Pediatric turbinoplasty: what is the impact of allergy on long-term outcomes?

Authors

  • Francisco Alves de Sousa Department of Otorhinolaryngology and Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Porto, Portugal http://orcid.org/0000-0003-4113-3259
  • Sara Raquel Azevedo Department of Otorhinolaryngology and Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Porto, Portugal
  • Sara Costa Department of Otorhinolaryngology and Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Porto, Portugal
  • Ana Nóbrega Pinto Department of Otorhinolaryngology and Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Porto, Portugal
  • Teresa Soares Department of Otorhinolaryngology and Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Porto, Portugal
  • Miguel Bebiano Coutinho Department of Otorhinolaryngology and Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Porto, Portugal
  • Luís Meireles Department of Otorhinolaryngology and Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Porto, Portugal

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20221878

Keywords:

Turbinoplasty, Allergy, Pediatrics, Results, Long-term, Children

Abstract

Background: The use of inferior turbinoplasty (IT) in pediatric patients is controversial, especially in the presence of allergic rhinitis. The objective of this study was to assess the long-term results of radiofrequency inferior turbinoplasty in allergic versus non-allergic children.

Methods: Children operated between 2017 and 2019 and whose intervention included radiofrequency IT were included. Multiple scores were collected in 2021 through a telephone call to parents. A comparison was made between allergic children (AC) and non-allergic children (NAC).  

Results: 41 children were included. Parents of AC reported a higher degree of dissatisfaction with surgery (AC: 0.8±1 verses NAC: 0.2±0.5, p=0.026). AC revealed a greater dependence on medication in order to control nasal obstruction (41% in AC vs 6% in NAC, p=0.010). The total Nasal Obstruction Symptom Evaluation (NOSE) score was higher in AC (mean AC 26±25 verses mean NAC 5±12, p=0.003). The sinus and nasal quality of life 5 SN-5 score was higher in AC (mean AC 2.5±1 vs NAC mean 1.4±0.8, p<0.001).AC had a lower score on the SN-5 quality of life scale (mean AC 6.6±2.4 vs NAC mean 8.3±1.8, p=0.014).

Conclusions: Radiofrequency IT alone does not seem effective in the long-term resolution of nasal obstruction in AC.

 

Author Biography

Francisco Alves de Sousa, Department of Otorhinolaryngology and Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Porto, Portugal

Otorhinolaryngology and Head & Neck surgery Department of Centro Hospitalar Universitário do Porto

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Published

2022-07-26

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Original Research Articles