Kazan medical journalKazan medical journalКазанский медицинский журнал0368-48142587-9359Eco-Vector69610210.17816/KMJ696102WBUEXNReviewsОбзорыReview ArticleAdvantages and Disadvantages of Different Surgical Interventions on the Inferior TurbinatesПреимущества и недостатки разных хирургических вмешательств на нижних носовых раковинахhttps://orcid.org/0000-0002-6247-619X7660-5674AngotoevaIrina B.АнготоеваИрина Борисовна
Russian Federation

MD, Cand. Sci. (Medicine), Assistant Professor

канд. мед. наук, доцент

angotoeva@mail.ruhttps://orcid.org/0000-0003-3309-46836284-8040PopadyukValentin I.ПопадюкВалентин Иванович
Russian Federation

MD, Dr. Sci. (Medicine), Professor

д-р мед. наук, профессор

lorval04@mail.ruhttps://orcid.org/0000-0002-1779-83417294-5879PshennikovDmitrii S.ПшенниковДмитрий Сергеевич
Russian Federation

MD, Cand. Sci. (Medicine), Assistant Professor

канд. мед. наук, доцент

pshennikovd@mail.ruhttps://orcid.org/0000-0002-6915-96482099-5477FrolovSergei V.ФроловСергей Вячеславович
Russian Federation

MD, Cand. Sci. (Medicine), Assistant Professor

канд. мед. наук

frolov.lor@gmail.comhttps://orcid.org/0009-0001-0143-03317700-9213FeshkinaNadezhda V.ФешкинаНадежда Валерьевна
Russian Federation

MD

nadin__92@mail.ruRussian Medical Academy of Continuous Professional EducationРоссийская медицинская академия последипломного образованияPeoples’ Friendship University of RussiaРоссийский университет дружбы народов им. П. ЛумумбыRyazan State Medical University named after Academician I.P. PavlovРязанский государственный медицинский университет им. акад. И.П. ПавловаDmitry Rogachev National Medical Research Center for Children's Hematology, Oncology and ImmunologyНациональный медицинский исследовательский центр детской гематологии, онкологии и иммунологии им. Д. Рогачева1605202610731111202515012026Copyright ©; 2026, Eco-VectorCopyright ©; 2026, Эко-Вектор2026Eco-VectorЭко-Векторhttps://eco-vector.com/for_authors.php#07https://kazanmedjournal.ru/kazanmedj/article/view/696102

A large number of variants of reduction surgery on the inferior turbinates testify to the enduring interest in this problem. Surgery of the inferior turbinates has been known since the end of the 19th century and is widely used both as an independent intervention and in combination with operations on the paranasal sinuses, septoplasty, rhinoplasty, and procedures aimed at widening the pyriform aperture. The complexity of surgical treatment for hypertrophy of the inferior turbinates lies in the necessity of simultaneously solving two tasks: on the one hand, maximal widening of the nasal passages to eliminate the symptoms of nasal obstruction; on the other, preservation of the functions of the nasal cavity mucosa, determined by its anatomical and physiological features.

This work presents a systematic review of various methods of reduction surgery of the inferior turbinates, taking into account their advantages and disadvantages. The aim of the review is to assess the effectiveness of various surgical methods for reduction of the inferior turbinates based on an analysis of studies presented in the PubMed and RSCI databases from 1979 to 2025.

Among the described methods, there is no unanimous opinion on the most effective method for achieving long-term results. The choice of the method for reduction surgery of the inferior turbinates depends on the surgeon's preferences, working conditions, and economic accessibility. Additional research is necessary to determine whether there are clinically meaningful differences in long-term outcomes or complications depending on the technique.

Большое количество вариантов редукционных хирургических вмешательств на нижних носовых раковинах свидетельствует о сохраняющемся интересе к данной проблеме. Хирургия нижних носовых раковин известна с конца XIX века и широко применяется как в качестве самостоятельного вмешательства, так и в сочетании с операциями на околоносовых пазухах, септопластикой, ринопластикой и вмешательствами, направленными на расширение грушевидной апертуры. Сложность хирургического лечения гипертрофии нижних носовых раковин заключается в необходимости одновременного решения двух задач: с одной стороны, максимального расширения носовых ходов для устранения симптомов назальной обструкции; с другой — сохранения функций слизистой оболочки полости носа, обусловленных её анатомо-физиологическими особенностями.

В статье представлен систематический обзор различных методов редукционной хирургии нижних носовых раковин с учётом их преимуществ и недостатков. Цель обзора — оценить эффективность различных хирургических методов редукции хирургии нижних носовых раковин на основании анализа литературы, представленной в базах PubMed и РИНЦ с 1979 по 2025 год.

Среди описанных в литературе методик нет однозначного мнения о наиболее эффективном способе с сохранением долгосрочных результатов. Выбор метода редукционной хирургии нижних носовых раковин зависит от предпочтений хирурга, условий работы и экономической доступности. Необходимы дополнительные исследования, чтобы определить, существуют ли клинически значимые различия в отдалённых результатах или осложнениях в зависимости от техники.

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