Surgical management for inferior turbinate hypertrophy: a narrative review

Authors

  • Mano Leoni Divya Department of Otorhinolaryngology, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth University, Kancheepuram, Tamil Nadu, India
  • Valli Rajasekaran Department of Otorhinolaryngology, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth University, Kancheepuram, Tamil Nadu, India
  • D. Y. Raj Prakash Department of Otorhinolaryngology, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth University, Kancheepuram, Tamil Nadu, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20212138

Keywords:

Inferior turbinate hypertrophy, Turbinate reduction techniques, Turbinoplasty, Turbinectomy

Abstract

Inferior turbinate hypertrophy can lead to bothersome symptoms of the nose. Inferior turbinate reduction has to be treated surgically for cases, which are refractory to medical treatment. Plethora of surgical techniques have evolved over the recent years to surgically treat inferior turbinate hypertrophy. Yet, there remains a lack of consensus on optimal surgical technique or a cumulative study on the merits and demerits of the surgical procedures performed. The aim of the study was to review 26 articles from time period of January 2000 to January 2021 studied on surgical techniques of turbinate reduction. On reviewing the studies, it was noted that conventional turbinectomy techniques were not preferred by surgeons to avoid chances of severe complications and hence more studies on newer advanced techniques were noted. Among the newer techniques to find an adequate balance between nasal physiology and tissue preservation RFTVR is preferred and is the optimal technique owing to its minimal invasion, performance ease and reduced complications. Most recent studies represent the benefits of RFTVR.  

Author Biography

Mano Leoni Divya, Department of Otorhinolaryngology, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth University, Kancheepuram, Tamil Nadu, India

Department of Otorhinolaryngology

References

Dhulipalla S. Comparative study of response through reduction in the size of hypertrophied inferior turbinate causing nasal obstruction by different surgical modalities: a prospective study. Indian J Otolaryngol Head Neck Surg. 2015;67(1):56-9.

Oswal V, Krespi J, Kacker A. Nasal turbinate surgery. Principles and Practice of Lasers in Otorhinolaryngology and Head and Neck Surgery. USA: Kugler Publications; 2002: 221.

Bozan A, Eriş HN, Dizdar D, Gode S, Taşdelen B, Alpay HC. Effects of turbinoplasty versus outfracture and bipolar cautery on the compensatory inferior turbinate hypertrophy in septoplasty patients. Braz J Otorhinolaryngol. 2019;85(5):565-70.

Turk B, Korkut AY, Kaya KS, Salepçi E, Unsal O, Coşkun BU, et al. Results of Radiofrequency Ablation of Inferior Turbinate Hypertrophy in Patients with Allergic and Non-Allergic Rhinitis. Sisli Etfal Hastan Tip Bul. 2018;52(4):296-301.

Ercan C, Imre A, Pinar E, Erdogan N, Umut SE, Oncel S. Comparison of submucosal resection and radiofrequency turbinate volume reduction for inferior turbinate hypertrophy: evaluation by magnetic resonance imaging. Indian J Otolaryngol Head Neck Surg. 2014;66(3):281-6.

Deenadayal DS, Kumar MN, Sudhakshin P, Hameed S. Radiofrequency reduction of inferior turbinates in allergic and non-allergic rhinitis. Indian J Otolaryngol Head Neck Surg. 2014;66(1):231-6.

Corso E, Bastanza G, Donfrancesco V, Guidi ML, Morelli SG, Passali GC, et al. Radiofrequency volumetric inferior turbinate reduction: long-term clinical results. Acta Otorhinolaryngol Ital. 2016;36(3):199-205.

Olszewska E, Sieskiewicz A, Kasacka I, Rogowski M, Zukowska M, Soroczyńska J, et al. Cytology of nasal mucosa, olfactometry and rhinomanometry in patients after CO2 laser mucotomy in inferior turbinate hypertrophy. Folia Histochem Cytobiol. 2010;48(2):217-21.

Akagun F, İmamoglu M, Çobanoglu HB, Ural A. Comparison of Radiofrequency Thermal Ablation and Microdebrider-Assisted Turbinoplasty in Inferior Turbinate Hypertrophy: A Prospective, Randomized, and Clinical Study. Turk Arch Otorhinolaryngol. 2016;54(3):118-23.

El HDD, Ahmed MR, Madian YT. Comparison between power-assisted turbinoplasty and submucosal resection in the treatment of inferior turbinate hypertrophy. ORL J Otorhinolaryngol Relat Spec. 2011;73(3):151-5.

Siu J, Inthavong K, Shang Y, Vahaji S, Douglas RG. Aerodynamic impact of total inferior turbinectomy versus inferior turbinoplasty - a computational fluid dynamics study. Rhinology. 2020;58(4):349-59.

Kumar KMP, Karthikeyan P, Nirmal CV. Comparison of Endoscopic Turbinoplasty Versus Conventional Partial Inferior Turbinectomy in Chronic Hypertrophic Rhinitis. Indian J Otolaryngol Head Neck Surg. 2019;71(3):1895-99.

Casale M, Bottaro V, Sabatino L, Frari V, Bressi F, Vespasiani U, et al. The efficacy of radiofrequency volumetric tissue reduction of hypertrophied inferior turbinate in simple snoring. Eur Rev Med Pharmacol Sci. 2014;18(15):2160-8.

Rodrigues MM, Silveira DR, Francisco DOL, Dirce M, Marques O, Fernas M, et al. Comparison between turbinoplasty andendoscopic turbinectomy: Efficacy andclinical parameters. Int Arch Otorhinolaryngol. 2011;15(4):426-30.

Mehta N, Mehta S, Mehta N. Coblation-Assisted Turbinoplasty: A Comparative Analysis of Reflex Ultra and Turbinator Wand. Ear Nose Throat J. 2019;98(6):51-7.

Unsal O, Ozkahraman M, Ozkarafakili MA, Akpinar M, Korkut AY, Kurt DS, et al. Does the reduction of inferior turbinate affect lower airway functions?. Braz J Otorhinolaryngol. 2019;85(1):43-9.

Assanasen P, Choochurn P, Banhiran W, Bunnag C. Radiofrequency inferior turbinate reduction improves smell ability of patients with chronic rhinitis and inferior turbinate hypertrophy. Allergy Rhinol (Providence). 2014;5(1):12-6.

Parida PK, Surianarayanan G, Alexander A, Saxena SK, Santhosh K. Diode laser turbinate reduction in the treatment of symptomatic inferior turbinate hypertrophy. Indian J Otolaryngol Head Neck Surg. 2013;65(2):350-5.

Mahajan R, Nagaraj TM, Prashanth V. A Prospective Study to Compare the Efficacy of Powered Turbinectomy Versus Submucous Resection in the Surgical Management of Inferior Turbinate Hypertrophy. Indian J Otolaryngol Head Neck Surg. 2019;71(3):2203-9.

Romano A, Orabona GD, Salzano G, Abbate V, Iaconetta G, Califano L. Comparative study between partial inferior turbinotomy and microdebrider-assisted inferior turbinoplasty. J Craniofac Surg. 2015;26(3):235-8.

Vijayakumar S, Divakaran S, Parida PK, Gopalakrishnan S. Potassium titanyl phosphate laser turbinate reduction in the management of allergic inferior turbinate hypertrophy: Our experience. Allergy Rhinol (Providence). 2016;7(1):29-33.

Rao SUP, Basavaraj P, Yempalle SB, Ramachandra AD. A Prospective Study of Different Methods of Inferior Turbinate Reduction. J Clin Diagn Res. 2017;11(5):1-3.

Kumar S, Anand TS, Pal I. Radiofrequency turbinate volume reduction vs. radiofrequency-assisted turbinectomy for nasal obstruction caused by inferior turbinate hypertrophy. Ear Nose Throat J. 2017;96(2):23-6.

Dhulipalla S. Comparative study of response through reduction in the size of hypertrophied inferior turbinate causing nasal obstruction by different surgical modalities: a prospective study. Indian J Otolaryngol Head Neck Surg. 2015;67(1):56-9.

Ravichandran SP, Ramasamy K, Parida PK, Alexander A, Ganesan S, Saxena SK. Comparison of efficacy of potassium titanyl phosphate laser & diode laser in the management of inferior turbinate hypertrophy: A randomized controlled trial. Indian J Med Res. 2020;151(6):578-84.

Doreyawar V, Gadag RP, Das M, Javali SB, Maradi N, Shetty D. Inferior Turbinate Reduction: Diode LASER or Conventional Partial Turbinectomy?. Ear Nose Throat J. 2019;7:95.

Lukka VK, Kurien R, Varghese L, Rupa V. Endoscopic Submucosal Resection Versus Endoscopic Submucosal Diathermy for Inferior Turbinate Hypertrophy. Indian J Otolaryngol Head Neck Surg. 2019;71(3):1885-94.

Talmon Y, Samet A, Gilbey P. Total inferior turbinectomy: operative results and technique. Ann Otol Rhinol Laryngol. 2000;109(12):1117-9.

Downloads

Published

2021-05-26

Issue

Section

Review Articles