Comparative Study of the Effectiveness of sub mucosal Partial Inferior Turbinectomy and Out fracture of Inferior Turbinate in the Nasal Respiratory Function of Rhinoplasty Patients

Abstract

IntroductionThe inferior turbinate is a critical and dynamic structure during rhinoplasty in the internal valve. Many surgeons try to preventively reduce its resistance against the path in the post-rhinoplasty period. To this end, the two methods of “sub mucosal partial inferior turbinectomy” and “inferior turbinate out fracture” are compared in the present study.MethodsIn this clinical study, 110 rhinoplasty candidates were randomly divided into two groups, namely sub mucosal partial inferior turbinectomy and out fracture of the inferior turbinate. To assess the complications, the Sino-Nasal Outcome Test (SNOT-22) was used prior to surgical intervention, and 1, 2, 3, 6, and 12 months following the rhinoplasty procedures.ResultsBased on the results of this clinical study and according to the SNOT-22 questionnaire, there was no significant difference between the two groups prior to surgery and a month following the surgery (P > 0.05). However, the average SNOT-22 score for the sub mucosal partial inferior turbinectomy group was significantly lower than that of the group with the out fracture of the inferior turbinate, 2, 3, 6, and 12 months following the surgery.ConclusionBoth “sub mucosal partial inferior turbinectomy” and “out fracture of inferior turbinate” are effective methods in improving the respiratory function of rhinoplasty patients, yet the former method is more effective than the latter as regards improving the respiratory function of patients.Level of Evidence IVThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Comparative Study Between Conventional Inferior Turbinectomy and Endoscopic Inferior Turbinoplasty for Treatment of Inferior Turbinate Hypertrophy

“…The procedures practised include total turbinectomy, turbinoplasty, partial inferior turbinectomy, sub mucosal resection, cryosurgery, laser assisted turbinoplasty, and electrocautery with monopolar or bipolar techniques. [7][8][9][10][11][12][13][14] Partial inferior turbinectomy is performed with an aim to remove nasal obstruction trying to preserve some portion of turbinate to maintain physiological function of turbinates. 15,16 In our study, we compared conventional inferior turbinectomy and endoscopic inferior turbinoplasty.…”

How to Prevent Nasal Obstruction After Rhino Septoplasty. Could A Routine Turbinate Reduction Improve the Outcomes in Quality of Life of Patients?

“…Currently, strategies like spreaders grafts, support grafts, reconstruction or repositioning cartilages and even a good septoplasty are used to enlarge the nasal valve [2][3][4][5][6]. Another technique widely used is the Reduction of the inferior turbinate [3,[7][8][9]. Otherwise, an established technique to reduce turbinate with hypertrophy is still debatable [10][11][12][13].…”

Comparison of the post-operative outcomes between different surgical techniques for inferior turbinate reduction surgery

“… 12 while Omranifard’s findings show that both outfracture of the inferior turbinate and submucosal partial inferior turbinectomy are effective strategies for improving respiratory function. 13 …”

“…12 while Omranifard's findings show that both outfracture of the inferior turbinate and submucosal partial inferior turbinectomy are effective strategies for improving respiratory function. 13 While research on surgical techniques to reduce ITH has grown, there is still a lack of comprehensive data comparing their results. Therefore, our main objective was to investigate postoperative outcomes, including complications and subjective improvements, related to different surgical approaches for inferior turbinate reduction in an epidemiological cross-sectional study.…”