Update on surgical management of adult inferior turbinate hypertrophy

Ye, Ting; Zhou, Bing

doi:10.1097/moo.0000000000000130

Cited by 21 publications

(22 citation statements)

References 35 publications

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“…Both studies concluded that surgery of the turbinates offered improvement of nasal obstruction in patients with inferior turbinate hypertrophy refractory to medical therapy; however, given the scarcity of level 1 and 2 data, they also indicated that further prospective studies should privilege randomization, inclusion of control groups, rigorous prestudy methodology, and the use of validated instruments to assess the results as applied in the present study. 44,45…”

Section: Discussionmentioning

confidence: 99%

Partial inferior turbinectomy in rhinoseptoplasty has no effect in quality‐of‐life outcomes: A randomized clinical trial

Moura¹,

Migliavacca

Lima

et al. 2017

The Laryngoscope

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Objective: Evaluate the impact of endoscopic partial inferior turbinectomy (EPIT) associated with primary rhinoseptoplasty on quality-of-life outcomes (QOL), complications, and surgical duration.Study Design: Randomized clinical trial. Methods: Individuals with nasal obstruction aged 16 years who were candidates for functional and aesthetics primary rhinoseptoplasty were evaluated from March 2014 through May 2015. Eligible participants were randomly allocated to rhinoseptoplasty with or without EPIT (excision of one-third of the inferior turbinates).Results: Fifty patients were studied. Most were Caucasian and had moderate/severe allergic rhinitis symptoms. Mean age was 36 ( 6 14.5) years. Rhinoseptoplasty was associated with improvement in all QOL scores irrespective of turbinate intervention (P < 0.001). Analysis of covariance was conducted to control for potential confounders. There was no difference between the groups in absolute score changes for Nasal Obstruction Symptom Evaluation-Portuguese (NOSE-p) (250.5 vs. 247.6; P 5 0.723), Rhinoplasty Outcome Evaluation (ROE) (47 vs. 44.8; P 5 0.742), and all World Health Organization Quality of Life Scale-Abbreviated (WHOQOL-bref) score domains (P > 0.05). There were no differences between the groups regarding presence of the complications. Surgical duration was higher in the EPIT group (212 minutes 6 7.8 vs. 159.1 6 5.6; P ? 0.001).Conclusions: Turbinate reduction through EPIT during primary rhinoseptoplasty did not improve short-term general and specific QOL outcomes. The use of EPIT increases surgical time considerably without improving QOL scores. There was no difference in postoperative incidence of complications, suggesting that EPIT is a safe technique.

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Section: Discussionmentioning

confidence: 99%

Partial inferior turbinectomy in rhinoseptoplasty has no effect in quality‐of‐life outcomes: A randomized clinical trial

Moura¹,

Migliavacca

Lima

et al. 2017

The Laryngoscope

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“…Mientras que los medicamentos actúan únicamente en los tejidos blandos, la cirugía puede actuar sobre éstos, la estructura ósea o ambos. Las cirugías incluyen la lateralización o outfracture; resección submucosa del hueso conchal; resección submucosa con microdebridador; reducción submucosa con radiofrecuencia, electrocauterización u otros; y la turbinectomía parcial 15,16 . En general, las turbinectomías totales son poco utilizadas para esta indicación debido al mayor riesgo teórico de alterar la función nasal, rinitis atrófica y síndrome de nariz vacía [17][18][19][20] .…”

Section: Cirugía De Los Cornetes Inferioresunclassified

Rinoplastía y rinoseptoplastía funcional: Mejorando la función nasal más allá de la cirugía del tabique y los cornetes nasales

2020

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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“…Inferior turbinate reduction (ITR) treats ITH by decreasing nasal obstruction, thereby increasing nasal airflow and improving patients' subjective sense of patency [3]. Current reduction techniques include turbinectomy (total and partial), turbinoplasty (outfracture, submucous resection, and microdebrider), thermal procedures (electrocautery and radiofrequency ablation), and laser surgery [4].…”

Section: Introductionmentioning

confidence: 99%

“…An established optimal procedure is not yet identified. The ideal surgical treatment for ITH should alleviate symptoms by achieving significant volume reduction while preserving mucosal function, but no clear consensus exists in the literature with respect to methods or device to accomplish this objective [4,5]. In their 35‐year review of the otolaryngology literature published in 2001, Clement and White [16] did not identify any randomized controlled studies of inferior turbinate surgery for nasal obstruction.…”

Section: Introductionmentioning

confidence: 99%

Electrosurgery Turbinate Reduction Revisited: Can Comparable Volumetric Heating be Achieved Without Feedback Control?

et al. 2020

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Background and Objectives: Temperature-controlled radiofrequency inferior turbinate ablation (TCRFA) uses a feedback system to control thermal injury and achieve precise volumetric heating to induce specific scar formation. However, it requires costly single-use proprietary consumables. Comparable volumetric tissue heating may be achieved for a fraction of the cost by adjusting the power settings on traditional monopolar electrosurgery devices that use low-cost needle tips. This pre-clinical study aims to determine the optimized power parameters to achieve electrosurgical coagulum volume similar to that of TCRFA. Study Design/Materials and Methods: An electrosurgery submucosal diathermy (SMD) system (cut mode, 4-32 W, 5-120 seconds) and a temperature-controlled radiofrequency ablation system (standard clinical parameters for treating inferior turbinate hypertrophy) were used to coagulate egg white and chicken breast. Coagulum major and minor axis were measured, and lesion volume was approximated as prolate spheroid. Results: No significant difference in volume was found between the temperature-controlled system and the electrosurgery system at 8 W for 30 seconds, 8 W for 60 seconds, 16 W for 30 seconds, 32 W for 5 seconds, and 32 W for 15 seconds. The time to achieve equivalent lesion size was significantly less in the SMD system when compared to the temperature-controlled system (P < 0.05). Conclusion: Electrosurgery handpieces may achieve similar lesion volume effects as the temperature feedbackcontrolled, single-use handpieces when set to the optimized parameters. SMD handpieces are significantly more cost and time effective than proprietary devices, and they are easily used in the office. SMD devices may be a more affordable alternative to temperature-controlled systems with comparable lesion volume effect and may be valuable for office-based therapy. Lasers Surg. Med.

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Update on surgical management of adult inferior turbinate hypertrophy

Cited by 21 publications

References 35 publications

Partial inferior turbinectomy in rhinoseptoplasty has no effect in quality‐of‐life outcomes: A randomized clinical trial

Partial inferior turbinectomy in rhinoseptoplasty has no effect in quality‐of‐life outcomes: A randomized clinical trial

Rinoplastía y rinoseptoplastía funcional: Mejorando la función nasal más allá de la cirugía del tabique y los cornetes nasales

Electrosurgery Turbinate Reduction Revisited: Can Comparable Volumetric Heating be Achieved Without Feedback Control?

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