The Experts below are selected from a list of 525 Experts worldwide ranked by ideXlab platform
Pierre B Saadeh - One of the best experts on this subject based on the ideXlab platform.
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inferior turbinate hypertrophy in rhinoplasty systematic review of surgical techniques
Plastic and Reconstructive Surgery, 2016Co-Authors: Sammy Sinno, Karan Mehta, Sarah Kidwai, Pierre B SaadehAbstract: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.
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inferior turbinate hypertrophy in rhinoplasty systematic review of surgical techniques
Plastic and Reconstructive Surgery, 2016Co-Authors: Sammy Sinno, Karan Mehta, Sarah Kidwai, Pierre B SaadehAbstract: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.
Khalid Mohamed Bofares - One of the best experts on this subject based on the ideXlab platform.
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carbon dioxide laser Turbinectomy versus submucosal diathermy of hypertrophied turbinates histopathological prospective study
Journal of US-China Medical Science, 2011Co-Authors: Khalid Mohamed BofaresAbstract:This work is aimed to assess suspected turbinate mucosal distractive changes of CO2 laser partial Turbinectomy as compared to submucosal diathermy technique of hypertrophied inferior turbinates and thus risk of appearance of mucosal atrophic changes. CO2 laser turbinotomy or Turbinectomy has become an established well documented line of treatment of hypertrophied inferior turbinates not responding to medical treatment. Although there have been several reports discussing the clinical aspects of laser Turbinectomy, exact pathological changes that take place following laser application to the turbinate have not been described completely and clearly. For this reason this study was conducted to confirm these possible histopathological changes and compared with that following submucosal diathermy technique. Twenty patients with chronic hypertrophied inferior turbinates and presenting mainly with nasal obstruction, ten out of them were subjected to CO2 laser Turbinectomy while other half underwent to submucosal diathermy technique. Tiny biopsies were taken immediately after surgery (within one week after surgery), as well as 4-6 weeks later and processed for further histopathological evaluation. The study shows all the patients of two groups in areas of epithelial loss were observed immediately after both techniques. 4-6 weeks after laser application 60% of patients showed normal epithelial areas as compared to second group where 20% of patients who showed normal epithelial picture. Thus our study concluded to that CO2 laser Turbinectomy can be considered as more preservative technique for nasal mucosa as well as the function of the nose as compared to submucosal diathermy technique.
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carbon dioxide laser Turbinectomy versus submucosal diathermy of hypertrophied turbinates histopathological prospective study
LASER FLORENCE 2009: A Gallery Through the Laser Medicine World, 2010Co-Authors: Khalid Mohamed BofaresAbstract:Aim: To assess suspected turbinate mucosal distractive changes of CO2 laser partial Turbinectomy as compared to submucosal diathermy technique of hypertrophied inferior turbinates and thus risk of appearance of mucosal atrophic changes.Introduction: CO2 laser turbinotomy or Turbinectomy has become an established well documented line of treatment of hypertrophied inferior turbinates not responding to medical treatment. Although there have been several reports discussing the clinical aspects of laser Turbinectomy, but exact pathological changes that take place following laser application to the turbinate have not been described completely and clearly. For this reason this study was conducted to confirm these possible histopathological changes and compared with those following submucosal diathermy technique.Patients and methods: Twenty patients with chronic hypertrophied inferior turbinates and presenting mainly with nasal obstruction, ten out of them were subjected to CO2 laser Turbinectomy while other half...
Sammy Sinno - One of the best experts on this subject based on the ideXlab platform.
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inferior turbinate hypertrophy in rhinoplasty systematic review of surgical techniques
Plastic and Reconstructive Surgery, 2016Co-Authors: Sammy Sinno, Karan Mehta, Sarah Kidwai, Pierre B SaadehAbstract: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.
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inferior turbinate hypertrophy in rhinoplasty systematic review of surgical techniques
Plastic and Reconstructive Surgery, 2016Co-Authors: Sammy Sinno, Karan Mehta, Sarah Kidwai, Pierre B SaadehAbstract: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.
William E Davis - One of the best experts on this subject based on the ideXlab platform.
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endoscopic partial inferior Turbinectomy using a power microcutting instrument
Ear nose & throat journal, 1996Co-Authors: William E Davis, Gary J NishiokaAbstract:A technique for removing part of the inferior turbinate with a powered instrument is presented. This new technique is safe, quick, easy to teach, predictable and enables removal of the same amount of tissue and bone as is removed with other techniques of partial inferior Turbinectomy.
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effect of partial middle Turbinectomy on nasal airflow and resistance
Otolaryngology-Head and Neck Surgery, 1995Co-Authors: Paul R Cook, Ali Begegni, Cullen W Bryant, William E DavisAbstract:We report the first prospective study of the effect of partial middle Turbinectomy on nasal airflow and resistance as measured objectively by active anterior rhinomanometry. Our study group consisted of 31 consecutive patients who underwent functional endoscopic sinus surgery with simultaneous partial middle turbinate resections. We found that all patients had significant improvement in nasal airflow (p < 0.001) and significant decrease in nasal resistance (p < 0.001). Thus we found no deleterious effect on nasal function. Additionally, we reviewed the literature on retrospective series in which patients had received partial middle turbinectomies and found no evidence that nasal function was impaired after surgery. We conclude that partial middle Turbinectomy may be performed without adversely altering nasal function, as measured by active anterior rhinomanometry.
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partial endoscopic middle Turbinectomy augmenting functional endoscopic sinus surgery
Otolaryngology-Head and Neck Surgery, 1992Co-Authors: William R Lamear, William E Davis, Jerry W Templer, Joel P Mckinsey, Herbierto Del PortoAbstract:Endoscopic sinus surgery has gained acceptance in the otolaryngologic community as an effective and safe method of treating inflammatory disease of the paranasal sinuses. At our institution, partial endoscopic middle Turbinectomy has become a standard component of the procedure and our experience is reported. Middle Turbinectomy enhances surgical exposure, specific anatomic anomalies are more completely corrected, and subpopulations of patients at risk for failure because of their underlying disease enjoy decreased rates of synechiae formation and closure of the middle meatus antrostomy when followed over time. Photodocumentation of the surgical technique and a discussion regarding the impact of middle Turbinectomy on normal nasal physiology are presented. It is reported that the procedure is safe, and no complications directly attributable to middle Turbinectomy (including atrophic rhinitis) are reported in a series of 298 patients.
H D Jho - One of the best experts on this subject based on the ideXlab platform.
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endoscopic endonasal skull base surgery part 2 the cavernous sinus
Minimally Invasive Neurosurgery, 2004Co-Authors: H D JhoAbstract:Objective An endoscopic endonasal approach to the cavernous sinus was developed with cadaver study and, subsequently, has been used in patient treatment. Methods The endoscopic anatomy, surgical approaches, and ideal head positioning were studied with six cadaver head specimens in order to develop endoscopic endonasal surgery of the cavernous sinus. Three illustrative patient cases are also reported. Results Horizontal placement of the forehead-chin line of head specimens provided the ideal head positioning for endoscopic endonasal cavernous sinus surgery. Three different surgical approaches were developed to access the cavernous sinus: the paraseptal, middle meatal and middle Turbinectomy approaches. While the ipsilateral middle meatal approach provided straight anterior exposure, the contralateral paraseptal approach provided anteromedial exposure at the cavernous sinus. The middle Turbinectomy approach rendered straight anterior exposure ipsilaterally and anteromedial exposure contralaterally. The sympathetic nerve climbed up on the surface of the carotid artery. When the dura mater was opened at the anterior wall of the cavernous sinus, the S-shaped carotid siphon was exposed. Cranial nerves III and IV were located inside the C-shaped carotid siphon. Cranial nerve VI was just lateral to the inferior arch of the carotid siphon. The ophthalmic branch of the trigeminal nerve was lateral to cranial nerve VI. When used in patient treatment, this technique was observed to be minimally invasive. Conclusion Endonasal endoscopy for cavernous sinus surgery was studied in cadaver dissection, and subsequently, was used in patient treatment with satisfactory outcomes.
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endoscopic endonasal skull base surgery part 3 the clivus and posterior fossa
Minimally Invasive Neurosurgery, 2004Co-Authors: H D JhoAbstract:Object: As a minimally invasive surgical strategy, endonasal endoscopy has been implemented for the surgical treatment of clival and midline posterior fossa lesions which conventionally require radical and extensive surgical exposures. A cadaver study was performed and, subsequently, this technique was adopted into patient treatment. Methods: Six cadaver head specimens were used in this study. Anterior sphenoidotomy was attained by either a paraseptal or middle Turbinectomy approach. The ideal head positioning was measured. The clival bone was removed with a high-speed drill from sella to foramen magnum in the vertical dimension and from carotid artery to carotid artery in the transverse dimension. The width of the clival bony window between the carotid arteries was measured at the level of the sellar floor and the caudal end of the carotid artery. The surgical anatomy was studied. Results: Although the middle Turbinectomy approach provided a wider surgical corridor, exposure with the paraseptal approach was sufficiently ample. Ideal head positioning was at 15-degree flexion of the forehead-chin line. The average width between carotid arteries at the sellar floor level was 16 mm (range 12-22 mm) and at the lower end of the carotid arteries it was 19 mm (range 14-23 mm). When the dura mater was opened, the anterior view of the pons and medulla with corresponding cranial nerves and vasculature was encountered. Four illustrative patient cases are presented. Conclusions: This endonasal endoscopy provided excellent surgical exposure from the sella to the foramen magnum at the midline clivus and posterior fossa. Surgical techniques and illustrations of four patients are presented.
