Partial inferior turbinectomy in rhinoseptoplasty has no effect in quality‐of‐life outcomes: A randomized clinical trial

Abstract

Objective: Evaluate the impact of endoscopic partial inferior turbinectomy (EPIT) associated with primary rhinoseptoplasty on quality-of-life outcomes (QOL), complications, and surgical duration.Study Design: Randomized clinical trial. Methods: Individuals with nasal obstruction aged 16 years who were candidates for functional and aesthetics primary rhinoseptoplasty were evaluated from March 2014 through May 2015. Eligible participants were randomly allocated to rhinoseptoplasty with or without EPIT (excision of one-third of the inferior turbinates).Results: Fifty patients were studied. Most were Caucasian and had moderate/severe allergic rhinitis symptoms. Mean age was 36 ( 6 14.5) years. Rhinoseptoplasty was associated with improvement in all QOL scores irrespective of turbinate intervention (P < 0.001). Analysis of covariance was conducted to control for potential confounders. There was no difference between the groups in absolute score changes for Nasal Obstruction Symptom Evaluation-Portuguese (NOSE-p) (250.5 vs. 247.6; P 5 0.723), Rhinoplasty Outcome Evaluation (ROE) (47 vs. 44.8; P 5 0.742), and all World Health Organization Quality of Life Scale-Abbreviated (WHOQOL-bref) score domains (P > 0.05). There were no differences between the groups regarding presence of the complications. Surgical duration was higher in the EPIT group (212 minutes 6 7.8 vs. 159.1 6 5.6; P ? 0.001).Conclusions: Turbinate reduction through EPIT during primary rhinoseptoplasty did not improve short-term general and specific QOL outcomes. The use of EPIT increases surgical time considerably without improving QOL scores. There was no difference in postoperative incidence of complications, suggesting that EPIT is a safe technique.

Radiofrequency ablation of turbinates after septoplasty has no effect on allergic rhinitis symptoms other than nasal obstruction

“…Our results are in agreement with those of a recent, randomized, controlled study with a design similar to ours. Although that study evaluated non‐AR patients, the authors concluded that septoplasty alone may be adequate, similar to our finding for AR patients …”

Inferior Turbinate Reduction during Rhinoplasty: Is There Any Effect on Rhinitis Symptoms?

“…[4][5][6] Rhinoseptoplasty is also often performed concomitantly with inferior turbinate surgery with the aim of preserving the total breathing area which is surgically reduced, even though there is no evidence of efficacy regarding this aspect. [7][8][9][10][11][12] Allergic rhinitis (AR) is one of the main causes of turbinate enlargement. 13 It is characterized by hypersensitivity induced by immune-mediated inflammation resulting from the exposure of the nasal mucosa to specific allergens.…”

Comparative Study of the Effectiveness of sub mucosal Partial Inferior Turbinectomy and Out fracture of Inferior Turbinate in the Nasal Respiratory Function of Rhinoplasty Patients

“…Further observed was that partial turbinectomy did not cause any significant complications [17]. In a study conducted by de Moura et al [18], it was concluded that sub mucosal partial inferior turbinectomy is a reliable surgical technique that does not entail any serious complications; this method, however, is not effective in improving the quality of life in short-term periods following the surgery. In the present research, no significant difference was observed concerning the SNOT-22 questionnaire up to 1 month after the surgery.…”