비중격 성형술 대상 환자에서 하비갑개 성형술의 효용성

Abstract

Background and Objectives：Deviated septum of nose (DSN) causes an airflow diference betwen two nasal cavities, and it leads to compensatory inferior turbinate hypertrophy. Although compensatory inferior turbinate hypertrophy can be reduced by noplasty accompanied with septoplasty for the earlier relief of nasal obstruction in patients with DSN and compensatory inferior turbinate hypertrophy. Subjects and Method：Forty-two patients complaining of nasal obstruction from DSN and compensatory inferior turbinate hypertrophy were divided into two groups, septoplasty only group (S group) and septoplasty and turbinoplasty group (S-T group). We analyzed symptom changes using a visual analog scale, changes of the cross-sectional area of the conchal notch (C-notch) and the volume of nasal cavity using acoustic rhinometry before and after the operation through the regular follow-up period of upto 12 weeks in the concave side of nasal cavity. Results：Twenty-four patients (92% ) of the S-T group and 10 patients (63% ) of the S group showed improvement of nasal obstruction within 4 weks after the operation. From 2 weeks after the operation, there were statistical diferences in the symptom score, the C-notch area and the volume of nasal cavity in the S-T group (p<0.05) Conclusion：Turbinoplasty accompanied with septoplasty may be useful for the earlier relief of nasal obstruction in patients with DSN and compensatory inferior turbinate hypertrophy.