Microdebrider-assisted turbinoplasty against submucosal cauterization in inferior turbinate hypertrophy

Ragab, Ahmed; El-Banhawy, Omar A.; Khashba, Ahmed; Ali, Ayman; Abdelaziz, Mahmoud Zidan

doi:10.4103/1110-2098.198688

Cited by 6 publications

(8 citation statements)

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“…Similar to our results, a study by Ragab et al concluded that MAT was superior to SMD as there was complete relief from obstruction was achieved in 40% vs 12% at 1 week (p-value=0.01), 60% vs 42% at 1 month (p-value=0.025) and 68% vs 36% at 2 months (p-value=0.049) in MAT and SMD groups respectively. 19 In addition to this, a study done at the University of Baghdad showed that intergroup comparison showed a significant difference between MAT and SMD in relieving nasal obstruction at the 3rd postoperative month, (p-value=0.021), making MAT a relatively superior technique. 20 However, a study conducted in Egypt concluded that although MAT was superior in terms of relief of obstruction (p-value=<0.001), mucociliary clearance (p-value=<0.01), and post-operative complications (p-value=0.024), it was still inferior in terms of bleeding during the procedure (p-value=0.032).…”

Section: Discussionmentioning

confidence: 86%

Microdebrider-Assisted Turbinoplasty and Submucosal Diathermy for Inferior Turbinate Hypertrophy: A Randomized Clinical Trial

Arshad

Ashfaq

Rasheed

et al. 2020

JRMC

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Background: Nasal obstruction is a common presenting problem which can lead to symptoms like sleep disturbances, mouth breathing, oral cavity dryness. Hypertrophied inferior turbinate is a common cause of nasal obstruction. Microdebrider assisted turbinoplasty and submucosal diathermy are widely used methods for patients who fail to respond to medical therapy to relieve obstruction. The aim of the study was to compare two methods in terms of relief of nasal obstruction, reduction in sneezing and post-operative complications. Material & Methods: This randomized clinical trial was conducted at ENT Department, Benazir Bhutto Hospital Rawalpindi, Pakistan for one year from 01-03-2018 to 28-02-2019. One hundred and twenty patients were randomized to into either MAT and SMD groups each with 60 patients. Nasal obstruction symptom evaluation score system (NOSE) was used to access relieve from obstruction and sneezing. SPSS 22, online chai square and fisher exact test calculators were used to analyze the data. Results: Two groups were comparable for age and gender. After 3 months of treatment, all patients in MAT group and 51 patients in SMD group were completely relieved from obstruction. At two weeks follow up 37(61.57%) patients in MAT group had grade 0 obstruction compared with 14 (23.33%) in SMD group and this difference was significant (p value .000). at one month follow up 55 (91.67%) patients in MAT while 46 (76.67%) had completely relieved obstruction and this difference was significant ( p value .024). Not all patients showed reduction in sneezing in both groups. 37 patients in MAT and 25 patients in SMD group had completely relieved from sneezing at third month follow up with MAT group showing significantly more patients with sneezing reduced at one month follow up. Crust formation was most seen complication in both groups, more with SMD group at two weeks follow up which responded to treatment alkaline nasal douches and crust removal. Conclusion: MAT gives better in terms of nasal obstruction relieved, reduction in sneezing and less complications than SMD procedure. KEYWORDS: Microdebrider; Diathermy; Turbinates; Nasal obstruction

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Section: Discussionmentioning

confidence: 86%

Microdebrider-Assisted Turbinoplasty and Submucosal Diathermy for Inferior Turbinate Hypertrophy: A Randomized Clinical Trial

Arshad

Ashfaq

Rasheed

et al. 2020

JRMC

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“…Powered Inferior turbinate reduction is very effective and relatively complication free 6,7,8 . Sincezero-degree rigid nasal endoscope and a Microdebrider are available in most of our ENT units, the procedure does not require any advanced equipment.…”

Section: Discussionmentioning

confidence: 99%

Powered inferior turbinoplasty in children

Rubasinghe

2021

Ceylon J Otolaryngology

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“…Although most cases of ITH can be managed medically by antihistaminic, topical decongestants, corticosteroids but surgical intervention sometimes becomes necessary in certain nonresponding patients which are managed by Submucous Inferior Turbinate Reduction (ITR) surgery (6,7) . Basic principle of these ITR surgeries is to reduce the turbinate size to decrease symptoms of nasal blockage but they differ from each other based on preservation of normal physiological function (6) .…”

Section: Introductionmentioning

confidence: 99%

“…To prevent these complications, many other techniques were introduced for ITR which included submucous reduction of inferior turbinate using diathermy, cryotherapy, laser therapy, microdebrider and radiofrequency ablation (7) . Large variation in surgical techniques available denotes lack of consensus on optimal technique (7) . Although submucosal diathermy still remains a very popular technique because of technical ease and lack of complication.…”

Section: Introductionmentioning

confidence: 99%

“…Although submucosal diathermy still remains a very popular technique because of technical ease and lack of complication. But with the advent of microdebrider to rhinosurgery by Setliff et al, many surgeons have recently started using microdebrider for the same (7) . Thus, this study was conducted with the objective to compare the outcome following Inferior turbinate reduction using microdebrider and diathermy.…”

Section: Introductionmentioning

confidence: 99%

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Comparative study between diathermy and microdebrider for inferior turbinate reduction surgeries

Chavan¹,

Khond²,

Saple³

et al. 2020

RHINOL

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Background:Inferior turbinate hypertrophy is one of the most common causes of nasal blockage for patients to seek an otorhinolaryngologist, who is often seen in cases of allergic rhinitis, nonallergic rhinitis with eosinophilic syndrome, or iatrogenic rhinopathy. Although most cases of ITH can be managed medically but surgical intervention sometimes becomes necessary in certain non-responding patients which are managed by Submucous Inferior Turbinate Reduction (ITR) surgery. Large variation in surgical techniques available denotes lack of consensus on optimal technique. With advent of Microdebrider to Rhinosurgery by Setliff et al., many surgeons have recently started using microdebrider for the same indication.Aim: To compare the outcome following submucosal Inferior turbinate reduction using microdebrider and diathermy. Methods and results: A prospective interventional comparative clinical study between Submucosal inferior turbinate reduction using microdebrider (SITRM) and submucosal inferior turbinate reduction using diathermy (SITRD) was conducted. A total of 150 patients were included in the study. Patients were evenly randomized into Pool A and Pool B by chit allocation technique. Patients in pool A underwent SITRD and in pool B underwent SITRM. Comparisons were made between pre and post-operative NOSE score, endoscopic inferior turbinate size and mucociliary transit time and possible complications from both techniques and result were statistically significant in SITRM. Conclusion:To conclude submucosal resection with microdebrider produce better results in the treatment of inferior turbinate hypertrophy, both in the short term and long term compared to the submucosal diathermy, where the latter produce comparable results in the early postoperative period. Limitation of this study was that different etiological causes for inferior turbinate reduction were not taken into consideration and ITH due to any cause were included in the study irrespective of its cause. Another limitation of this study was that objective method of nasal patency assessment like rhinomanometry were not used due to cost restrains. A more elaborate larger randomized studies with use of rhinomanometry would definitely be helpful to confirm or refute the same.

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Microdebrider-assisted turbinoplasty against submucosal cauterization in inferior turbinate hypertrophy

Cited by 6 publications

References 0 publications

Microdebrider-Assisted Turbinoplasty and Submucosal Diathermy for Inferior Turbinate Hypertrophy: A Randomized Clinical Trial

Microdebrider-Assisted Turbinoplasty and Submucosal Diathermy for Inferior Turbinate Hypertrophy: A Randomized Clinical Trial

Powered inferior turbinoplasty in children

Comparative study between diathermy and microdebrider for inferior turbinate reduction surgeries

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