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Partial inferior turbinectomy using the microdébrider.

David Wexler·Itzhak Braverman
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Abstract

BACKGROUND: A microdébrider was selected to accomplish partial inferior turbinectomy, allowing for controlled and rapid removal of hypertrophic soft tissue while preserving the general turbinate form. OBJECTIVE: To assess the clinical outcome, healing, and any adverse consequences from the microdébrider partial turbinectomy procedure. SETTING: A public hospital in north-central Israel. DESIGN: A nonrandomized prospective study of 35 adults who were referred for nasal airway surgery, including turbinectomy. METHODS: All patients underwent bilateral inferior turbinate reduction with the microdébrider, with removal of mucosa from the medial and inferior portions of the inferior turbinates. Detailed follow-up was accomplished at 4 or more months postoperatively, including a visual analogue scale questionnaire and videoendoscopy. For seven patients, pre- and postoperative mucosal biopsies were available to evaluate healing and epithelial regeneration. RESULTS: Nasal endoscopy showed well-healed turbinate membranes and preservation of the turbinate form, with widening of the inferomedial nasal airway space. Subjective nasal patency improved after surgery, p < .01, and the subjective sense of smell was improved, p < .01, without associated crusting, pain, irritation, sneezing, or dryness. Postoperative biopsies showed subepithelial fibrosis and regenerated epithelium, generally of respiratory differentiation. CONCLUSION: Inferior turbinate reduction can be accomplished efficiently with the microdébrider device, without undue side effects. SIGNIFICANCE: Further experience and long-term follow-up with this technique are warranted.

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AdultDebridementFemaleHumansHypertrophyMaleMiddle AgedNasal ObstructionOtorhinolaryngologic Surgical ProceduresProspective StudiesSmellTurbinatesJournal Article

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David Wexler, Itzhak Braverman. 2005. Partial inferior turbinectomy using the microdébrider.. https://doi.org/10.2310/7070.2005.03122

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