DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20204623

Partial inferior turbinectomy versus submucosal diathermy in hypertrophied inferior turbinates

Smitha S. Gangaraj, Shilpa Thomas

Abstract


Background: The study aims to compare the efficacy of submucosal diathermy and partial inferior turbinectomy in terms of improvement in nasal obstruction, pain, haemorrhage, crusting and wound healing.

Methods: A prospective sequentially randomized comparative study involving fifty patients, divided into two groups of 25 patients each. Group A consists of patients who underwent SMD and group B consists of patients who underwent PIT. Post-operative assessment was done at day 1, 2 weeks, 1 month, 3 months and 6 months.

Results: Post-operative improvement in nasal obstruction was seen in both groups. 80% showed significant improvement in SMD and 32% in PIT group at the end of second week. By sixth month, 40% in SMD group and 80% in PIT group showed significant improvement. Mild pain was observed in 12% of PIT group at 2 weeks. In SMD group, 8% developed reactionary haemorrhage. In PIT group, 24% developed minimal soakage and 12% developed moderate soakage. Severe nasal crusting was seen in 64% of the cases in PIT group and in 40% of the cases in SMD group at second week. By 1 month, 44% in PIT group and 12% in SMD group showed severe crusting.

Conclusions: Short term complications like pain, obstruction and haemorrhage was noted to be higher with PIT. On long term evaluation, PIT showed better results in terms of improvement in nasal obstruction scores.


Keywords


SMD, PIT, Inferior turbinate hypertrophy, Nasal obstruction

Full Text:

PDF

References


Okhakhu AL, Ogisi FO. Submucosal diathermy in inferior turbinate hypertrophy: Review of 12 cases in Benin City. Sahel Medical Journal. 2015;18(2): 71-3.

Sanaullah IJ. Comparison of submucosal diathermy with partial inferior turbinectomy: A fifty case study. J Postgrad Med Inst. 2012;26 (1):91-5.

Elzayat S, Moussa HH. Effect of partial inferior turbinectomy operation on pulmonary function tests. International Journal of Otolaryngology and Head and Neck Surgery. 2018;4(2):339-42.

Saulescu M, Sarafoleanu C. Surgery for nasal obstruction in inferior turbinate hypertrophy. Romanian Journal of Rhinology. 2015;5(17):25-30.

Jourdy D. Inferior turbinate reduction. Operative techniques in Otolaryngology. 2014; 25(2):160-8

Gomaa MA, Nabi OSGA, Rahim AA, Aly A. Comparative study between partial surgical inferior turbinectomy and sub-mucosal diathermy of inferior turbinate for treatment of inferior turbinate hypertrophy. Otolaryngology. 2015;5(6): 362-7.

Akbar A, Umer M, Majeed AI, Afzal A. Comparison of submucosal diathermy and partial inferior turbinectomy in patients of inferior turbinate hypertrophy. Annals of PIMS. 2017;13(2):203-7.

A comparative study between partial inferior turbinectomy and submucosal diathermy in management of inferior turbinate hypertrophy. IOSR Journal of Dental and Medical Sciences. 2020;19(1):1-9.

Chandra SBC, Kiran B, Kumar C. Comparison of partial inferior turbinectomy and submucosal diathermy for hypertrophied inferior turbinate in allergic rhinitis patients. Journal of Evolution of Medical and Dental Sciences. 2015;4(54):9457-67.

Datta RK, Ramya B, Vinay SR. Comparative study between partial inferior turbinectomy and submucosal diathermy for treatment of inferior turbinate hypertrophy due to allergic rhinitis. International Journal of Otorhinolaryngology and Head and Neck Surgery. 2018;4(2):362-6.

Elwany S, Harrison R. Inferior turbinectomy: Comparison of four techniques. The Journal of Laryngology and Otology. 1990;104:206-9.

McCoombe AM, Cook J, Jones AS. A comparison of laser cautery and submucosal diathermy for rhinitis. Clinical Otolaryngology and Allied Sciences. 1992;17(4):297-9.

Ophir D, Schindel D, Halperin D, Marshak G. Long- term follow-up of the effectiveness and safety of inferior turbinectomy. Plastic and reconstructive surgery. 1992;90(6):980-7.

Vishnu MS, Rajamma KB. Comparison of submucosal diathermy and partial inferior turbinectomy. International Journal of Scientific Study. 2016;4(1):120-3.

Fradis M, Danino J, Gaitini L, Gershinski M, Malatskey S, Golz A et al. Inferior turbinectomy versus submucosal diathermy for inferior turbinate hypertrophy. Annals in Otology, Rhinology and Laryngology. 2000;109(11):1040-5.

Kafle P, Maharjan M, Shrestha S. Comparison of sub-mucosal diathermy and partial resection of inferior turbinate in the treatment of symptomatic nasal valve blockage. Kathmandu University Medical Journal. 2007;5(4):501-3.