Avaliação da sintomatologia pré e pós-operatória de pacientes submetidos à turbinectomia inferior

Abstract

Part ial inferior turbinectomy is a procedure directed to treat nasal obstruction secondary to hypertrophy rhinitis. This study evaluates the impact of this procedure in the quality of life of the patients, analyzing the improvement of other symptoms such as rhinorrhea, nasal itching and sneezing after six months of the surgical procedure. Study design: clinical prospective. Material and Method: Forty-nine patients submitted to turbinectomy associated or not with septoplasty, received questionnaires to grade the intensity of symptoms. Through the comparison of severity of symptoms before and after six months of the surgery, it was possible to evaluate the degree of improvement of each symptom. The results were classified as null, good, moderate and great, and we subtracted postoperative score from the preoperative score. Results: The nasal obstruction presented good or great results in 98% of the patients. For rhinorrhea, the surgery has resulted in good or great improvement in 49% of the cases. Sneezing presented good or great results in 81.6% of the patients and, nasal itching, 45%. Conclusion: The study showed that the clinical benefits obtained with the partial inferior turbinectomy are not limited to nasal obstruction, extending also to others symptoms of rhinitis, mainly in relation to sneezing crisis.

Comparison of turbinoplasty surgery efficacy in patients with and without allergic rhinitis

“…The benefits of surgery on the inferior turbinate are not limited to improvement in nasal obstruction and encompass other rhinitis symptoms, mainly in relation to sneezing. 16 The present study demonstrated similar findings, as more than 85% of patients who usually had itching, sneezing, and rhinorrhea achieved moderate or complete recovery three months after the surgery. The main objective of inferior turbinate surgery is to allow better circulation of air through the nasal passages.…”

“…However, the literature is poor in assessing the impact of turbinate surgery on symptoms such as rhinorrhea, sneezing, and nasal itching. 16 , 17 It is also poor in assessing symptoms such as anosmia, snoring, and headache. Few studies have compared postoperative symptoms in patients with and without allergic rhinitis (AR) submitted to inferior turbinate operation.…”

Análise retrospectiva de cirurgias rinossinusais em um hospital escola

“…Another common procedure in daily practice of otolaryngologists is the turbinectomy, effective treatment for nasal obstruction secondary to hypertrophic rhinitis, which in this study, was prevalent in individuals over age 30 and male, unlike the findings of BARBOSA et al (17 ), whose average age was 25 years, and no predilection for sex. However, the study that evaluates only patients who were diagnosed with rhinitis, which could explain this difference.…”