Long-term efficacy of microdebrider-assisted inferior turbinoplasty with lateralization for hypertrophic inferior turbinates in patients with perennial allergic rhinitis
Journal
Laryngoscope
Journal Volume
118
Journal Issue
7
Pages
1270-1274
Date Issued
2008
Author(s)
Abstract
Objectives: The aim of the study was to evaluate the long-term efficacy of microdebrider-assisted inferior turbinoplasty with lateralization (MAITL) compared to submucosal resection for hypertrophic inferior turbinates. Study Design: Surgical outcomes were evaluated with respect to visual analogue scale, anterior rhinomanometry, and saccharin test results. Methods: From January 2002 to December 2006 inclusively, 160 patients with perennial allergic rhinitis and hypertrophic inferior turbinates were enrolled into this study. The patients, all suffering from chronic nasal obstruction, were randomly classified into two groups, MAITL group or SR group, each comprised of 80 patients. Ten patients who did not display any nasal discomfort served as normal controls. For the submucosal resection group, patients underwent submucosal resection of the inferior turbinate, whereas patients in the MAITL group underwent microdebrider-assisted inferior turbinoplasty with lateralization. Assessments (visual analogue scale, anterior rhinomanometry, and saccharin test) were conducted prior to the surgery and 1,2, and 3 years after completion of surgery. Results: Compared to preoperative values, subjective complaints including nasal obstruction, sneezing, rhinorrhea, and snoring improved significantly in both groups at 1,2, and 3 years after surgery in both groups (P <.05 for all). Rhinomanometric assessment also showed significant improvement at 1,2, and 3 years postoperatively in both groups (P <.05 for all). Saccharin transit time was significantly decreased (P <.05 for all) compared to preoperative values 1,2, and 3 years after surgery in both groups. Conclusion: Microdebrider- assisted inferior turbinoplasty with lateralization appears to be as effective as submucosal resection at relieving nasal symptoms and decreasing total nasal resistance and saccharin transit times for more than 3 years in patients with perennial allergic rhinitis who have had substantial nasal obstruction. ? 2008 The American Laryngological, Rhinological and Otological Society, Inc.
Subjects
Inferior turbinoplasty; Key words: microdebrider; Submucosal resection
SDGs
Other Subjects
saccharin; diagnostic agent; adult; article; controlled study; female; human; intermethod comparison; major clinical study; male; microdebrider assisted inferior turbinoplasty with lateralization; nose disease; nose obstruction; nose surgery; outcome assessment; perennial rhinitis; postoperative care; preoperative evaluation; priority journal; rhinomanometry; rhinorrhea; sneezing; snoring; treatment outcome; turbinate; turbinate hypertrophy; visual analog scale; clinical trial; comparative study; controlled clinical trial; debridement; endoscopy; follow up; hypertrophy; instrumentation; local anesthesia; methodology; microsurgery; middle aged; mucociliary clearance; nose mucosa; nose obstruction; pain assessment; pathology; perennial rhinitis; physiology; postoperative complication; randomized controlled trial; turbinate; Adult; Anesthesia, Local; Debridement; Endoscopy; Female; Follow-Up Studies; Humans; Hypertrophy; Male; Microsurgery; Middle Aged; Mucociliary Clearance; Nasal Mucosa; Nasal Obstruction; Pain Measurement; Postoperative Complications; Rhinitis, Allergic, Perennial; Rhinomanometry; Saccharin; Turbinates
Type
journal article