International Journal of Health and Clinical Research
Yazarlar: Rindu Raveendran, George K George
Konular:-
Anahtar Kelimeler:Powered turbinoplasty,Submucosal resection,Inferior turbinate hypertrophy
Özet: Introduction: Hypertrophy of the inferior turbinates is one of the most common causes for nasal obstruction. Although medical treatment is an option a hypertrophied turbinate invariably requires surgical reduction for correction of symptoms. We aim to compare both the short term and long term difference in results between two commonly used methods of turbinate reduction.Aim: To compare between both short term and long term differences in results between microdebrider assisted turbinoplasty and submucosal resection of turbinates in surgical treatment of inferior turbinate hypertrophy.Materials and Methods: 40 patients between the ages of 18- 55 years of either sex were included in the study. Patients were divided in to two groups randomly (group A & B) of 20 patients each and group A underwent microdebrider assisted turbinopalasty and group B underwent submucosal resection of turbinates. In both groups inferior turbinated were lateralised intraopertively. Patients were assessed for nasal patency using pre and post operative nasal endoscopies, visual analog scale for improvement in symptoms and intra operative duration and mean blood loss were also assessed. Follow up dates were 14thday , 3 months and at 1 year postoperatively. Mean and standard deviations were calculated for quantitative data, for categorical variables frequencies and percentages were calculated.Results: Operating time and intra operative blood loss were lower in the powered turbinoplasty group. Also nasal crusting was observed in the submucosal resection group. Both endoscopic and symptomatic assessment of both groups on long term yielded similar results with no statistically significant difference. Conclusion:Powered turbinoplasty and submucosalresction of turbinates are both effective in relieving nasal obstruction in inferior turbinate hypertrophy. Powered turbinoplasty have an additional advantage of shorter operating time and mucosal preservation in well trained hands.