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Mini Inferior Turbinoplasty-Tunneling Technique

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Abstract

Techniques for inferior turbinate reduction vary with various surgical methods, which differ in the approach of preservation of tissue from total turbinectomy to limited submucosal cauterization. Our preferred method to address hypertrophic inferior turbinate by mini turbinoplasty-tunneling technique are presented. Critical steps include creation of window in the inferior turbinate with a 4 mm microdebrider blade and removal of both inferior turbinate mucosal hypertrophy and bony component to convert a convex looking inferior turbinate to concave shape. This allows proper debulking of the entire medial aspect of the inferior turbinate and widening of the nasal valve area. Mini turbinoplasty-tunneling technique for hypertrophic inferior turbinates, is a safe method in achieving turbinate size reduction with minimal morbidity and long-term relief of nasal obstructive symptoms without added risk of complications.

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References

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    Larrabee YC, Kacker A (2014) Which inferior turbinate reduction technique best decreases nasal obstruction? Laryngoscope 124(4):814–815. https://doi.org/10.1002/lary.24182

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    Kizilkaya Z, Ceylan K, Emir H et al (2008) Comparison of radio-frequency tissue volume reduction and submucosal resection with microdebrider in inferior turbinate hypertrophy. Otolaryngol Head Neck Surg 138:176–181

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Author’s Contributions

AN: Performed surgery, own surgical technique and patient preoperative and postoperative management and follow up. RDK: Preparation of the manuscript, literature review and review of manuscript.

Author information

Correspondence to Rajendran Dinesh Kumar.

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All authors declares that they have no conflict of interest.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Supplementary material 1 (WMV 19963 kb)

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Nagalingeswaran, A., Dinesh Kumar, R. Mini Inferior Turbinoplasty-Tunneling Technique. Indian J Otolaryngol Head Neck Surg 70, 604–606 (2018) doi:10.1007/s12070-018-1292-9

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Keywords

  • Nasal obstruction
  • Inferior turbinate reduction
  • Tunneling
  • Microdebrider