Inferior Turbinate Hypertrophy in Rhinoplasty: Systematic Review of Surgical Techniques

Sammy Sinno, Karan Mehta, Z. Hye Lee, Sarah Kidwai, Pierre B. Saadeh, Michael R. Lee

Research output: Contribution to journalReview article

10 Citations (Scopus)

Abstract

Background: Inferior turbinate hypertrophy is often encountered by plastic surgeons who perform rhinoplasty. Many treatment options are available to treat the inferior turbinate. The objective of this study was to systematically review outcomes of available techniques and provide guidance to surgical turbinate management. Methods: A MEDLINE search was performed for means of treating inferior turbinate hypertrophy. Studies selected focused on treatment of the inferior turbinate in isolation and excluding patients with refractory allergic rhinitis, vasomotor rhinitis, or hypertrophic rhinitis. Results: Fifty-eight articles were identified, collectively including the following surgical treatments of inferior turbinate hypertrophy: total turbinectomy, partial turbinectomy, submucosal resection, laser surgery, cryotherapy, electrocautery, radiofrequency ablation, and turbinate outfracture. Outcomes and complications were collected from all studies. Procedures such as turbinectomy (partial/total) and submucosal resection showed crusting and epistaxis at comparatively higher rates, whereas more conservative treatments such as cryotherapy and submucous diathermy failed to provide long-term results. Submucosal resection and radiofrequency ablation were shown to decrease nasal resistance and preserve mucosal function. No literature exists to support the belief that turbinate outfracture alone is an effective treatment for turbinate hypertrophy. Conclusions: Treatment of inferior turbinate hypertrophy is best accomplished with modalities that provide long-lasting results, preservation of turbinate function, and low complication rates. Submucosal resection and radiofrequency ablation appear to best fulfill these criteria. Turbinate outfracture should only be considered in combination with tissue-reduction procedures.

Original languageEnglish (US)
Pages (from-to)419e-429e
JournalPlastic and Reconstructive Surgery
Volume138
Issue number3
DOIs
StatePublished - Sep 1 2016

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Rhinoplasty
Turbinates
Hypertrophy
Cryotherapy
Vasomotor Rhinitis
Patient Isolation
Diathermy
Therapeutics
Epistaxis
Electrocoagulation
Laser Therapy
Rhinitis
Nose
MEDLINE

ASJC Scopus subject areas

  • Surgery

Cite this

Inferior Turbinate Hypertrophy in Rhinoplasty : Systematic Review of Surgical Techniques. / Sinno, Sammy; Mehta, Karan; Lee, Z. Hye; Kidwai, Sarah; Saadeh, Pierre B.; Lee, Michael R.

In: Plastic and Reconstructive Surgery, Vol. 138, No. 3, 01.09.2016, p. 419e-429e.

Research output: Contribution to journalReview article

Sinno, Sammy ; Mehta, Karan ; Lee, Z. Hye ; Kidwai, Sarah ; Saadeh, Pierre B. ; Lee, Michael R. / Inferior Turbinate Hypertrophy in Rhinoplasty : Systematic Review of Surgical Techniques. In: Plastic and Reconstructive Surgery. 2016 ; Vol. 138, No. 3. pp. 419e-429e.
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