Microdebrider‐assisted versus radiofrequency‐assisted inferior turbinoplasty

Liu, Chia Min; Tan, Ching Ding; Lee, Fei Peng; Lin, Kai Nan; Huang, Hung Meng

doi:10.1002/lary.20088

Cited by 83 publications

(89 citation statements)

References 17 publications

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“…Various studies comparing techniques in terms of objective changes in nasal functions have been performed. Objective measurements including acoustic rhinomanometry, acoustic rhinometry, and mucociliary function testing are usually applied to compare outcomes [3,8,9]. To our knowledge, three radiologically designed studies that used MRI or computed tomography for evaluating outcomes after turbinate surgery have been performed [14][15][16].…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Submucosal Resection and Radiofrequency Turbinate Volume Reduction for Inferior Turbinate Hypertrophy: Evaluation by Magnetic Resonance Imaging

Ercan

İmre

Pınar

et al. 2013

Indian J Otolaryngol Head Neck Surg

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Inferior turbinate hypertrophy is a frequent cause of nasal airway obstruction and drastically impairs patients' quality of life. Surgical reduction of the inferior turbinates can be used for patients who did not respond to medical therapy. A number of studies have been performed to identify the most effective technique. The aim of this study was to compare the effectiveness of submucosal resection (SMR) and radiofrequency turbinate volume reduction (RFTVR) in patients with inferior turbinate hypertrophy. A prospective, randomized case-control study was conducted. Sixty patients with inferior turbinate hypertrophy refractory to medical therapy were prospectively and randomly assigned to two groups: SMR and RFTVR. A visual analog scale (VAS) and the nasal inspiratory peak flow (NPIF) were analyzed pre-and postoperatively at the first week and second month. Magnetic resonance imaging was performed pre-and postoperatively at the second month. The surgical outcomes were compared statistically using subjective and objective measures. Significant turbinate volume reduction was achieved in both the SMR and RFTVR groups. However, turbinate volume reduction was significantly greater in the SMR than in the RFTVR group at the second month postoperatively. NIPF and VAS scores were improved after both procedures at the second month postoperatively. Beside this, surgical outcomes were significantly better after SMR in terms of NIPF and VAS scores. In this study, we demonstrated that both SMR and RFTVR are effective for inferior turbinate hypertrophy. Turbinate volume reduction, improvement of subjective nasal obstruction symptoms, and NIPF after SMR were significantly superior to those after RFTVR.

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Section: Discussionmentioning

confidence: 99%

“…A number of studies have been performed to identify the most effective technique by comparison of techniques using measurement of the nasal flow by acoustic rhinomanometer or acoustic rhinometry [8,9].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Submucosal Resection and Radiofrequency Turbinate Volume Reduction for Inferior Turbinate Hypertrophy: Evaluation by Magnetic Resonance Imaging

Ercan

İmre

Pınar

et al. 2013

Indian J Otolaryngol Head Neck Surg

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“…As the MD provides real-time suction with ability to remove submucosal tissues better than RF, including reducing the number of inflammatory cells and damage to the postnasal nerve [25]. It is reasonable to state that Group MD improved patients' long-term symptoms more effectively than group RF [26].…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study of Radiofrequency Assisted Versus Microdebrider Assisted Turbinoplasty in Cases of Inferior Turbinate Hypertrophy

Kumar

Garg

2013

Indian J Otolaryngol Head Neck Surg

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Nasal obstruction is the most common complaint among patients presenting to otolaryngologists which disturbs the quality of life of the patient. The anterior end of inferior turbinate is in the narrowest part of nasal airway, enlargement of which causes significant nasal obstruction. In our, prospective and interventional, study a comparison was made between the results of bipolar radiofrequency assisted turbinoplasty and microdebrider assisted turbinoplasty in patients with chronic nasal obstruction due to inferior turbinate hypertrophy, not responding to medical treatments. The cases were randomly divided into radiofrequency (RF) and microdebrider (MD) groups, each consisting of 30 cases. Nasal obstruction, sneezing, itching in nose, rhinorrhea, intra operative bleeding, duration of surgery, post operative bleeding, post operative pain and crusting were the parameters recorded preoperative, intra operative and post operatively at 1 week, 1, 3 and 6 months. For bleeding and crusting standard 4-point scale was used. Rest of the symptoms were assessed subjectively on standard visual analogue scale (0-10). The statistical analysis was done by student's t test. Postoperatively, all the preoperative symptoms were significantly improved up to 6 months in group RF as well as group MD, but there were three cases of recurrence at 6th months of postoperative period in group RF. However, we recommend MD assisted inferior turbinoplasty under local anaesthesia in view of long term symptom relief and lesser recurrence.

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“…The efficacy of this procedure appears to be comparable to microdebrider-assisted submucous resection, although effects may not last as long. In one study, patients undergoing radiofrequency ablation experienced return of symptoms in 2 to 3 years, whereas microdebrider-assisted submucous resection patients had sustained results at the 3-year point [22]. Laser turbinate reduction has been studied but is less favored due to creation of superficial mucosal injury and decreased benefit over time.…”

Section: Turbinate Managementmentioning

confidence: 97%

Advances in the Surgical Management of Chronic Sinusitis and Nasal Polyps

Ramakrishnan¹,

Kennedy

2011

Curr Allergy Asthma Rep

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Current research has only reinforced the belief that chronic rhinosinusitis is a multifactorial and idiosyncratic disease process. Most basic science research on the topic focuses on delineating the many proposed contributing factors and attempting to establish therapeutic targets. In patients whose symptoms do not respond to medical therapy, endoscopic sinus surgery may be offered. Several surgical techniques have been proposed, and it would appear that certain techniques are ideal for certain situations. Recent clinical research has focused on the introduction of new technology and new techniques. Additionally, investigators have looked for ways to optimize current techniques and to determine which patient populations may expect to benefit from which types of interventions.

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Microdebrider‐assisted versus radiofrequency‐assisted inferior turbinoplasty

Abstract: MAIT is more effective than RAIT at relieving nasal symptoms and decreasing total nasal resistance and saccharin transit time 1 to 3 years postoperatively in patients with persistent allergic rhinitis and who have substantial nasal obstruction.

Cited by 83 publications

References 17 publications

Comparison of Submucosal Resection and Radiofrequency Turbinate Volume Reduction for Inferior Turbinate Hypertrophy: Evaluation by Magnetic Resonance Imaging

Comparison of Submucosal Resection and Radiofrequency Turbinate Volume Reduction for Inferior Turbinate Hypertrophy: Evaluation by Magnetic Resonance Imaging

A Comparative Study of Radiofrequency Assisted Versus Microdebrider Assisted Turbinoplasty in Cases of Inferior Turbinate Hypertrophy

Advances in the Surgical Management of Chronic Sinusitis and Nasal Polyps

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