Postoperative complications of partial inferior turbinectomy vs powered endoscopic turbinoplasty

Main Article Content

ALI ABD-ALMER JWAD
WASAM A. ALBUALIH
ABBAS KALAF MAHDI

Keywords

Nasal obstruction, partial inferior turbinectomy, powered endoscopic turbinoplasty.

Abstract

Background and aims: Nasal obstruction can be induced by various causes; however, inferior turbinate hypertrophy is considered the most frequent cause of this anatomical malfunctioning condition. The current surgical interventional study was focused on comparing the final outcomes of partial inferior turbinectomy (PIT) and powered endoscopic turbinoplasty (PET).


Subjects and methods: The criterion followed for deciding the successfulness of each surgical method was the rate of post-operative complication occurrence such as bleeding, crustation, and atrophic rhinitis. Here, 50 patients suffered nasal obstruction were randomly divided into two groups; PIT group, 25 patients, 15 (52%) males and 10 (48%) females, at an average age of 27.40±7.7 years, and PET group, 25 patients, 14 (48%) males and 11 (62%) females, at an average age of 26.68±6.82 years. The surgical operations were performed in the Department of Otolaryngology, Al-Diwaniyah General Teaching Hospital, Diwaniyah City, Iraq, during the period between March, 2015 and March, 2020.


Results: The PET group showed significantly (p˂0.05) lower incidence of bleeding and crustation than those from the PIT group; however, no significant (p˃0.05) differences were observed between PIT and PET in the occurrence of atrophic rhinitis.


Conclusion: Powered endoscopic turbinoplasty shows promisingly lesser postoperative complications than those from partial inferior turbinectomy.

Abstract 485 | PDF Downloads 476 XML Downloads 58 HTML Downloads 235

References

1. Gottarelli, P. (2012) ‘Introduction’, in Modified Inferior Turbinoplasty. Milano: Springer Milan, pp. 1–2. doi: 10.1007/978-88-470-2442-7_1.
2. Friedman R, V. M. (2006) Surgical management of septal deformity, turbinate hypertrophy, nasal valve collapse and choanal atresia. Edited by N. S. Bailey BJ, Johnson JT. Philadelphia: Lippincott Williams & Wilkins.
3. Jourdy, D. (2014) ‘Inferior turbinate reduction’, Operative Techniques in Otolaryngology-Head and Neck Surgery. Elsevier, 25(2), pp. 160–170. doi: 10.1016/j.otot.2014.02.005.
4. Setliff, R. C. and Parsons, D. S. (1994) ‘The "Hummer": New Instrumentation for Functional Endoscopic Sinus Surgery’, American Journal of Rhinology, 8(6), pp. 275–278. doi: 10.2500/105065894781874232.
5. Hol, M. K. and Huizing, E. H. (2000) ‘Treatment of inferior turbinate pathology: a review and critical evaluation of the different techniques.’, Rhinology, 38(4), pp. 157–66. Available at: http://www.ncbi.nlm.nih.gov/pubmed/11190749 (Accessed: 20 July 2019).
6. Lee, K. C., Hwang, P. H. and Kingdom, T. T. (2001) ‘Surgical management of inferior turbinate hypertrophy in the office: Three mucosal sparing techniques’, Operative Techniques in Otolaryngology-Head and Neck Surgery. Elsevier, 12(2), pp. 107–111. doi: 10.1053/otot.2001.24771.
7. Wengraf, C. L., Gleeson, M. J. and Siodlak, M. Z. (1986) ‘The stuffy nose: a comparative study of two common methods of treatment.’, Clinical otolaryngology and allied sciences, 11(2), pp. 61–8. Available at: http://www.ncbi.nlm.nih.gov/pubmed/3708884 (Accessed: 20 July 2019).
8. Passàli, D. et al. (2003) ‘Treatment of Inferior Turbinate Hypertrophy: A Randomized Clinical Trial’, Annals of Otology, Rhinology & Laryngology, 112(8), pp. 683–688. doi: 10.1177/000348940311200806.
9. Ibrahim, S. et al. (2017) ‘Powered turbinoplasty versus powered turbinectomy: a comparative study’, The Egyptian Journal of Otolaryngology. Medknow Publications and Media Pvt. Ltd., 33(1), p. 9. doi: 10.4103/1012-5574.199402.
10. Tahmasebi S, Qasim M T, Krivenkova M V, Zekiy A O, Thangavelu L, Aravindhan S and Roshangar L (2021) The effects of oxygen– ozone therapy on regulatory T cell responses in multiple sclerosis patients. Cell Biol. Int. 45, 1498-1509.
11. Karataş, A. (2017) ‘Pretreatment Prediction of the Outcomes of Intranasal Steroid Sprays in Cases with Inferior Turbinate Hypertrophy.’, Turkish archives of otorhinolaryngology. Turkish Otorhinolaryngology Head and Neck Surgery Society, 55(3), pp. 105–110. doi: 10.5152/tao.2017.2443.
12. Shabgah A G, Qasim M T, Mostafavi S M, Zekiy A O, Ezzatifar F, Ahmadi M and Navashenaq J G (2021) CXC chemokine ligand 16: a Swiss army knife chemokine in cancer. Expert Reviews in Molecular Medicine 23, e4, https://doi.org/10.1017/erm.2021.7.
13. Mori, S. et al. (2002) ‘Long-Term Effect of Submucous Turbinectomy in Patients With Perennial Allergic Rhinitis’, The Laryngoscope, 112(5), pp. 865–869. doi: 10.1097/00005537-200205000-00016.
14. Zainab I. Mohammed and Maytham T. Qasim(2021) Hormonal profile of men during infertility. Biochem. Cell.Arch. 21, 2895-2898. DocID: https://connectjournals.com/03896.2021.21.2895.
15. Kassab, A. N., Rifaat, M. and Madian, Y. (2012) ‘Comparative study of management of inferior turbinate hypertrophy using turbinoplasty assisted by microdebrider or 980 nm diode laser’, The Journal of Laryngology & Otology, 126(12), pp. 1231–1237. doi: 10.1017/S0022215112002320.