson-Aronson S, MacWilliam J. Cranio-facial morphology in children with and without enlarged tonsils. Eur J Orthod. 1990;12(3):233–43.
Loehrl TA, Ferre RM, Smith TL. Long term asthma outcomes after endoscopic sinus surgery in aspirin triad patients. Am J otolaryngol. 2006;27(3):154-60.
Chien CY, Tai SY, Wang LF. Chronic obstructive pulmonary disease predicts chronic rhinosinusitis without nasal polyps: a population-based study. Am J Rhinol Allergy. 2015;29:75-80.
Niedzielska G, Kotowski M, Niedzielski A. Assessment of pulmo¬nary function and nasal flow in children with adenoid hypertrophy. Int J Pediatr Otorhinolaryngol. 2008;72(3):333-5.
Solway S, Brooks D, Lacasse Y. A qualitative systematic overview of the measurement properties of functional walk tests used in the cardio-respiratory domain. Chest. 2001;119:256–70.