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Inferior Turbinate Hypertrophy: A Comparison of Surgical Techniques

Introduction Nasal obstruction is one of the most frequently reported symptoms in clinical practice. The second most common cause of nasal obstruction is inferior turbinate hypertrophy, a nasal pathology for which surgical treatment is often required. This study aims to determine the most effective...

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Autores principales: Karamatzanis, Ioannis, Kosmidou, Panagiota, Ntarladima, Vasiliki, Catalli, Beatrice, Kosmidou, Anastasia, Filippou, Dimitrios, Georgalas, Christos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9840750/
https://www.ncbi.nlm.nih.gov/pubmed/36654608
http://dx.doi.org/10.7759/cureus.32579
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author Karamatzanis, Ioannis
Kosmidou, Panagiota
Ntarladima, Vasiliki
Catalli, Beatrice
Kosmidou, Anastasia
Filippou, Dimitrios
Georgalas, Christos
author_facet Karamatzanis, Ioannis
Kosmidou, Panagiota
Ntarladima, Vasiliki
Catalli, Beatrice
Kosmidou, Anastasia
Filippou, Dimitrios
Georgalas, Christos
author_sort Karamatzanis, Ioannis
collection PubMed
description Introduction Nasal obstruction is one of the most frequently reported symptoms in clinical practice. The second most common cause of nasal obstruction is inferior turbinate hypertrophy, a nasal pathology for which surgical treatment is often required. This study aims to determine the most effective surgical method in patients with inferior turbinate hypertrophy (ITH). Materials and methods The study was performed from September 2018 to October 2019 in the Otolaryngology-Head and Neck Surgery Department of the Evangelismos Hospital of Athens. The study population comprised 205 patients that underwent surgery and were monitored in the hospital. Radiofrequency ablation (RFA) was the method used in 73 patients, 68 patients were treated with the microdebrider-assisted turbinoplasty (MAT), and the remaining 64 patients were operated on using electrocautery (EC). Following surgery, postoperative complications were assessed and quantified. Results Overall, 205 patients underwent surgery. The first group (n=73) was operated on using radiofrequency ablation and had a complication rate of 30.1%. Out of 73 patients, 51 recovered without complications. The remaining 22 had complications, consisting of 16 patients with bleeding and six with postnasal drip. The second group (n=68) was treated using the microdebrider method. The complication rate was 26.5%, where 50 patients did not present with any symptoms post-operatively and 18 exhibited symptoms. Specifically, postnasal drip was more prevalent with this method as all 18 patients showed postnasal drip as their complication. The third group (n=64) was treated with electrocautery. Patients in this group had the most complications (n=24), 16 were attributed to postnasal drip and eight to infections, treated promptly with oral antibiotics. The complication rate using this method was 37.5%. Conclusion In our study, the microdebrider-assisted turbinoplasty offered the lowest complication rate, followed by radiofrequency ablation and electrocautery. However, all three methods managed to alleviate the nasal obstruction and treat inferior turbinate hypertrophy. More research is needed as a lack of consensus remains regarding the optimal surgical technique for lower turbinate hypertrophy.
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spelling pubmed-98407502023-01-17 Inferior Turbinate Hypertrophy: A Comparison of Surgical Techniques Karamatzanis, Ioannis Kosmidou, Panagiota Ntarladima, Vasiliki Catalli, Beatrice Kosmidou, Anastasia Filippou, Dimitrios Georgalas, Christos Cureus Otolaryngology Introduction Nasal obstruction is one of the most frequently reported symptoms in clinical practice. The second most common cause of nasal obstruction is inferior turbinate hypertrophy, a nasal pathology for which surgical treatment is often required. This study aims to determine the most effective surgical method in patients with inferior turbinate hypertrophy (ITH). Materials and methods The study was performed from September 2018 to October 2019 in the Otolaryngology-Head and Neck Surgery Department of the Evangelismos Hospital of Athens. The study population comprised 205 patients that underwent surgery and were monitored in the hospital. Radiofrequency ablation (RFA) was the method used in 73 patients, 68 patients were treated with the microdebrider-assisted turbinoplasty (MAT), and the remaining 64 patients were operated on using electrocautery (EC). Following surgery, postoperative complications were assessed and quantified. Results Overall, 205 patients underwent surgery. The first group (n=73) was operated on using radiofrequency ablation and had a complication rate of 30.1%. Out of 73 patients, 51 recovered without complications. The remaining 22 had complications, consisting of 16 patients with bleeding and six with postnasal drip. The second group (n=68) was treated using the microdebrider method. The complication rate was 26.5%, where 50 patients did not present with any symptoms post-operatively and 18 exhibited symptoms. Specifically, postnasal drip was more prevalent with this method as all 18 patients showed postnasal drip as their complication. The third group (n=64) was treated with electrocautery. Patients in this group had the most complications (n=24), 16 were attributed to postnasal drip and eight to infections, treated promptly with oral antibiotics. The complication rate using this method was 37.5%. Conclusion In our study, the microdebrider-assisted turbinoplasty offered the lowest complication rate, followed by radiofrequency ablation and electrocautery. However, all three methods managed to alleviate the nasal obstruction and treat inferior turbinate hypertrophy. More research is needed as a lack of consensus remains regarding the optimal surgical technique for lower turbinate hypertrophy. Cureus 2022-12-15 /pmc/articles/PMC9840750/ /pubmed/36654608 http://dx.doi.org/10.7759/cureus.32579 Text en Copyright © 2022, Karamatzanis et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Otolaryngology
Karamatzanis, Ioannis
Kosmidou, Panagiota
Ntarladima, Vasiliki
Catalli, Beatrice
Kosmidou, Anastasia
Filippou, Dimitrios
Georgalas, Christos
Inferior Turbinate Hypertrophy: A Comparison of Surgical Techniques
title Inferior Turbinate Hypertrophy: A Comparison of Surgical Techniques
title_full Inferior Turbinate Hypertrophy: A Comparison of Surgical Techniques
title_fullStr Inferior Turbinate Hypertrophy: A Comparison of Surgical Techniques
title_full_unstemmed Inferior Turbinate Hypertrophy: A Comparison of Surgical Techniques
title_short Inferior Turbinate Hypertrophy: A Comparison of Surgical Techniques
title_sort inferior turbinate hypertrophy: a comparison of surgical techniques
topic Otolaryngology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9840750/
https://www.ncbi.nlm.nih.gov/pubmed/36654608
http://dx.doi.org/10.7759/cureus.32579
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