Bony and submuccsal tissue reduction of inferior turbinate: subjective and objective evaluation

Chronic nasal obstruction is one of the most common symptom in the practice of Otolaryngology. Our study was to evaluate the value of the reduction of both the bone and the submucosal soft tissue of the inferior turbinates by using microdebrider and microdrill burrs in 70 patients with bilateral inferior turbinate hypertrophy. They were 36 males and 34 females. The age ranged between 17-65 years. All cases were performed at ORL department, Mansoura University Hospital in the period between 2002-2003. Subjective and objective evaluations were done preoperativeI3rnonths postoperatively. Subjective evaluation was done by questionnaires regarding nasal symptoms with score calculation. Objective evaluations were done by clinical examination, endoscopic evaluation, and CT scanning. Turbinates were graded into I, II, III. Turbinates in grade 1ff were included in the study. The preoperative mean of total symptom score was [7.99 +/- 7.9 7] and postoperative was [1.79 +/- 1.81]. Preoperatively most of turbinates were in grade III but after surgery most of them were in grade I. AU turbinates were decreased in size after the procedure Bleeding occurred in 3 cases and required tight packing. Mucosal tears without mucosal loss occurred in 20 cases. We did not observe crustation, synechiae, foul odor or nasolacrimal injury. So by this technique patients showed both subjective and objective improvement

Role of otoendoscopy in primary cholesteatoma surgery

In this study, 87 cases with acquired cholesteatoma were operated upon by the canal-wall-up [CWU] mastoidectomy technique incorporating endoscopically guided ear surgery as a principal part of the procedure in an attempt to evaluate its role in controlling the disease. The role of endoscopes was to detect and verify the complete ablation of an epidermic remnant in areas that are difficult to visualize with the operative microscope. Endoscopes with various observation angles were introduced, either trans-canal or trans-mastoid. An intraoperative residue was detected in 31% of the cases due to the incorporation of endoscopic assistance to the procedure. Sinus tympani was the most common site of intraoperative residuals [63%]. On the 2-year follow- up period, five cases showed residual cholesteatoma. Only two cases of these five cases were of those 27 cases in whom an intraoperative residual was detected