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Article Type

Article

Abstract

Objective: To determine the effectiveness of tailored techniques of inferior turbinate surgeries in improvement of nasal functions both subjectively and objectively.

Patients and Methods: This is a prospective single blinded non randomized study done on 60 patients with inferior turbinate hypertrophy. Patients were grouped into 3 equal groups: group A with only hypertrophy of anterior bony or combined soft and bony part of inferior turbinate and they were operated by anterior end submucosal turbinectomy, group B with isolated posterior bulbous turbinate hypertrophy and they were operated by classic posterior 1/3 surgical turbinectomy and group C including those patient with diffuse turbinate hypertrophy and they were operated by mixture of both techniques. Visual analogue score (VAS) was done preoperatively, 1 month and 2 months postoperatively. Rhinomanometry and saccharine test were done preoperatively and 2 months postoperatively to evaluate the clinical improvement in all groups.

Results: The improvement of VAS was highly significant at 2 month compared to preoperative in all groups (p.value was 0.000) with more significant improvement at one month in group A(p.value was 0.000 ) compared to other groups . The improvement of nasal resistance postoperative was highly significant in all groups (p.value was 0.000). The improvement of nasal mucociliary clearance (NMC) postoperative in group A was significant (p.value was 0.03), while NMC worsened postoperative in group B and group C (p.value was 0.00 in both groups).

Conclusion: Inferior turbinectomy must be tailored for every patient according to the site and type of inferior turbinate hypertrophy. All tailored techniques of inferior turbinectomy are very effective in relieving nasal obstruction both subjectively and objectively. Anterior submucosal turbinoplasty leads to better nasal mucociliary clearance than the partial surgical inferior turbinectomy.

Keywords: Inferior turbinectomy; nasal resistance; visual analogue score, nasal mucocilliary clearance.

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