Coblation versus microdebrider-assisted turbinoplasty for endoscopic inferior turbinates reduction

Coblation turbinoplasty is an efficient and minimally invasive treatment for blocked nose due to rhinitis that is refractory to medical treatment • In UK, turbinoplasty is mostly performed under GA • LA technique was never compared against GA in terms of impact on quality of life, complication rates, waiting times and length of stay • Our data suggest that LA and GA techniques have comparable safety profiles, pain scores and quality of life improvement • LA technique is superior when it comes to shorter waiting times and reduced length of hospital stay.

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“…The review highlighted that ultrasound turbinoplasty is the next most promising technology and has the potential to be the leading surgical technique. Based on the present review, we support microdebrider turbinoplasty as one of the recommended techniques, but there is recent evidence that radiofrequency technology, particularly coblation, may also offer corresponding benefits [58]. Both have strong evidence from clinical trials and studies to demonstrate their efficacy and safety.…”

Section: What Is the Ideal Surgical Technique For The Reduction Of Inmentioning

confidence: 73%

Surgical Interventions for Inferior Turbinate Hypertrophy: A Comprehensive Review of Current Techniques and Technologies

Abdullah

Singh

2021

IJERPH

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Surgical treatment of the inferior turbinates is required for hypertrophic inferior turbinates refractory to medical treatments. The main goal of surgical reduction of the inferior turbinate is to relieve the obstruction while preserving the function of the turbinate. There have been a variety of surgical techniques described and performed over the years. Irrespective of the techniques and technologies employed, the surgical techniques are classified into two types, the mucosal-sparing and non-mucosal-sparing, based on the preservation of the medial mucosa of the inferior turbinates. Although effective in relieving nasal block, the non-mucosal-sparing techniques have been associated with postoperative complications such as excessive bleeding, crusting, pain, and prolonged recovery period. These complications are avoided in the mucosal-sparing approach, rendering it the preferred option. Although widely performed, there is significant confusion and detachment between current practices and their basic objectives. This conflict may be explained by misperception over the myriad of available surgical techniques and misconception of the rationale in performing the turbinate reduction. A comprehensive review of each surgical intervention is crucial to better define each procedure and improve understanding of the principle and mechanism involved.

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Coblation versus microdebrider-assisted turbinoplasty for endoscopic inferior turbinates reduction

Cited by 17 publications

References 26 publications

Comparative study between local anaesthesia and general anaesthesia in coblation turbinoplasty

Comparative study between local anaesthesia and general anaesthesia in coblation turbinoplasty

Comparative study between local anaesthesia and general anaesthesia in coblation turbinoplasty

Surgical Interventions for Inferior Turbinate Hypertrophy: A Comprehensive Review of Current Techniques and Technologies

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