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Article Type

Original Study

Abstract

Objective This study was carried out to compare postoperative outcomes between microdebrider-assisted turbinoplasty and submucosal cauterization (diathermy) in the treatment of chronic inferior turbinate hypertrophy using subjective and objective criteria. Background Chronic nasal obstruction is one of the most common symptoms in otorhinolaryngology, and hypertrophy of the inferior turbinates is the most frequent etiology. Patients and methods This prospective study was carried out over 25 patients with nasal obstruction and hypertrophied turbinate mucosa refractory to medical treatment. All patients enrolled in the present prospective randomized study were subjected to microdebrider-assisted turbinoplasty on the right side (group A operation) and a submucosal cauterization on the left side (group B operation). Postoperative changes in the degree of nasal obstruction, nasal discharge, and crustations were evaluated at 1 week, 1 month, and 6 months by nasal endoscopy. The patient satisfaction score was evaluated at 6 months postoperatively. Rhinomanometric measurement was also performed preoperatively and at 6 months postoperatively for objective comparison. Results Microdebrider-assisted turbinoplasty was statistically better in comparison with submucosal cauterization regarding postoperative nasal obstruction at 1 month (P = 0.025) and 6 months (P = 0.049), nasal crustations at 1 month (P = 0.004) and 6 months (P = 0.017), postoperative patient satisfaction at 6 months (P = 0.042), and rhinomanometric measurement at 6 months (P = 0.001). There was improvement of nasal discharge and headache with no statistically significant difference between both groups (P ≥ 0.05). Conclusion Microdebrider-assisted turbinoplasty is more effective and satisfactory than submucosal cauterization in relieving nasal obstruction subjectively and objectively.

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