Incidence of Atrophic Rhinitis After Partial Inferior Turbinectomy: A Retrospective Cohort Study

Abstract

Background: Inferior turbinate hypertrophy is a common nding while evaluating the patients with Allergic Rhinitis, Chronic Rhinitis, Non-Allergic Rhinitis, Hormonal Changes, Acute sinus infection and medications. Turbinate hypertrophy causes signicant impact on patient's quality of life as it causes sensation of nasal obstruction, difculty in sleeping and epistaxis due to altered and turbulent ow of air current in nasal cavity and patients tend to go for surgical management when the medical management fails. The nasal obstruction is generally relieved after surgery but patient with a roomy nasal cavity is also at risk of developing Atrophic Rhinitis. We present a retrospective cohort study to compare the incidence of post operative Atrophic Rhinitis in two groups with one group of patients undergoing Partial turbinectomy under endoscopic guidance and other group undergoing turbinate reduction using a Turbinate Scissor. All the patients included in the study underwent the procedure in the Department of Otorhinolaryngology-Head and Neck Surgery in MBS Hospital, Kota over a period from July 2020 to December 2021. This retrospective study includes 126 pa Methods: tients as per the inclusion criteria described in the following article out of which 74 patients (52M, 22F) underwent Partial Inferior Turbinectomy using a microdebrider under endoscopic guidance and 52 patients (37M, 15F) underwent the Procedure using Turbinate scissors and the incidence of Atrophic Rhinitis was noted in the post operative follow up period and the data obtained was put to statistical evaluation. Atrophic Rhinitis was noted in a total Results: of 2 patients out of which 1 patient underwent the procedure using microdebrider and1patient underwent the procedure using Turbinate scissors. It was noted that there was no difference in gender distribution of Atrophic Rhinitis as well as the use of Microdebrider did not offer any advantage in reducing the incidence post operative Atrophic Rhinitis (p-value 0.811).