{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,9,21]],"date-time":"2022-09-21T20:30:24Z","timestamp":1663792224015},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund\u2002Die Symptomatik der chronischen Rhinitis in der alten und sehr alten Bev\u00f6lkerung kann aus der isolierten Schleimhauthyperplasie der unteren Nasenmuscheln resultieren. Als eine zielf\u00fchrende Therapie kommt eine Muschelplastik in Betracht. Bedenken bestehen hinsichtlich des oftmals reduzierten Allgemeinzustands, der h\u00e4ufig erh\u00f6hten Neigung zur Epistaxis, vor allem bei der Verwendung von Antikoagulanzien, und der Komorbidit\u00e4ten wie der arteriellen Hypertonie. Hinzu kommt die Problematik der verz\u00f6gerten Heilung.<\/jats:p><jats:p>\n          Ziel\u2002In der vorliegenden Studie sollten die Ergebnisse einer Muschelplastik, die in der Gruppe der alten bzw. sehr alten Patienten erzielt wurden, mit den Ergebnissen in der Gruppe der jungen Individuen verglichen werden.<\/jats:p><jats:p>\n          Material und Methoden\u2002Die Krankenakten von insgesamt 130 Patienten, die in drei Altersgruppen eingeteilt wurden: 82\u00a0Patienten 18\u201359 Jahre (M\u200a=\u200a33,8; SD\u200a=\u200a10,2); 30 Patienten 60\u201374 Jahre (M\u200a=\u200a66,0; SD\u200a=\u200a3,7) und 18 Patienten 75\u200a+\u200aJahre (M\u200a=\u200a85,3; SD\u200a=\u200a6,5) wurden einer Analyse unterzogen. Die Befragung der Patienten in Bezug auf die Intensit\u00e4t ihrer Symptome erfolgte direkt pr\u00e4- und einen Monat postoperativ. Zur Beurteilung wurde der Sinonasal Outcome Test (SNOT-20) eingesetzt. Die Dauer der Heilung und die Zufriedenheitswerte der Patienten wurden ebenfalls notiert.<\/jats:p><jats:p>\n          Ergebnisse\u2002Es zeigte sich eine vergleichbare Verbesserung des Nasendurchflusses, der Rhinorrhoe und des Postnasal-Drip-Syndroms bei den alten und sehr alten Patienten sowie den jungen Probanden. Die Funktion des Geruchssinns verbesserte sich dagegen in einem h\u00f6heren Ma\u00df in der Gruppe der jungen Patienten. Die postoperative Heilung dauerte l\u00e4nger bei den alten und sehr alten Patienten als bei den jungen Probanden.<\/jats:p><jats:p>\n          Fazit\u2002Einige klinische Ergebnisparameter waren bei den alten und sehr alten Patienten signifikant schlechter als bei den jungen Probanden.<\/jats:p>","DOI":"10.1055\/a-1226-6960","type":"journal-article","created":{"date-parts":[[2020,8,21]],"date-time":"2020-08-21T23:11:45Z","timestamp":1598051505000},"page":"460-466","source":"Crossref","is-referenced-by-count":0,"title":["Ergebnisse der Nasenmuschelverkleinerung bei alten und sehr alten Patienten mit chronischer Rhinitis"],"prefix":"10.1055","volume":"100","author":[{"given":"Olaf M.","family":"Zag\u00f3lski","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology, St. John Grande\u2019s Hospital, Krak\u00f3w, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Przemys\u0142aw","family":"Gorz\u0119dowski","sequence":"additional","affiliation":[{"name":"Allgemeinmedizinische Gemeinschaftspraxis, Kaiserslautern, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pawe\u0142","family":"Str\u0119k","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Hals-, Nasen- und Ohrenheilkunde, Universit\u00e4tsklinik der Jagiellonen-Universit\u00e4t, Krak\u00f3w, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,8,21]]},"reference":[{"issue":"S 01","key":"ref1","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1007\/s40520-016-0647-x","article-title":"Nasal mucosa healing after endoscopic sinus surgery in chronic rhinosinusitis of elderly patients: role of topic alpha-tocopherol acetate","volume":"29","author":"D Testa","year":"2017","journal-title":"Aging Clin Exp Res"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1159\/000381028","article-title":"Nonallergic Rhinitis in the Elderly: A\u00a0Reliable and Safe Therapeutic Approach","volume":"77","author":"E Cantone","year":"2015","journal-title":"ORL J Otorhinolaryngol Relat Spec"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"459","DOI":"10.2500\/ajra.2010.24.3524","article-title":"Factors affecting outcome of inferior turbinate mucotomy in treatment of post-nasal drip syndrome","volume":"24","author":"O Zag\u00f3lski","year":"2005","journal-title":"Am J Rhinol Allergy"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1177\/014556131809700615","article-title":"Nasal airway obstruction: Prevalence and anatomic contributors","volume":"97","author":"D W Clark","year":"2018","journal-title":"Ear Nose Throat J"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1080\/00016480410016252","article-title":"Polysomnographic effects of nasal surgery for snoring and obstructive sleep apnea","volume":"124","author":"S T Kim","year":"2004","journal-title":"Acta Otolaryngol"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1177\/0194599811423008","article-title":"Radiofrequency inferior turbinate reduction: long-term olfactory and functional outcomes","volume":"146","author":"M Garzaro","year":"2012","journal-title":"Otolaryngol Head Neck Surg"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"972","DOI":"10.1016\/j.otohns.2005.08.006","article-title":"Comparison of the effectiveness and safety of radiofrequency turbinoplasty and traditional surgical technique in treatment of inferior turbinate hypertrophy","volume":"133","author":"M Cavaliere","year":"2005","journal-title":"Otolaryngol Head Neck Surg"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1169","DOI":"10.1002\/alr.22169","article-title":"Trends in inferior turbinate surgery: analysis of patients using the Medicare database","volume":"8","author":"M Anderson","year":"2018","journal-title":"Int Forum Allergy Rhinol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1727","DOI":"10.1007\/s00405-010-1260-9","article-title":"Comparison of ultrasound turbinate reduction, radiofrequency tissue ablation and submucosal cauterization in inferior turbinate hypertrophy","volume":"267","author":"G Gindros","year":"2010","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1177\/0003489415578709","article-title":"Radiofrequency Coblation Versus Intramural Bipolar Cautery for the Treatment of Inferior Turbinate Hypertrophy","volume":"124","author":"A N Shah","year":"2015","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1449","DOI":"10.1007\/s00405-015-3759-6","article-title":"Managing turbinate hypertrophy: coblation vs. radiofrequency treatment","volume":"273","author":"D Passali","year":"2016","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"29","DOI":"10.2500\/ar.2016.7.0151","article-title":"Potassium titanyl phosphate laser turbinate reduction in the management of allergic inferior turbinate hypertrophy: Our experience","volume":"7","author":"S Vijayakumar","year":"2016","journal-title":"Allergy Rhinol (Providence)"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1998","DOI":"10.1097\/SCS.0000000000001032","article-title":"Radiofrequency versus electrocautery for inferior turbinate hypertrophy","volume":"25","author":"A E Kilavuz","year":"2014","journal-title":"J Craniofac Surg"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1997","DOI":"10.1002\/lary.27103","article-title":"A prospective, randomized, placebo-controlled study of inferior turbinate surgery","volume":"128","author":"T Harju","year":"2018","journal-title":"Laryngoscope"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"269","DOI":"10.2500\/ajra.2014.28.4044","article-title":"Efficacy of inferior turbinoplasty with the use of CO(2) laser, radiofrequency, and electrocautery","volume":"28","author":"E P Prokopakis","year":"2014","journal-title":"Am J Rhinol Allergy"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"e235","DOI":"10.1097\/SCS.0000000000001500","article-title":"Comparative Study Between Partial Inferior Turbinotomy and Microdebrider-Assisted Inferior Turbinoplasty","volume":"26","author":"A Romano","year":"2015","journal-title":"J Craniofac Surg"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1186\/s12967-016-0931-8","article-title":"Ultrastructural regenerating features of nasal mucosa following microdebrider-assisted turbinoplasty are related to clinical recovery","volume":"14","author":"G Neri","year":"2016","journal-title":"J Transl Med"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"e134","DOI":"10.2500\/ajra.2015.29.4217","article-title":"Radiofrequency turbinoplasty for nonallergic rhinitis in geriatric patients","volume":"29","author":"M S Yu","year":"2015","journal-title":"Am J Rhinol Allergy"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"583","DOI":"10.1111\/j.1398-9995.2005.00830.x","article-title":"EAACI position paper on rhinosinusitis and nasal polyps executive summary","volume":"60","author":"W Fokkens","year":"2005","journal-title":"Allergy"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"1345","DOI":"10.1378\/chest.06-2618","article-title":"Diagnostic classification of persistent rhinitis and its relationship to exhaled nitric oxide and asthma: A clinical study of a consecutive series of patients","volume":"131","author":"G Rolla","year":"2007","journal-title":"Chest"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1016\/j.amjoto.2008.06.015","article-title":"Evaluation of nasal cytology in subjects with chronic rhinitis: a 7-year study","volume":"30","author":"S Canakcioglu","year":"2009","journal-title":"Am J Otolaryngol"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"S147","DOI":"10.1067\/mai.2001.118891","article-title":"Allergic rhinitis and its impact on asthma","volume":"108","author":"J Bousquet","year":"2001","journal-title":"J Allergy Clin Immunol"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1016\/j.anai.2013.06.033","article-title":"Sino-nasal outcome test (SNOT-22): a predictor of post-surgical improvement in patients with chronic sinusitis","volume":"111","author":"J L Kennedy","year":"2013","journal-title":"Ann Allergy Asthma Immunol"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1409","DOI":"10.1007\/s00405-009-0916-9","article-title":"Mucosal changes in chronic hypertrophic rhinitis after surgical turbinate reduction","volume":"266","author":"G Gindros","year":"2009","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"831","DOI":"10.3109\/00016489.2015.1028592","article-title":"The nasal cycle and age","volume":"135","author":"M R Williams","year":"2015","journal-title":"Acta Otolaryngol"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"1010","DOI":"10.1111\/j.1365-2362.2009.02201.x","article-title":"Age determines vascular reactivity as measured by optical rhinometry","volume":"39","author":"H C Tillmann","year":"2009","journal-title":"Eur J Clin Invest"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"598","DOI":"10.1177\/0194599817691258","article-title":"Do Aging Factors Influence the Clinical Presentation and Management of Chronic Rhinosinusitis?","volume":"156","author":"A E Renteria","year":"2017","journal-title":"Otolaryngol Head Neck Surg"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1007\/s11882-016-0638-1","article-title":"Capsaicin for Rhinitis","volume":"16","author":"W Fokkens","year":"2016","journal-title":"Curr Allergy Asthma Rep"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1164\/rccm.200403-357OC","article-title":"Neuropathology in rhinosinusitis","volume":"171","author":"J N Baraniuk","year":"2005","journal-title":"Am\u00a0J Respir Crit Care Med"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"815","DOI":"10.1016\/j.otc.2018.03.014","article-title":"Age-Related Deficits in Taste and Smell","volume":"51","author":"R L Doty","year":"2018","journal-title":"Otolaryngol Clin North Am"}],"container-title":["Laryngo-Rhino-Otologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1226-6960.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T23:03:04Z","timestamp":1622588584000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1226-6960"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,21]]},"references-count":30,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2021,6,1]]},"published-print":{"date-parts":[[2021,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1226-6960","relation":{},"ISSN":["0935-8943","1438-8685"],"issn-type":[{"value":"0935-8943","type":"print"},{"value":"1438-8685","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,21]]}}}