鼻アレルギーに対する粘膜下下甲介骨切除術

DOI 被引用文献2件 参考文献15件

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  • The Effects of Submucous Turbinotomy on Allergic Rhinitis.

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The effects of submucous turbinotomy were investigated in 45 patients with perennial nasal allergies caused by house dust, who were resistant to treatment with various medications. Subjectively, all of the patients had reduced nasal obstruction and more than 90% of the patients showed a decrease in both sneezing and rhinorrhea for one year postoperatively. Objectively, the mean nasal airflow value increased significantly. Furthermore, the nasal provocating reaction to specific antigens was weakened in 93.5% of patients.<br>These results suggest that submucous turbinotomy is a useful surgical treatment for severe nasal allergy, as evidenced by the improvements in not only the nasal airflow but also the nasal allergic reaction.<br>Histopathologically, the superficial layer of the submucosa of the turbinate was occupied by fibrous tissues, and the vessels, nasal glands and eosinophils infiltration almost disappeared. These changes were considered to weaken the allergic reaction, and to block both the venous plexus and the secretion of rhinorrhea.

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