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Investigating the effects of inferior turbinate outfracture on the lacrimal system by evaluating the results of paranasal sinus computed tomography and nasolacrimal irrigation test

  • Rhinology
  • Published:
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Abstract

Objectives

This study aims to investigate the effects of inferior turbinate outfracture on the nasolacrimal system and tear flow.

Methods

Forty-seven patients (26 males, 21 females) between the ages 18 and 52 years (mean age—29.0 ± 9.6 years) were included in the study. Preoperative nasal examinations and paranasal sinus computed tomography of the patients were carried out; the direction, location, nasal septum deviation classification and inferior turbinate hypertrophy size classification were evaluated. Lacrimal irrigation test was performed preoperatively and 14 days postoperatively.

Results

The study included 47 patients who underwent septoplasty and inferior turbinate outfracture. The mean duration of lacrimal irrigation test was 2.9 ± 0.8 s on the right side and 3.0 ± 1.1 s on the left side preoperatively, and 2.1 ± 0.8 s on the right side and 2.2 ± 1.0 s on the left side postoperatively. No significant relationship between direction, location classification, angle nasal septum deviation classification and lacrimal irrigation test duration was found. A significant relationship between size classification of the left inferior turbinate and preoperative lacrimal irrigation test duration was noted (p = 0.030). Moreover, a significant decrease between preoperative and postoperative lacrimal irrigation test duration after inferior turbinate outfracture (p = 0.000) was noted.

Conclusion

We concluded that outfracture of the inferior turbinate with septoplasty surgery may benefit the regulation of tear flow. In addition, we concluded that lacrimal irrigation test duration may be effective in determining the patients with subclinical nasolacrimal duct partial obstruction due to inferior turbinate pathologies.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Health Sciences University Bursa Yüksek Ihtisas Training and Research Hospital, Mimarsinan Mahallesi, Emniyet Cd. No: 35, 16310, Bursa, Turkey

    Oğuzhan Dikici

  2. Department of Ophthalmology, Health Sciences University Bursa Yüksek Ihtisas Training and Research Hospital, Bursa, Turkey

    Hafize Gökben Ulutaş & Gülçin Kazaz Dikici

Authors
  1. Oğuzhan Dikici
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  2. Hafize Gökben Ulutaş
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  3. Gülçin Kazaz Dikici
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Contributions

OD: literature survey, design, planning, data collection, intellectual review of the results, writing, and approving the final manuscript. HGU: literature survey, design, planning, data collection, intellectual review of the results, writing, and approving the final manuscript. GKD: literature survey, design, planning, data collection, intellectual review of the results, writing, and approving the final manuscript.

Corresponding author

Correspondence to Oğuzhan Dikici.

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Conflict of interest

Oğuzhan DİKİCİ, M.D. declares that he has no conflicts of interest. Hafize Gökben ULUTAŞ, M.D. declares that she has no conflicts of interest. Gülçin KAZAZ DİKİCİ, M.D. declares that she has no conflicts of interest.

Ethics

The study was approved by the Ethics Committee of Bursa Yüksek Ihtisas Training and Research Hospital on 06.06.2018, no: 2011-KAEK-25 2018/06-08.

Informed consent

This is a prospective study, and informed consent was taken from all patients.

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Dikici, O., Ulutaş, H.G. & Kazaz Dikici, G. Investigating the effects of inferior turbinate outfracture on the lacrimal system by evaluating the results of paranasal sinus computed tomography and nasolacrimal irrigation test. Eur Arch Otorhinolaryngol 277, 129–134 (2020). https://doi.org/10.1007/s00405-019-05655-7

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