No Difference in Clinical Outcome between Middle Turbinate Resection vs Inferior Turbinoplasty in Patients with Rhinitis
Danny Kit Chung Wong, Lokman Saim, Aminuddin Saim
Citation Information :
Wong DK, Saim L, Saim A. No Difference in Clinical Outcome between Middle Turbinate Resection vs Inferior Turbinoplasty in Patients with Rhinitis. Int J Otorhinolaryngol Clin 2019; 11 (1):1-4.
Introduction: To date, there is no optimal surgical management for rhinitis. Current techniques include inferior turbinate resection or turbinoplasty (ITP), septoplasty, and submucosal resection. Middle turbinate resection (MTR) at present is used as part of endoscopic sinus surgery to prevent adhesions and recurrent disease. In this study, the outcomes of MTR and ITP were compared via peak nasal inspiratory flow (PNIF), sinonasal outcome test-22 (SNOT-22), and visual analog scale (VAS) in patients with rhinitis. Materials and methods: In a prospective study, 22 consented patients with rhinitis from the otolaryngology head and neck surgery outpatient clinic were selected and underwent surgery. Twelve patients had MTR and 10 patients had ITP with a 6-month follow-up. Patients were evaluated pre- and postoperatively via PNIF, SNOT-22, VAS, and endoscopic examination. Results: Both treatment groups showed statistically significant improvements (p < 0.01) in PNIF, SNOT-22, and VAS scores postoperatively in early and late follow-up when compared preoperatively. There was a median increase of 57–58% in PNIF, a decrease in SNOT-22 scores by 53–80%, and a decrease in 64–78% VAS scores at the 6-month follow-up. There were no significant differences between scores when comparing the MTR and ITP groups. ITP group had more early postoperative bleeding compared to the MTR group (p < 0.05) and a few patients from the ITP group complained of intermittent long-term epistaxis. Conclusion: Middle turbinate resection was observed to be as effective as ITP to reduce the signs and symptoms of rhinitis and has a lower morbidity of postoperative bleeding.
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