Intraturbinal versus extraturbinal microdebrider-assisted inferior turbinoplasty: Preliminary results

Powered endoscopic inferior turbinoplasty: clinical study

“…20 Hesham et al, performed their study on 30 patients complaining of bilateral nasal obstruction due to inferior turbinate hypertrophy treated with MAIT, they noted significant improvement in degree of nasal obstruction post-operatively. 10 Gupta et al, reported that all 20 patients with ITH treated by powered turbinoplasty, experienced significant improvement in nasal obstruction degree by postoperative day 5, and the findings of the current study were consistent with them. 21 After the first week, this statistically significant (p<0.001) improvement in nasal obstruction continued during the first month and persisted for 3 months, where in the 1 st month post-operative visit where 23 patients (76.7%) had no obstruction and 7 patients (23.3%) with mild obstruction and on the 3 rd month post-operative visit 26 patients (86.7%) had no obstruction and only 4 patients (13.3%) remained with mild obstruction and this might be due to persistent subjective feeling of nasal blockage.…”

“…We did not report severe bleeding during or after the surgery, and the mild postoperative bleeding or blood stained discharge reported in only 2 (6.7%) cases at the end of 1st week and significantly reduced with time to be completely disappeared at end of 1st month and these were consistent with other studies, Hesham et al, Cingi et al, Chieh-Feng et al, Friedman et al 10,20,30,31 At 1st week following the surgery, we observed mild crusting which was mostly along the inferior aspect of IT in 26 patients and then gradually reduced with time where present in only 5 patients at the 1st postoperative month and no patient had crusting at 3 months following the procedure. This gradual decrement in crusting might be due to mucosal preservation of the medial surface of IT and meticulous treatment (saline nasal douche) that was given to the patients during the post-operative period, and our results correlated with the following studies: Wormald et al, there was statistically significant decrease in nasal crust formation at 3 weeks postoperatively in patients treated powered endoscopic inferior turbinoplasty.…”

“…Cingi et al, Chieh-Feng et al, Albu et al, all of them reported that gradual decrement in postoperative pain and no patient had pain at 1 and 3 months following the surgery and this was comparable to our study. 20,30,32 No synechiae was reported during the follow up period after surgery, this might be due to placement of surgicel and silastic sheets (no raw area), and this agreed with Cingi et al, Hesham et al 10,20 No epiphora was observed from the 1 st week to the 3 rd month following the surgery, this might correlated with Barham et al, Hesham et al 10,33 …”

“…27,31 Hesham et al reported no post-operative complications. 10 Cingi et al concluded that no crusting was observed postoperatively. 20 The postoperative facial pain and/or headache reduced gradually with time where it was trivial and in only 7 (23.3%) of cases at the first week of the procedure and disappeared completely in all the cases at the first month postoperatively.…”

“…8,9 The use of a microdebrider for the surgical treatment of hypertrophic turbinates was first reported by Davis and Nishioka in 1996. 10,11 It consists of four components: handpiece, microdebrider blade, integrated power console and foot pedal. 8 Powered endoscopic inferior turbinoplasty {also called microdebrider-assisted inferior turbinoplasty (MAIT)} was designed to preserve the medial wall of the inferior turbinate thereby preserving the airflow receptors.…”