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  • Surgical Management of Obstructive Sleep Apnea. [Review]
  • PRPlast Reconstr Surg 2016; 137(4):1263-72
  • Tanna N, Smith BD, … Bradley JP
  • Surgical management of snoring and obstructive sleep apnea is indicated when a surgically correctable abnormality is believed to be the source of the problem. Many patients opt for surgical treatment...
  • Clinical Consensus Statement: Septoplasty with or without Inferior Turbinate Reduction. [Review]
  • OHOtolaryngol Head Neck Surg 2015; 153(5):708-20
  • Han JK, Stringer SP, … Nnacheta LC
  • CONCLUSIONS: This clinical consensus statement was developed by and for otolaryngologists and is intended to promote appropriate and, when possible, evidence-based care for patients undergoing septoplasty with or without inferior turbinate reduction. A complete definition of septoplasty with or without inferior turbinate reduction was first developed, and additional statements were subsequently produced and evaluated addressing diagnosis, medical management prior to septoplasty, and surgical considerations, as well as the appropriate role of perioperative, postoperative, and adjuvant procedures, in addition to outcomes. Additionally, a series of clinical statements were developed, such as "Computed tomography scan may not accurately demonstrate the degree of septal deviation," "Septoplasty can assist delivery of intranasal medications to the nasal cavity," "Endoscopy can be used to improve visualization of posterior-based septal deviation during septoplasty," and "Quilting sutures can obviate the need for nasal packing after septoplasty." It is anticipated that the application of these principles will result in decreased variations in the care of septoplasty patients and an increase in the quality of care.
  • Chronic nasal dysfunction in children: Allergic rhinitis? Infectious? What to do if neither? [Review]
  • COCurr Opin Otolaryngol Head Neck Surg 2015; 23(6):491-8
  • Wei JL
  • CONCLUSIONS: Chronic nasal symptoms are common in childhood despite daily treatment using intranasal steroid, antihistamines, and/or leukotriene receptor antagonist therapies. Diet and dietary habit history should be included during evaluation and differential diagnosis as excessive dairy and sugar may contribute to chronic symptoms. Children who fail medical therapy for persistent nasal symptoms, allergic or not, should be referred and considered for outfracture of inferior turbinates and inferior turbinoplasty. Turbinate reduction procedures have demonstrated significant improvement in all domains of SinoNasal Quality of Life as measured by 'SN-5' survey.
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