Journal archive · Septum, valve and airway · Outcomes, satisfaction and psychology · Adolescent and aging nose · 2010
A review of outcomes following inferior turbinate reduction surgery in children for chronic nasal obstruction
Leong SC, Kubba H, White PS.
In the archive as a landmark paper: the core sweep runs 2011–2026, and this one is here because the history of rhinoplasty rests on it · cited on turbinate surgery.
From the abstract
“The surgical management of enlarged inferior turbinates in children is controversial. The evidence base for turbinate surgery is weak and surgeons empirically offer surgery where the predominant symptom was nasal obstruction. Objective: To evaluate the evidence for inferior turbinate surgery in children suffering with…”
Excerpt; the full abstract is on PubMed.
Citation
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What the rhinoplasty literature says on this paper's topics, cited line by line to PubMed.
Septum, valve and airway
Every rhinoplasty is a breathing operation whether it intends to be or not: the septum holds the nose up as well as dividing it, and the narrowest part of the whole airway is the internal valve the surgeon is standing over.
Outcomes, satisfaction and psychology
Rhinoplasty is measured with ten different questionnaires, none of which covers both the way the nose looks and the way it breathes, and the best-developed one has no airway questions at all.
Adolescent and aging nose
The same operation is a different problem at twelve and at seventy: in a child the fear is stunting a nose that has not finished growing, and in an older patient the nose has kept changing, dropping at the tip, thinning at the skin and weakening at the cartilage, until it blocks the airway.
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