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Application of continuous suture of inferior turbinate in surgery for chronic hypertrophic rhinitis with or without nasal septum deviation

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

To explore the application value of continuous suture of the inferior turbinate in inferior turbinate submucosal bone resection.

Methods

Twenty patients with chronic hypertrophic rhinitis with or without nasal septum deviation underwent inferior turbinate submucosal bone resection with or without septoplasty. The inferior turbinate was continuously sutured with or without nasal septum suture after surgery. The nasal cavity was not packed. The postoperative clinical outcome was evaluated using visual analog scales (VASs), saccharin test, nasal endoscopy, and nasal resistance test. Postoperative complications were recorded.

Results

All 20 endoscopic surgeries were successfully performed. One day after surgery, the VAS scores of nasal pain (1.3 ± 0.5), headache (0.8 ± 0.4), tearing (0.3 ± 0.3), and bleeding (0.3 ± 0.3) in patients were low; 1 week after surgery, the nasal mucociliary transport time was not significantly prolonged compared to that before surgery (P > 0.05); 1 month after surgery, the symptoms of nasal congestion had improved significantly, as the VAS score for nasal congestion was lower than that before surgery (P < 0.05); the volume of the hypertrophied inferior turbinate of all patients was reduced, the mucous membrane was smooth and rosy, the nasal septum was centrally located, and the total nasal resistance values at 150 Pa pressure had returned to the normal reference range (0.282 ± 0.103 Pa/cm3/s); no complications such as bleeding, nasal infection, nasal dryness, and olfactory disorders occurred.

Conclusion

After inferior turbinate submucosal bone resection with or without septoplasty, inferior turbinate continuous suture with or without nasal septum suture instead of nasal packing can significantly improve postoperative discomfort, improve nasal ventilation, protect nasal function, and accelerate postoperative recovery.

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Funding

This work was supported by grants from Nanjing Medical Science and Technique Development Foundation (QRX17051), the Project of Invigorating Health Care through Science, Technology and Education (ZDXKB2016015) and National Natural Science Foundation for Young Scientists of China (Grant No. 81600789).

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Author notes

  1. Handong Wang and Shuang Liang contributed equally to this work.

Authors and Affiliations

  1. Department of Otolaryngology Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, No. 321 Zhongshan Road, Nanjing, 210008, Jiangsu, China

    Handong Wang, Xianmei Wei, Yuan Yuan, Xiaofeng Ma, Feng Chen, Xia Gao & Chenjie Yu

  2. Research Institute of Otolaryngology, Nanjing, China

    Handong Wang, Xianmei Wei, Yuan Yuan, Xiaofeng Ma, Feng Chen, Xia Gao & Chenjie Yu

  3. Pukou Hospital of Traditional Chinese Medicine, Nanjing, China

    Shuang Liang

  4. Department of Otorhinolaryngology, The First Affiliated Hospital, Nanjing Medical University, No. 300 Guangzhou Road, Nanjing, 210029, China

    Xinyan Cui

Authors
  1. Handong Wang
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  2. Shuang Liang
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  3. Xianmei Wei
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  4. Yuan Yuan
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  5. Xiaofeng Ma
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  6. Feng Chen
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  7. Xia Gao
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  8. Xinyan Cui
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  9. Chenjie Yu
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Corresponding authors

Correspondence to Xinyan Cui or Chenjie Yu.

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Wang, H., Liang, S., Wei, X. et al. Application of continuous suture of inferior turbinate in surgery for chronic hypertrophic rhinitis with or without nasal septum deviation. Eur Arch Otorhinolaryngol 277, 1089–1094 (2020). https://doi.org/10.1007/s00405-020-05797-z

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  • DOI: https://doi.org/10.1007/s00405-020-05797-z

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