Abstract：
OBJECTIVE: The inferior and middle turbinates have crucial roles in nasal function, but their enlargement can cause obstructive effects, which can lead to breathing difficulties, sleep and smell disorders, and headaches. Partial turbinectomy is a common surgical technique used to address this issue during septorhinoplasty, but it carries risks such as empty nose syndrome. A clinical trial was designed to evaluate the functional outcomes of middle and inferior partial turbinectomy with a holistic approach.
METHODS: Patients with NOSE questionnaire scores of 30 or higher, and grade 4 inferior turbinates and/or advanced middle concha bullosa were included. Patients completed questionnaires related to breathing, empty nose syndrome, headache, and olfaction preoperatively and at one-month, three-month, six-month, and first-year periods postoperatively. The partial excisions of the inferior and middle turbinates were carried out with serrated scissors while trying to preserve adequate turbinate size to maintain function.
RESULTS: This study found that NOSE scores, headache frequency, and severity improved postoperatively. The olfactory-related quality of life of the patients with impairments in this area significantly improved found to be improved at all postoperative evaluations. None of the patients experienced prolonged bleeding requiring surgical intervention. No cases of anosmia and empty nose syndrome were reported.
CONCLUSIONS: Partial turbinectomy of middle and inferior turbinates during septorhinoplasty can alleviate symptoms of turbinate hypertrophy, such as breathing issues, olfactory disorders, and headaches. It is an easy, reliable, and efficient surgical maneuver. Proper technique can minimize the risk of empty nose syndrome and other complications of turbinectomy surgery.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
METHODS: Patients with NOSE questionnaire scores of 30 or higher, and grade 4 inferior turbinates and/or advanced middle concha bullosa were included. Patients completed questionnaires related to breathing, empty nose syndrome, headache, and olfaction preoperatively and at one-month, three-month, six-month, and first-year periods postoperatively. The partial excisions of the inferior and middle turbinates were carried out with serrated scissors while trying to preserve adequate turbinate size to maintain function.
RESULTS: This study found that NOSE scores, headache frequency, and severity improved postoperatively. The olfactory-related quality of life of the patients with impairments in this area significantly improved found to be improved at all postoperative evaluations. None of the patients experienced prolonged bleeding requiring surgical intervention. No cases of anosmia and empty nose syndrome were reported.
CONCLUSIONS: Partial turbinectomy of middle and inferior turbinates during septorhinoplasty can alleviate symptoms of turbinate hypertrophy, such as breathing issues, olfactory disorders, and headaches. It is an easy, reliable, and efficient surgical maneuver. Proper technique can minimize the risk of empty nose syndrome and other complications of turbinectomy surgery.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
摘要：
目的：下鼻甲和中鼻甲在鼻功能中起着至关重要的作用，但是它们的增大会引起阻塞，会导致呼吸困难,睡眠和嗅觉障碍，和头痛。鼻甲部分切除术是鼻中隔成形术中用于解决此问题的常见手术技术，但它有空鼻综合症等风险。设计了一项临床试验，以整体方法评估中下鼻甲部分切除术的功能结果。
方法：NOSE问卷评分在30分以上的患者，包括4级下鼻甲和/或晚期中甲大疱。患者完成了与呼吸有关的问卷，空鼻子综合征,头痛,术前和一个月的嗅觉，三个月,六个月,术后第一年。下鼻甲和中鼻甲的部分切除是用锯齿状剪刀进行的，同时试图保持足够的鼻甲大小以维持功能。
结果：这项研究发现NOSE评分，头痛频率，术后严重程度改善。在所有术后评估中，该区域受损患者的嗅觉相关生活质量显着改善。没有患者经历需要手术干预的长期出血。无嗅觉缺失和空鼻综合征病例报道。
结论：鼻中隔和下鼻甲部分切除术可减轻鼻甲肥大的症状，比如呼吸问题，嗅觉障碍,和头痛。这是一个简单的,可靠,和有效的手术操作。正确的技术可以最大程度地减少空鼻综合征和鼻甲切除术的其他并发症的风险。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
方法：NOSE问卷评分在30分以上的患者，包括4级下鼻甲和/或晚期中甲大疱。患者完成了与呼吸有关的问卷，空鼻子综合征,头痛,术前和一个月的嗅觉，三个月,六个月,术后第一年。下鼻甲和中鼻甲的部分切除是用锯齿状剪刀进行的，同时试图保持足够的鼻甲大小以维持功能。
结果：这项研究发现NOSE评分，头痛频率，术后严重程度改善。在所有术后评估中，该区域受损患者的嗅觉相关生活质量显着改善。没有患者经历需要手术干预的长期出血。无嗅觉缺失和空鼻综合征病例报道。
结论：鼻中隔和下鼻甲部分切除术可减轻鼻甲肥大的症状，比如呼吸问题，嗅觉障碍,和头痛。这是一个简单的,可靠,和有效的手术操作。正确的技术可以最大程度地减少空鼻综合征和鼻甲切除术的其他并发症的风险。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
