만성 비후성 비염환자에서 하비갑개 수술: 3가지 수술방법의 비교
Inferior Turbinate Surgery for Chronic Hypertrophic Rhinitis: Comparison of Three Techniques
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초록
Surgical reduction of the turbinate size is the treatment of choice for symptomatic hypertrophy of the inferior turbinate, which is unresponsive to medication. In the present series, three of techniques for the reduction of the size of the inferior turbinate were evaluated and compared. Subjects and Method：Sixty patients with chronic hypertrophic rhinitis which is refractory to medical therapy were divided into three groups, the submucosal resection with microdebrider (SMRM) group (20 patients), the radiofrequency-assisted partial turbinoplasty (RFAPT) group (20 patients) and the partial turbinectomy (PT) group (20 patients). Postoperative changes in degrees of nasal obstruction, minimal cross-sectional area and the volume of nasal cavity were evaluated prospectively at 3 months after operation. Operation time, postoperative pain, duration of crust formation and delayed bleeding were also compared. Results：Nasal obstruction was improved significantly in all groups. In the SMRM and PT group, the degree of improvement was higher than that of the RFAPT group. In the RFAPT group, the operation time and duration of crust formation were shorter, and postoperative pain was less than those of the SMRM and PT group. In the SMRM group, the duration of crust formation was shorter than that of the PT group. Conclusion：This study suggest that SMRM is a more effective treatment of chronic hypertrophic rhinitis for patients with bony hyprtrophy, whereas RFAPT is better for patients with prominent mucosal hypertrophy. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:630-5)
Abstract
Surgical reduction of the turbinate size is the treatment of choice for symptomatic hypertrophy of the inferior turbinate, which is unresponsive to medication. In the present series, three of techniques for the reduction of the size of the inferior turbinate were evaluated and compared. Subjects and Method：Sixty patients with chronic hypertrophic rhinitis which is refractory to medical therapy were divided into three groups, the submucosal resection with microdebrider (SMRM) group (20 patients), the radiofrequency-assisted partial turbinoplasty (RFAPT) group (20 patients) and the partial turbinectomy (PT) group (20 patients). Postoperative changes in degrees of nasal obstruction, minimal cross-sectional area and the volume of nasal cavity were evaluated prospectively at 3 months after operation. Operation time, postoperative pain, duration of crust formation and delayed bleeding were also compared. Results：Nasal obstruction was improved significantly in all groups. In the SMRM and PT group, the degree of improvement was higher than that of the RFAPT group. In the RFAPT group, the operation time and duration of crust formation were shorter, and postoperative pain was less than those of the SMRM and PT group. In the SMRM group, the duration of crust formation was shorter than that of the PT group. Conclusion：This study suggest that SMRM is a more effective treatment of chronic hypertrophic rhinitis for patients with bony hyprtrophy, whereas RFAPT is better for patients with prominent mucosal hypertrophy. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:630-5)
참고문헌 (14)
- Hol MK, "Treatment of inferior turbinate pathology: A review and critical evaluation of a different techniques", Rhinology, 38(4), pp.157~166 (2000)
- Friedman M, "A safe, alternative technique for inferior turbinate reduction", Laryngoscope, 109(11), pp.1834~1837 (1999)
- Kizilkaya Z, "Comparison of radiofrequency tissue volume reduction and submucosal resection with microdebrider in inferior turbinate hypertrophy", Otolaryngol Head Neck Surg, 138(2), pp.176~181 (2008)
- Passàli D, "Treatment of inferior turbinate hypertrophy: A randomized clinical trial", Ann Otol Rhinol Laryngol, 112(8), pp.683~688 (2003)
- Sapci T, "Comparison of the effects of radiofrequency tissue ablation, CO2 laser ablation, and partial turbinectomy applications on nasal mucociliary functions", Laryngoscope, 113(3), pp.514~519 (2003)
- House HP, "Submucosal resection of the inferior turbinal bone", Laryngoscope, 61(7), pp.637~648 (1951)
- Mabry RL, "How I do it: Plastic surgery. Practical suggestions on facial plastic surgery. Inferior turbinoplasty", Laryngoscope, 92(4), pp.459~461 (1982)
- 임대준, "양극 라디오전파 하비갑개성형술을 이용한 알레르기성 비염의 치료", 대한이비인후과학회지 두경부외과학, 48(9), pp.1102~1106 (2005), 대한이비인후과학회
- Coste A, "Radiofrequency is a safe and effective treatment of turbinate hypertrophy", Laryngoscope, 111(5), pp.894~899 (2001)
- Van delden MR, "Endoscopic partial inferior turbinoplasty", Otolaryngol Head Neck Surg, 121(4), pp.406~409 (1999)
- Wexler D, "Partial inferior turbinectomy using the microdebrider", J Otolaryngol, 34(3), pp.189~193 (2005)
- 이재용, "코블레이터와 회전식 흡입기를 이용한 하비갑개 수술의 장기적 효과에 대한 비교 연구", 대한이비인후과학회지 두경부외과학, 49(5), pp.510~516 (2006), 대한이비인후과학회
- Passali D, "Treatment of hypertrophy of the inferior turbinate: Long-term results in 382 patients randomly assigned to therapy", Ann Otol Rhinol Laryngol, 108(6), pp.569~575 (1999)
- Joniau S, "Long-term comparison between submucosal cauterization and powered reduction of the inferior turbinates", Laryngoscope, 116(9), pp.1612~1616 (2006)