ENS Quotations by ENTs

ENS Quotations by ENTs 2017-08-30T17:21:59+00:00

“Removal of an entire inferior turbinate for benign disease is strongly discouraged because removal of an inferior turbinate can produce nasal atrophy and a miserable person. Such people unfortunately are still seen in the author’s offices; these people are nasal cripples.”
(Source: Kern E. “Nasal Obstruction.” Otolaryngology – Head and Neck Surgery. W.B. Saunders Company. 1992, pp. 496.)

 

“Unfortunately, a wide nasal cavity syndrome due to reduction or resection of the inferior turbinate (and/or middle turbinate) is still frequently seen. In our opinion, it is a “nasal crime”.”
(Source: Huizing EH, De Groot J. “Functional Reconstructive Nasal Surgery”. 2003, pp 286.)

“Total inferior turbinectomy has been proposed as a treatment for chronic nasal airway obstruction refractory to other, more conservative, methods of treatment. Traditionally, it has been criticized because of its adverse effects on nasophysiology. In this study, patients who had previously undergone total inferior turbinectomy were evaluated with the use of an extensive questionnaire. It confirms that total inferior turbinectomy carries significant morbidity and should be condemned.”
(Source: Moore GF, Freeman TJ, Ogren FP, Yonkers AJ. “Extended Follow-Up Of Total Inferior Turbinate Resection For Relief Of Chronic Nasal Obstruction.” Laryngoscope. September 1985, pp. 1095-1099.)

 

“The inferior turbinal should never be entirely removed… Excessive removal allows a jet of inspired ventilation, the mucus evaporates and becomes so viscid as to impede ciliary action… In some cases where the inferior turbinal has been too freely removed, the loss of valvular action and undue patency of the nostril produce the discomfort of dry pharyngitis and laryngitis, with difficulty in expelling stagnant secretion from the nose. The loss of the turbinal may lead to a condition simulating atrophic rhinitis or even ozaena.”
(Source: Thomson St., Negus VE. “Inflammatory diseases. Chronic Rhinitis.” Diseases of the nose and throat, 6th edition. London: Cassel & Co. Lmt. 1955; pp. 124-145.)

“The excess removal of turbinate tissue might lead to empty-nose syndrome. Excess resection can lead to crusting, bleeding, breathing difficulty (often the paradoxical sensation of obstruction), recurrent infections, nasal odor, pain, and often clinical depression. In one study, the mean onset of symptoms occurred more than 8 years following the turbinectomies.”
(Source: Rice DH, Kern EB, Marple BF, Mabry RL, Friedman WH. The turbinates in nasal and sinus surgery: A consensus statement. ENT – Ear, Nose & Throat Journal. February 2003, pp. 82-83.)