Abstract

By performing lateralization of the inferior turbinate, the surgeon achieves an improvement in nasal breathing by increasing the lumen of the common nasal passage. However, to date, there are no clear indications for lateroposition of the inferior turbinate and there are no scientific data on its clinical efficacy. The aim of the study was to develop an original method of selective HHR osteotomy with its subsequent lateralization (luxation) based on the analysis of CT anatomy of the HHR bone framework. The article describes the measurements and makes a comparative assessment of the effectiveness of the “classical” lateralization of HNR and the original technique according to CT data. According to the results of CT analysis of SNP before and after surgery, patients were divided into 2 subgroups depending on the effectiveness of lateralization. The second stage was the analysis of the data obtained by CT of SNP in patients operated on with the original technique (n = 30). A positive result was obtained (achieved) in 100% of cases. The original technique of HNR lateralization developed by us has proven its effectiveness and safety, can be recommended as a minimally invasive, organ-preserving method of surgical treatment of vasomotor rhinitis and can reduce the number of reoperations.

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