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VOLUME 15 , ISSUE 2 ( May-August, 2023 ) > List of Articles


Endoscopic and Microdebrider-assisted Partial Inferior Turbinectomy in Chronic Nasal Obstruction

S Sai Manohar, S Siddharth, Gangadhara Somayaji, VG Nayana

Keywords : Endoscopic, Experimental study, Nasal obstruction, Partial turbinectomy

Citation Information : Manohar SS, Siddharth S, Somayaji G, Nayana V. Endoscopic and Microdebrider-assisted Partial Inferior Turbinectomy in Chronic Nasal Obstruction. Int J Otorhinolaryngol Clin 2023; 15 (2):70-75.

DOI: 10.5005/jp-journals-10003-1458

License: CC BY-NC 4.0

Published Online: 21-12-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Objectives: • To study the role of endoscopic and microdebrider-assisted partial inferior turbinectomy in inferior turbinate hypertrophy. • To study the improvement in symptoms and quality of life following the procedure. • To study the complications of endoscopic and microdebrider-assisted partial inferior turbinectomy. Materials and methods: A prospective study was conducted on 50 subjects over a period of 18 months. Subjects who presented with long-standing nasal obstruction secondary to hypertrophy of inferior turbinate also not responding to medical therapy were enrolled for the study. They were taken up for endoscopic microdebrider-assisted partial inferior turbinectomy. Saccharine transit test and modified spirometry were done and modified SNOT 10 questionnaire was administered preoperatively as well as in the 1st and 3rd postoperative months. Results: On subjective assessment using SNOT 10 Questionnaire, it was seen that patients with headache, nasal obstruction, and anosmia had the highest benefit post-surgery. Out of 50 subjects reported with nasal obstruction preoperatively, only 16 had mild obstruction in the 3rd postoperative month which was statistically significant. Of 44 subjects with headache, only 17 had mild headache in the 3rd postoperative month. Only 8 of 43 subjects with anosmia still had mild symptoms during the 3rd month. On objective assessment using saccharine transit test, the mean time of 16.02 preoperatively decreased to 14.32 at 3 months after surgery. The rhinospirometry also showed a statistically significant improvement, 3 months after surgery when compared with preoperative values. Conclusion: Endoscopic and microdebrider-assisted partial inferior turbinectomy proved to be a safe and one of the most effective treatments for chronic nasal obstruction secondary to inferior turbinate hypertrophy. The SNOT 10 questionnaire is an effective tool in the subjective assessment of patients undergoing partial inferior turbinectomy. Clinical significance: Symptomatic inferior turbinate hypertrophy can be effectively treated by endoscopic and microdebrider-assisted partial inferior turbinectomy and the SNOT 10 questionnaire may act as an indicator.

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