Long‐Term Effect of Submucous Turbinectomy in Patients With Perennial Allergic Rhinitis

Mori, Shigehito; Fujieda, Shigeharu; Yamada, Tetsuji; Kimura, Yuichi; Takahashi, Noboru; Saitô, Hitoshi

doi:10.1097/00005537-200205000-00016

Cited by 64 publications

(51 citation statements)

References 22 publications

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“…Similarly to Mori et al 13 and Ophir et al 12 observations, results were more limited in rhinorrhea, where more than half of the cases (51%) presented null or fair improvement. The worst results in our study were in nose itching, which presented good or excellent responses in 45% of patients only.…”

Section: Discussionsupporting

confidence: 58%

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

Barbosa¹,

Caldas²,

Morais³

et al. 2005

Rev. Bras. Otorrinolaringol.

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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.

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Section: Discussionsupporting

confidence: 58%

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

Barbosa¹,

Caldas²,

Morais³

et al. 2005

Rev. Bras. Otorrinolaringol.

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show abstract

“…[536][537][538][539] If the patient with rhinitis and coexisting turbinate hypertrophy has been unresponsive to medical therapy, a surgical evaluation can be considered. [540][541][542] In children, the indications for adenoidectomy are sleep apnea caused by adenotonsillar hypertrophy, chronic adenoiditis, and 543 For OME, an adenoidectomy is usually recommended after the first set of tympanostomy tubes extrudes, effusion returns, and a second set of tympanostomy tubes are being considered. An adenoidectomy may also be considered for adenoiditis, postnasal obstruction, or chronic sinusitis.…”

Section: Surgery [Summary Statement 91]mentioning

confidence: 99%

The diagnosis and management of rhinitis: An updated practice parameter

Wallace¹,

Dykewicz²,

Bernstein³

et al. 2008

Journal of Allergy and Clinical Immunology

951

953

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“…It has been reported that submucosal turbinectomy is an excellent procedure for reducing not only nasal congestion but also sneezing and rhinorrhea in patient with PAR [18]. RFT has been found effective in patient with AR subjectively [19].…”

Section: Discussionmentioning

confidence: 99%

Intranasal steroids or radiofrequency turbinoplasty in persistent allergic rhinitis: effects on quality of life and objective parameters

Günhan

Ünlü

Yücetürk

et al. 2010

Eur Arch Otorhinolaryngol

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Nasal congestion is a cardinal symptom of allergic rhinitis (AR). It is associated with decreased quality of life and difficult to treat as perceived by the patients. The purpose of this study is to evaluate the mid-term objective and subjective outcomes of management of nasal congestion using intranasal steroid (INS) therapy or radiofrequency turbinoplasty (RFT) in patients with persistent AR who have mucosal hypertrophy of the inferior turbinate. Fifty-five adult patients with AR, who claimed nasal congestion refractory to oral antihistamine (desloratadine) therapy, were randomized to INS (mometasone furoate) or temperature-controlled RFT treatment groups. Outcomes were determined by active anterior rhinomanometry, visual analog scale (VAS), and rhinoconjunctivitis quality of life questionnaire (RQLQ) at least 12 months after treatment. The median total nasal resistance decreased from 0.49 ± 0.17 to 0.39 ± 0.12 Pa/cm(3)/s (p = 0.42), and from 0.51 ± 0.18 to 0.29 ± 0.07 Pa/cm(3)/s (p = 0.003) with INS and RFT, respectively. RFT provided a better reduction in the perception of congestion in VAS scores. RQLQ scores improved significantly in both groups 1 year after treatment (mean follow-up 14.2 months) (p < 0.05). No adverse reactions were encountered in either group. Nasal congestion refractory to antihistamine appears to be improved by INS at some point, while reduced significantly by RFT in objective and subjective parameters. Both options are also effective in increasing the quality of life in patients with AR. RFT might be a safe and effective treatment of option in AR compared with INS.

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Long‐Term Effect of Submucous Turbinectomy in Patients With Perennial Allergic Rhinitis

Abstract: Our results suggest that submucous turbinectomy is a useful strategy for the longterm management of nasal allergic reaction and contributes to the improvement in quality of life.

Cited by 64 publications

References 22 publications

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

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

The diagnosis and management of rhinitis: An updated practice parameter

Intranasal steroids or radiofrequency turbinoplasty in persistent allergic rhinitis: effects on quality of life and objective parameters

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