Benefits of Turbinectomy vs Turbinoplasty – A Prospective Study
Article Sidebar
Main Article Content
Abstract
Introduction
Inferior turbinate hypertrophy (ITH) is one of the major causes of nasal airway obstruction. Nasal obstruction due to inferior turbinate hypertrophy is noted in around 20% of the population. Surgical reduction of the hypertrophied inferior turbinate is required when medical treatment fails. This study aimed to compare the Nasal obstruction symptom evaluation (NOSE) scores and complications of inferior turbinate reduction by turbinectomy and turbinoplasty.
Materials and Methods
In this prospective observational randomized controlled study, 30 patients underwent turbinectomy and 30 underwent turbinoplasty. Pre and postoperative NOSE scores and incidence of postoperative bleeding and crusting were compared at first week and six months.
Results
The mean preoperative NOSE score of turbinectomy group was 75.83 and that of turbinoplasty group was 76.83. Both the groups showed statistically significant improvement (p< 0.05) in NOSE score post-operatively. Functional outcome is achieved with turbinoplasty by sparing the nasal mucosa and submucosa along with retention of function bearing structures (inferior turbinate). Though not statistically significant, the incidence of post-operative bleeding and crusting were lower after turbinoplasty, in comparison to turbinectomy.
Conclusion
Inferior turbinoplasty provides excellent outcome in a wide variety of patients with minimal morbidity. Turbinoplasty is associated with lesser mucosal injury, post-operative bleeding and crusting, and excellent outcome in terms of symptomatic relief and functionality. Hence, we recommend that it can be done for the treatment of ITH.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Harrill WC, Pillsbury HC, McGuirt WF, Stewart MG .Radiofrequency turbinate reduction: a nose evaluation. Laryngoscope 2007; 117:1912-9
Passali D, Passali FM, Damiani V, Passali GC, Bellussi L. Treatment of inferior turbinate hypertrophy: a randomized clinical trial. Ann Otol Rhinol Laryngol. 2003; 112:683-8
Lai VWS, Corey JP. The objective assessment of nasal patency. Ear Nose Throat J. 1993; 72:395-400
Jackson LE, Koch RJ. Controversies in the management of inferior turbinate hypertrophy: a comprehensive review. Plast Reconstr Surg. 1999; 103:300-12
Cook PR. Sinusitis and allergy. Curr Opin Otolaryngol Head Neck Surg. 1997; 5:35-9
Friedman M, Tanyeri H, Lim J, et al. A safe, alternative technique for inferior turbinate reduction. Laryngoscope 1999; 109:1834-7
Rai S, Sharma V, Koirala K, Sharma AC; Endoscopic versus conventional method for partial inferior turbinectomy in chronic hypertrophic rhinitis. Nepal J Med Sci. 2013; 2(2):102-7
Mathai J. Inferior turbinectomy for nasal obstruction— review of 75 cases. Indian J Otolaryngol Head Neck Surg. 2004; 56:23-6
Stewart MG, Smith TL, Weaver EM, Witsell DL, et al. Outcomes after nasal septoplasty: results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study. Otolaryngol Head Neck Surg. 2004; 130(3):283-90
Stewart MG, Witsell DL, Smith TL, Weaver EM, et al. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg. 2004; 130(2):157-63
Rodrigues M, Dibbern R, Oliveira L, Marques M. Comparação entre turbinoplastia e turbinectomia endoscópicas: eficácia e parâmetros clínicos. Arquivos Internacionais de Otorrinolaringologia (Impresso) 2011; 15(4):426-30
Hol MK, Huizing EH. Treatment of inferior turbinate pathology: a review and critical evaluation of the different techniques. Rhinology 2000; 38:157-66
Sapci T, Sahin B, Karavus A, Akbulut UG. Comparison of the effects of radiofrequency tissue ablation, CO2 laser ablation, and partial turbinectomy applications on nasal mucociliary functions. Laryngoscope 2003; 113:514-9
Berger G, Ophir D, Pitaro K, Landsberg R. Histopathological changes after coblation inferior turbinate reduction. Arch Otolaryngol Head Neck Surg. 2008; 134:819-23.