A comparison of partial inferior turbinectomy and cryosurgery for hypertrophic inferior turbinates

Rakover, Yoseph; Rosen, G.

doi:10.1017/s0022215100134826

Cited by 74 publications

(51 citation statements)

References 15 publications

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“…PIT was found to be effective in reducing nasal obstruction, nasal discharge, itching & headache in all 30 patients as shown in Table 6 and 7 similar to other studies by Rakover and Rosen. 10 There were 5 cases with recurrence of nasal obstruction from no symptom to mild symptom at 6months in SMD group while no cases of recurrence was observed in the PIT group at 6 months indicating better effectiveness on long term similar to the results showed by Smithachandra et al in their study of 132 patients. 11 All the surgical methods aim mainly in reducing the size of turbinate to relieve nasal obstruction.…”

Section: Discussionsupporting

confidence: 81%

“…12 Our study had postoperative complications comparable to the study by Rakover and Rosen who had post op bleeding in 12% patients and adhesions in 4% of patients with PIT. 10 Elwany and Harrison also observed post op bleeding in 5% patients & high incidence of postoperative discomfort and headache. 13 A study by Gomma et al showed SMD to be better than PSIT regarding nasal pain and intra-nasal crustations after two weeks, but both techniques were equally effective in improving of nasal obstruction and degree of tissue healing.…”

Section: Discussionmentioning

confidence: 91%

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Comparative study between partial inferior turbinectomy and submucosal diathermy for treatment of inferior turbinate hypertrophy due to allergic rhinitis

Datta

Vinay

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Nasal obstruction due to inferior turbinate hypertrophy is one of the most common symptoms of Allergic rhinitis (AR) which causes significant debility. Surgery is one of the modalities of treatment to relieve patients of nasal obstruction. Objective of the study was to evaluate the efficacy of submucosal diathermy (SMD) and partial inferior turbinectomy (PIT) in the treatment of hypertrophied inferior turbinate.Methods: Sixty patients with allergic rhinitis and hypertrophied inferior turbinates were randomised into two groups with thirty patients each (group I underwent SMD and group II underwent PIT). They were assessed for relief of nasal obstruction by subjective and objective methods. Results: Nasal obstruction due to hypertrophy of inferior turbinate was the main symptom with 45 (75%) patients having severe obstruction and 15 (25%) patients moderate obstruction. Both the surgical procedures were effective in reducing nasal obstruction & other symptoms of AR. Though the total symptom score was significantly reduced by both the methods (p=0.001) SMD was superior in relieving nasal obstruction at 3months follow up while PIT was more effective at 6 months follow up.Conclusions: SMD is an easier, less invasive method with lesser postoperative discomfort and complications as compared to PIT. Our study recommends SMD as an effective technique for relief of nasal obstruction in allergic rhinitis.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 91%

Comparative study between partial inferior turbinectomy and submucosal diathermy for treatment of inferior turbinate hypertrophy due to allergic rhinitis

Datta

Vinay

2018

Int J Otorhinolaryngol Head Neck Surg

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“…Mucosa fail to shrink with nasal decongestants and corticosteroid drops, so the treatment of choice is surgery. Surgical options are electrocautery of inferior turbinates, 2 Submucosal Diathermy (SMD), 3 cryosurgical reduction, 4 Laser surgery, 5 radiofrequency tissue ablation, 6,7 partial inferior turbinectomy (PIT), 8 Inferior Turbinate Bone Resection (ITBR), 9 etc.…”

Section: Physiology Of Nosementioning

confidence: 99%

A Comparative Study of Partial Inferior Turbinectomy, Submucosal Diathermy and Inferior Turbinate Bone Resection for Inferior Turbinate Hypertrophy

N¹,

Babu²,

Reynolds³

et al. 2017

jemds

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BACKGROUND Nasal obstruction is the common symptom encountered by the Otorhinolaryngologist, which disturbs the quality of life of the patient. The anterior end of the inferior turbinate is the narrowest part of the nasal cavity. Hypertrophy of the inferior turbinate cause significant nasal obstruction. Surgery is the treatment of choice in hypertrophic inferior turbinate refractory to medi cal treatment. (1) There are a variety of surgical procedures for reduction of inferior turbinate hypertrophy, some of these are done targeting soft tissues of the turbinate, whereas others resects bony concha. In this prospective study, a comparison was made among the results of Partial Inferior Turbinectomy (PIT), Submucosal Diathermy (SMD) and Inferior Turbinate Bone Resection (ITBR) in patients with chronic nasal obstruction due to inferior turbinate hypertrophy, not responding to medical treatments. The cases were randomly divided into partial inferior turbinectomy group, submucosal diathermy group and inferior turbinate bone resection group. The study comprised of 114 patients divided into three groups, each of 38 patients. Patients were evaluated postoperatively at 1 st week, 1, 3 and 6 months and compared. Nasal obstruction, post-operative pain, intra-operative bleeding and crusting were the parameters recorded. The standard 4-point scale was used for bleeding and crusting. Rest of symptoms were assessed subjectively on visual analogue scale (0 -10); statistical analysis was done by student's 't' test. MATERIALS AND METHODSThe present prospective, randomised study was carried out at Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla. The study comprised of 114 patients and they were randomly divided into 3 groups, viz. Partial Inferior Turbinectomy group (PIT), Submucosal Diathermy group (SMD) and Inferior Turbinate Bone Resection group (ITBR). There were 50 females and 64 males. Their age ranges from 18 to 50 years, and those associated with septal deviation and polyposis were excluded from this study. All of them were subjected to surgery under general anaesthesia. Patients were evaluated post-operatively at first week, 1, 3 and 6 months and compared for nasal obstruction, post-operative pain, intra-operative bleeding and crusting. Rest of the symptoms were assessed subjectively on visual analogue scale (0 -10). Statistical analysis was done by student's 't' test. RESULTS100% improvement of nasal obstruction was recorded in inferior turbinate bone resection group, 92.11% in partial inferior turbinectomy group and 86.85% in submucosal diathermy group in our study. CONCLUSIONInferior turbinate bone resection is superior among the three mentioned groups in relieving nasal obstruction and in improvement of quality of life in the present study. Financial or Other, Competing Interest: None. Submission 07-02-2017, Peer Review 04-03-2017, Acceptance 11-03-2017, Published 20-03-2017. Corresponding Author: Dr. N. Gopinathan Pillai, Associate Professor, Department of Otorhinolaryngology, P...

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“…Hemostasis is achieved by nasal packing with neosporin coated gauze pack, which is left for 24-48 hours. 9,25 All patients received antibiotics for 5 days. Nasal packs were removed on 2 nd postop day.…”

Section: Slmentioning

confidence: 99%

Comparison of Partial Inferior Turbinectomy and Submucosal Diathermy for Hypertrophied Inferior Turbinate in Allergic Rhinitis Patients

C¹,

Kiran²,

John³

et al. 2015

jemds

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A comparison of partial inferior turbinectomy and cryosurgery for hypertrophic inferior turbinates

Cited by 74 publications

References 15 publications

Comparative study between partial inferior turbinectomy and submucosal diathermy for treatment of inferior turbinate hypertrophy due to allergic rhinitis

Comparative study between partial inferior turbinectomy and submucosal diathermy for treatment of inferior turbinate hypertrophy due to allergic rhinitis

A Comparative Study of Partial Inferior Turbinectomy, Submucosal Diathermy and Inferior Turbinate Bone Resection for Inferior Turbinate Hypertrophy

Comparison of Partial Inferior Turbinectomy and Submucosal Diathermy for Hypertrophied Inferior Turbinate in Allergic Rhinitis Patients

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