Treatment of Inferior Turbinate Hypertrophy: A Randomized Clinical Trial

Passàli, Desiderio; Passàli, Francesco Maria; Damiani, Valerio; Passàli, Giulio Cesare; Bellussi, Luisa

doi:10.1177/000348940311200806

Cited by 188 publications

(169 citation statements)

References 19 publications

(15 reference statements)

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“…8 Laser treatment resulted in crusting in upto 74%, whereas electrocautery was complicated by crusting and synechiae 63% of times. 9 Submucosal resection had the lowest complication rate and highest subjective rating. However, the complication rate for tis was still as high as 14%, the most common problem being bleeding.…”

Section: Resultsmentioning

confidence: 95%

“…Radiofrequency turbinate reduction has similar, if not better, long term symptom relief than other common surgical treatments such as turbinectomy, submucosal turbinectomy, microdebrider, submucosal resection, cryotherapy, sub mucous electrosurgery and laser treatment. 8,9 Complications of treatment for inferior turbinate hypertrophy are common (Table 4). For inferior turbinectomy, infection, crusting, bleeding, adhesions and perforation have been reported to occur 75% of the time.…”

Section: Resultsmentioning

confidence: 99%

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Inferior turbinectomy - outcome of various surgical modalities: a prospective study

Reddy

2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Inferior turbinate hypertrophy is one of the major causes of nasal airway obstruction. Medical treatment often produces insufficient improvement. In these circumstances, surgical reduction of inferior turbinate can be proposed. Many different techniques are currently available. The aim of our study is to prospectively evaluate the effectiveness of three techniques i.e., electrocautery, cryotherapy and radio frequency by comparing the response of patients to these surgical modalities of turbinate reduction.Methods: A total of 90 patients presenting with nasal obstruction with or without allergic symptoms, fulfilling the inclusion and exclusion criteria, attending ENT OPD are included in the study. A prospective study was conducted on three groups of thirty patients with symptoms and signs of nasal obstruction associated with inferior turbinate hypertrophy of more than 3 months duration. Then the percentage of subjective improvement in nasal airway is used to assess treatment outcomes 1 week, 1, 3, 6, 9 and 12 months after surgery. Results: At the end of 12 months, 56.6% of patients treated with electrocautery and 56.6% of patients treated with cryotherapy showed 75% improvement in nasal obstruction whereas 59.99% of patients treated with radio frequency showed 100% improvement. No statistical difference in the amount of improvement in nasal obstruction was noted between the three treatment groups at the end of 12 months because of relatively small sample size.Conclusions: On this basis it is evident that clinically radio frequency showed better subjective improvement in nasal obstruction when compared to cryotherapy and electrocautery.

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Section: Resultsmentioning

confidence: 95%

Section: Resultsmentioning

confidence: 99%

Inferior turbinectomy - outcome of various surgical modalities: a prospective study

Reddy

2017

Int J Otorhinolaryngol Head Neck Surg

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“…In this study of patients without confounding factors, radiofrequency provided sustained benefit with significant improvement in frequency of obstruction, severity of obstruction, and overall ability to breathe at 2 years. Radiofrequency turbinate reduction has similar, if not better, long term symptom relief than other common surgical treatments such as turbinectomy, submucosal turbinectomy, microdebrider, submucosal resection, cryotherapy, submucous electrosurgery and laser treatment [8,9].…”

Section: Discussionmentioning

confidence: 98%

“…For submucosal resection using a microdebrider, bleeding, synechiae and mucosal tears occurred in 62 % of the patients reported [8]. Laser treatment resulted in crusting in upto 74 %, whereas electrocautery was complicated by crusting and synechiae 63 % of times [9]. Submucosal resection had the lowest complication rate and highest subjective rating.…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of Response Through Reduction in the Size of Hypertrophied Inferior Turbinate Causing Nasal Obstruction by Different Surgical Modalities: A Prospective Study

Dhulipalla¹

2014

Indian J Otolaryngol Head Neck Surg

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Inferior turbinate hypertrophy is one of the major causes of nasal airway obstruction. Medical treatment often produces insufficient improvement. In these cases, surgical reduction of inferior turbinate can be proposed. Many different techniques are currently available. The aim of our study is to prospectively evaluate the effectiveness of three techniques i.e., electrocautery, cryotherapy and radiofrequency by comparing the response of patients to these three surgical modalities of turbinate reduction. A total of 90 patients presenting with nasal obstruction with or without allergic symptoms, fulfilling the inclusion and exclusion criteria, attending ENT OPD are included in the study. A prospective study was conducted on three groups of thirty patients with symptoms and signs of nasal obstruction associated with inferior turbinate hypertrophy of more than 3 months duration. Then the percentage of subjective improvement in nasal airway is used to assess treatment outcomes 1week, 1, 3, 6, 9 and 12 months after surgery. At the end of 12 months, 56.6 % of patients treated with electrocautery and 56.6 % of patients treated with cryotherapy showed 75 % improvement in nasal obstruction whereas 59.99 % of patients treated with radiofrequency showed 100 % improvement. No statistical difference in the amount of improvement in nasal obstruction was noted between the three treatment groups at the end of 12 months because of relatively small sample size. But clinically radiofrequency showed better subjective improvement in nasal obstruction when compared to cryotherapy and electrocautery.

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“…5,6 To avoid this consequences, early medical management is mandatory, in the form of local corticosteroids, systemic corticosteroids, antihistaminics and anticholinergic. 7 If medical treatment is insufficient or ineffective, surgical management (in the form of partial turbinectomy) should put in mind. 8 In this study we tried to correlate between the turbinectomy operation and its impact on pulmonary functions and daily activity.…”

Section: Introductionmentioning

confidence: 99%

Effect of partial inferior turbinectomy operation on pulmonary function tests

Elzayat

Moussa

2018

Int J Otorhinolaryngol Head Neck Surg

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INTRODUCTIONChronic nasal obstruction is very common and mostly caused by hypertrophied inferior turbinates.1 Inferior turbinates are the primary controllers of upper airway helping in adjusting of the volume of the inspired air and improving its quality by humidification, filtration and warming, thus protecting lower respiratory mucosa. 2Interruption of the normal nasal cycle results in persistent hypertrophy of the inferior turbinates which is aggravated by inhalant allergens, infection, airborne irritants. 3Impairment of nasal secretions drainage leading to recurrent respiratory infections with relative hypoxia and hypercapnia which leads to synthesis of inflammatory cytokines, and free nitrogen and oxygen radicals which may be responsible for impaired pulmonary functions. 4 Loss of nasal humidification and warming due to mouth breathing can lead to alterations in the diffusion and viscosity of the surfactant which may be a powerful stimulus for bronchiolar obstruction, consequently affecting daily activity and causes psychological disturbances. 5,6 To avoid this consequences, early medical management is mandatory, in the form of local corticosteroids, systemic corticosteroids, antihistaminics and anticholinergic.7 If medical treatment is insufficient or ineffective, surgical management (in the form of partial turbinectomy) should put in mind. 8 In this study we tried to correlate between the turbinectomy operation and its impact on pulmonary functions and daily activity. This was done objectively by using spirometry evaluating pulmonary functions and 6-minutes walking test evaluating the effect on the daily activity. The evaluation also was done subjectively by using VAS (visual analogue score) system by asking the patient about the improvement of nasal obstruction following the operation, and by using Lund and Kennedy scoring about ABSTRACT Background: Nasal obstruction due to persistent hypertrophy of inferior turbinates is very common affecting respiration and daily activity. Partial inferior turbinectomy is a very safe and effective operation overcoming the nasal obstruction and nasal resistance caused by hypertrophied turbinates. Methods: In this prospective descriptive study, we tried to evaluate the effect of the operation on pulmonary functions and daily activity objectively by using spirometry and 6-minutes walking test before and after the operation. Thirty patients were included in this study. Results: Significant improvement after the operation. Also, we use a subjective VAS score which revealed the same results, proving that, the pulmonary function tests improved significantly after partial inferior turbinectomy operation. Conclusions: Partial inferior turbinectomy is a very effective operation in the management of nasal obstruction caused by persistent hypertrophy of inferior turbinates resulting in improvement of the pulmonary function tests and daily activity after the operation without marked complications.

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Treatment of Inferior Turbinate Hypertrophy: A Randomized Clinical Trial

Cited by 188 publications

References 19 publications

Inferior turbinectomy - outcome of various surgical modalities: a prospective study

Inferior turbinectomy - outcome of various surgical modalities: a prospective study

Comparative Study of Response Through Reduction in the Size of Hypertrophied Inferior Turbinate Causing Nasal Obstruction by Different Surgical Modalities: A Prospective Study

Effect of partial inferior turbinectomy operation on pulmonary function tests

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