A comparative study between turbinoplasty and submucosal cautery for surgical management of inferior turbinate hypertrophy and correlation with improvement in nasal obstruction

Abstract

Background: Nasal Obstruction (NO) is a common problem which affects the life of the patient and one of the causes is inferior turbinate hypertrophy .Surgery is needed for treatment of inferior turbinate hypertrophy which is not responding to medical treatment. The cases were divided into turbinoplasty group and cautery group. Method: In this cross-sectional prospective study, 50 patients were admitted to our otorhinolaryngology department with nasal blockage and had inferior turbinate hypertrophy. This study included people with chronic nasal obstruction -3 months duration. Turbinoplasty and submucosal cautery had been used as surgery. Pre operatively and post operatively nose scale was used. For bleeding and crusting 4 point scale is used postoperatively, all the preoperative symptoms were improved in 1 month. Result: The data were expressed as Mean SD, and frequency is expressed as a number or percentage. Maximum incidence of Inferior turbinate hypertrophy was seen from 20-29 years. Lower turbinate volumes were reduced. At 1 month, turbinoplasty caused significant improvement in postoperative nasal obstruction. Bleeding as shown to be more common in the turbinoplasty group, while crusting was found to be less. Conclusion: Inferior turbinate hypertrophy failing medical treatment can be improved by endoscopic surgical turbinoplasty technique and it caused earlier improvement in nasal obstruction.

Keywords

• inferior turbinate hypertrophy
• turbinoplasty
• submucosal cautery
• nose score