scholarly journals A Comparitive Study of Outcome of Septoplasty for Nasal Obstruction with and Without Hypertrophied Inferior Turbinate Reduction

2017 ◽  
Vol 16 (03) ◽  
pp. 64-67
Author(s):  
Reena Vare ◽  
Rajendra Bohra ◽  
Ashfaque Ansari ◽  
Arjun Antony
Keyword(s):  
Nasal Obstruction ◽  
Inferior Turbinate ◽  
Turbinate Reduction

Clinical Outcome of CO2 Laser Inferior Turbinate Reduction in Patients with Nasal Obstruction Due to Inferior Turbinate Hypertrophy in a Tertiary Care Centre, Thiruvananthapuram, Kerala

2021 ◽  
Vol 8 (30) ◽  
pp. 2778-2783
Author(s):  
Nikhila Rajendran ◽  
Jaya C ◽  
Venugopal M ◽  
Satheesh S
Keyword(s):  
Allergic Rhinitis ◽  
Clinical Outcome ◽  
Medical Treatment ◽  
Nasal Obstruction ◽  
Co2 Laser ◽  
Inferior Turbinate ◽  
Turbinate Hypertrophy ◽  
Inferior Turbinate Hypertrophy ◽  
Turbinate Reduction

BACKGROUND Nasal obstruction secondary to inferior turbinate hypertrophy significantly affects the quality of life. Patients refractory to medical treatment are taken up for surgery. Laser turbinate reduction is an effective and simple method for treatment of nasal obstruction due to inferior turbinate hypertrophy. Only a few studies reported on the outcome of laser inferior turbinate reduction in India. The present study was done to assess the clinical outcome of laser inferior turbinate reduction in patients with nasal obstruction due to inferior turbinate hypertrophy. METHODS This prospective observational study was done in 31 patients (18 – 60 years) with nasal obstruction due to inferior turbinate hypertrophy refractory to medical management who underwent laser inferior turbinate reduction in ENT Department, Government Medical College, Thiruvananthapuram from December 2017 to September 2019. RESULTS All patients had bilateral inferior turbinate hypertrophy. 21 out of 31 patients had allergic rhinitis and rest had non-allergic rhinitis. Pre-operatively most patients had symptom score between 15 and 20. After CO2 laser inferior turbinate reduction at the end of 3 months of follow up, subjective assessment by symptom scoring confirmed by objective assessment by flowmetry 29 out of 31 patients had good outcome with relief from nasal obstruction. The success rate was more in nonallergic rhinitis (100 %) than the allergic rhinitis group (90.47 %). CONCLUSIONS CO2 laser inferior turbinate reduction is an effective procedure to relieve nasal obstruction in patients with inferior turbinate hypertrophy refractory to medical treatment, with minimal complications. Post-procedure on follow up significant number of patients had relief from hyposmia, sneezing and running nose. KEYWORDS Nasal Obstruction, Peak Nasal Inspiratory Flowmetry, Symptom Scoring, CO2 Laser, Outcome

scholarly journals Surgery for nasal obstruction in inferior turbinate hypertrophy

2015 ◽  
Vol 5 (17) ◽  
pp. 25-30
Author(s):  
Mihai Saulescu ◽  
Codrut Sarafoleanu
Keyword(s):  
Nasal Obstruction ◽  
Surgical Techniques ◽  
Inferior Turbinate ◽  
Nasal Airflow ◽  
Subjective Complaint ◽  
Turbinate Hypertrophy ◽  
Selection For ◽  
Inferior Turbinate Hypertrophy ◽  
Objective Improvement ◽  
Turbinate Reduction

Abstract In the international literature, there is no consensus on patient selection for turbinate surgery. Surgery is usually indicated to the patients on the basis of subjective complaint of nasal obstruction and surgeon´s clinical examination. Although most surgical techniques demonstrate a subjective and objective improvement in postoperative nasal airflow and subjective scores, it is hard to say which technique is best suited for treating inferior turbinate enlargement. Inferior turbinate reduction for nasal obstructive symptoms caused by enlarged turbinates is a useful procedure and is reserved for patients who are not responding to medical treatment or in whom the medical management is contraindicated.

scholarly journals Inferior turbinate reduction; coblation versus microdebrider - a prospective, randomised study

2014 ◽  
Vol 52 (4) ◽  
pp. 306-314
Author(s):  
Hassan M. Hegazy ◽  
Mohamed R. ElBadawey ◽  
Abobakr Behery
Keyword(s):  
Patient Satisfaction ◽  
Nasal Obstruction ◽  
Postoperative Bleeding ◽  
Inferior Turbinate ◽  
Crust Formation ◽  
Randomised Study ◽  
Nasal Symptoms ◽  
Before And After ◽  
Reduction Methods ◽  
Turbinate Reduction

Objectives: We prospectively evaluated and compared the safety, subjective and objective efficacy of the coblation and microde- brider for inferior turbinate reduction. Methods: We designed a prospective randomized trial recruiting 70 patients with symptomatic enlarged inferior turbinates. Forty had coblation and 30 had microdebrider. Objectively, we scored each inferior turbinate size from 1 to 3 pre- and post-operatively. Subjectively, patients completed a visual analogue scale (VAS) evaluating their nasal symptoms, before and after surgery. Results: Both techniques resulted in subjective significant improvement in the VAS for nasal obstruction, and other nasal symptoms. Comparing both groups, coblation showed significantly less pain than the microdebrider. Postoperative bleeding and mucosal tears were less frequent with coblation than with microdebrider but this was nonsignificant. Patient satisfaction significantly improved after both techniques. Conclusion: The submucous coblation is as effective as microdebrider for inferior turbinate reduction. It is easily performed with significantly less postoperative pain than the microdebrider. Both techniques produce significant reduction of the size of the turbinates and associated with a satisfactory improvement of the nasal obstruction, nasal secretion, crust formation, itching, sneezing and dryness. The side effects are minimal with both procedures with significant patient satisfaction postoperatively.

scholarly journals Coblation vs Microdebrider-assisted Inferior Turbinoplasty

2016 ◽  
Vol 8 (2) ◽  
pp. 51-52
Author(s):  
Amit Goyal ◽  
Amit Kumar ◽  
Rahul K Singh
Keyword(s):  
Sample Size ◽  
Nasal Obstruction ◽  
English Language ◽  
Inferior Turbinate ◽  
Exclusion Criteria ◽  
Turbinate Hypertrophy ◽  
Comprehensive Search ◽  
Inferior Turbinate Hypertrophy ◽  
Turbinate Reduction

ABSTRACT Aim The aim of this study is to compare the effectiveness of coblation and microdebrider-assisted turbinoplasty in reducing nasal obstruction due to inferior turbinate hypertrophy (ITH). Background A comprehensive search of articles in English language was performed in PubMed using the keywords coblation turbinoplasty, coblation inferior turbinate reduction, microdebrider turbinoplasty, microdebrider assisted inferior turbinate reduction. Review results Primary search yielded 41 results with only two fulfilling the inclusion and exclusion criteria. In both studies, patients were assessed objectively as well as subjectively. Improvement in nasal obstruction was similar in both coblation and microdebrider groups up to 6 months of follow-up in both studies. However, in the study by Lee and Lee (2006) at 12 months postoperative follow-up, microdebrider-assisted turbinoplasty patients showed a better improvement in nasal obstruction both objectively on acoustic rhinometry and subjectively as compared with the coblation group (p < 0.05). Conclusion Despite getting better results with microdebriderassisted turbinoplasty in one of the study, it can be safely concluded that longer postsurgical follow-up period with bigger sample size is required to adequately comment on the extra benefit offered by either coblation or microdebrider. Clinical significance As and when further research is planned on comparing benefits of different powered instruments for turbinate reduction, it will be wise to prolong the follow-up period with increased sample size. How to cite this article Kumar A, Goyal A, Singh RK. Coblation vs Microdebrider-assisted Inferior Turbinoplasty. Int J Otorhinolaryngol Clin 2016;8(2):51-52.

scholarly journals Powered endoscopic inferior turbinoplasty: clinical study

2017 ◽  
Vol 4 (1) ◽  
pp. 24
Author(s):  
Sajad Al-Helo ◽  
Hasanain Falih ◽  
Ahmed Jumma
Keyword(s):  
Nasal Obstruction ◽  
Inferior Turbinate ◽  
Turbinate Hypertrophy ◽  
Common Complaint ◽  
Common Causes ◽  
Scale Scores ◽  
The Common ◽  
Inferior Turbinate Hypertrophy ◽  
Turbinate Reduction

<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>

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