Concho-antropexy or total inferior turbinectomy for hypertrophy of the inferior turbinates? a prospective randomized study

Abstract

Twenty-five patients with bilateral nasal obstruction due to hypertrophy of the inferior turbinates were entered into a prospective study to compare the efficacy and the associated complications of total inferior turbinectomy and concho-antropexy. We found no significant statistical difference in the efficacy of these procedures in relieving nasal obstruction and discharge (>0.5). Total inferior turbinectomy was associated with more postoperative pain (p<0.05) and with long-term dryness and crusting (p<0.05) which were statistically significant. This is the first trial where concho-antropexy and total inferior turbinectomy are compared.

Comparative study of management of inferior turbinate hypertrophy using turbinoplasty assisted by microdebrider or 980 nm diode laser

“…29 Several surgical techniques have been used to reduce the turbinate, including turbinectomy, submucous turbinectomy, inferior turbinoplasty, cryotherapy and submucous electrosurgery. [30][31][32][33][34][35][36][37] Most of the described techniques involve submucous tissue treatments which require sacrifice of the mucosa, thereby interfering with nasal physiology. 14,18 Nasal mucociliary function is also impaired in the majority of patients undergoing surgical reduction of the inferior turbinates.…”

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

“…Surgical procedures can be performed for hypertrophic inferior turbinates in patients refractory to medical treatment. Total inferior turbinectomy (Ophir et al, 1985;Salam and Wengraf, 1993), partial inferior turbinectomy (Courtiss etal., 1978;Saunders, 1982), cryosurgery of the inferior turbinates (Ozenberger, 1970;Bumsted, 1984), submucosal diathermy (McCombe et al, 1992) and laser turbinectomy (Mladina et al, 1991) are all performed, which suggests the lack of one completely effective procedure.…”

Surgery of the Inferior and Middle Turbinates

“…8,9 The value of inferior turbinectomy versus the risks of potential complications remains unclear. In some studies of partial or total inferior turbinectomy, complications of bleeding, crusting, and atrophic rhinitis were considered minimal, even in dry, dusty climates.…”