Powered endoscopic inferior turbinoplasty: clinical study

Abstract

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Nasal obstruction is a common complaint in ENT clinics and significantly affect the patient`s quality of life. Inferior turbinate hypertrophy is one of the common causes of nasal obstruction, surgical reduction of inferior turbinate is indicated in refractory cases not responding to conservative measures and the optimal surgical technique is controversial. The aim of the study was to evaluate the clinical outcomes of powered endoscopic inferior turbinoplasty in the management of inferior turbinate hypertrophy. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">An interventional study (single group clinical trial) was conducted and powered endoscopic inferior turbinoplasty was performed on 30 patients complaining of chronic nasal obstruction due to inferior turbinate hypertrophy and other causes of nasal obstruction were excluded. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Assessed preoperatively and 1<sup>st</sup> week, 1<sup>st</sup> month and 3<sup>rd</sup> month postoperatively depending on subjective visual analogue scale scores for nasal obstruction, endoscopic grading system and complications. There was significant improvement in nasal obstruction and significant reduction in inferior turbinate size and mild complications that completely absent at the third month following the surgery. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Microdebrider-assisted inferior turbinoplasty as a safe, effective and reliable alternative method for inferior turbinate reduction.</span></p>

The Effectiveness of Inferior Turbinoplasty in Children with Nasal Obstruction

“…Pre-operatively, nasal obstruction was moderate to severe in all patients, at the first post-operative week 18 patients (60.0%) had no obstruction, and 12 (40.0%) had mild obstruction, on the 1 st post-operative month 23 (76.7%) patients had no obstruction and 7 patients still had mild nasal obstruction while on the 3 rd post-operative month the total number of patients with no obstruction was 26 (86.7%) and only 4 patients remained with mild one. 9 Turbinate hypertrophy grades: The present results demonstrated that there was a significant improvement (p<0.001) in turbinate hypertrophy grades at different follow up periods post-operatively (at 2 nd week post-operative, 3 patients (7.5%) had grade I , 25 patients (62.5%) had grade II and 12 patients (30%) had grade III . However, after 1 month, 20 patients (50%) had grade I, 16 patients (40%) had grade II and 4 patients (10%) had grade III.…”

“…They found that regarding the grading of turbinate hypertrophy, pre-operatively, 11 patients (36.7%) had grade 2 and the remaining 19 patients (63.3%) had grade 3 while none had grade 1, post-operatively all the patients had grade 1. This improvement was statistically significant 9.…”

“…In the present study, the gradual decrement in crusting might be due to mucosal preservation of the medial surface of IT and meticulous treatment that was given to the patients during the post-operative period. 9…”