Comparative study between partial inferior turbinectomy and submucosal diathermy for treatment of inferior turbinate hypertrophy due to allergic rhinitis

Authors

  • Datta R. K. Department of ENT, Sri Venkateshwara ENT Institute, Bangalore Medical College & Research Institute, Bengaluru, Karnataka, India
  • Ramya B. Department of ENT, Sri Venkateshwara ENT Institute, Bangalore Medical College & Research Institute, Bengaluru, Karnataka, India
  • Vinay S. R. Department of ENT, Sri Venkateshwara ENT Institute, Bangalore Medical College & Research Institute, Bengaluru, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20180425

Keywords:

Allergic rhinitis, Hypertrophied inferior turbinate, Partial inferior turbinectomy, Submucosal diathermy

Abstract

Background: Nasal obstruction due to inferior turbinate hypertrophy is one of the most common symptoms of Allergic rhinitis (AR) which causes significant debility. Surgery is one of the modalities of treatment to relieve patients of nasal obstruction. Objective of the study was to evaluate the efficacy of submucosal diathermy (SMD) and partial inferior turbinectomy (PIT) in the treatment of hypertrophied inferior turbinate.

Methods: Sixty patients with allergic rhinitis and hypertrophied inferior turbinates were randomised into two groups with thirty patients each (group I underwent SMD and group II underwent PIT). They were assessed for relief of nasal obstruction by subjective and objective methods.  

Results: Nasal obstruction due to hypertrophy of inferior turbinate was the main symptom with 45 (75%) patients having severe obstruction and 15 (25%) patients moderate obstruction. Both the surgical procedures were effective in reducing nasal obstruction & other symptoms of AR. Though the total symptom score was significantly reduced by both the methods (p=0.001) SMD was superior in relieving nasal obstruction at 3months follow up while PIT was more effective at 6 months follow up.

Conclusions: SMD is an easier, less invasive method with lesser postoperative discomfort and complications as compared to PIT. Our study recommends SMD as an effective technique for relief of nasal obstruction in allergic rhinitis.

References

Turley R, Cohen SM, Becker A, Ebert CS Jr. Role of rhinitis in laryngitis: another dimension of the unified airway. Ann Otol Rhinol Laryngol. 2011;120(8):505-10.

Scadding G, Durham S. Allergic rhinitis. In: Micheal Gleeson. Scott Brown's Otolaryngology, Head & Neck Surgery, 7th ed, vol 2, Hodder Arnold, London; 2008:1386-1403.

Anil HT, Bilkhis Mahjabeen GM. Comparative Study between Partial Inferior Turbinectomy and Submucosal Diathermy in the Management of Inferior Turbinate Hypertrophy. International J Sci Res. 2014;3(7):323-5.

Chhabra N, Houser SM. The surgical management of allergic rhinitis. Otolaryngol Clin North Am. 2011;44(3):779-95.

Li KK, Powell NB, Riley RW, Troell RJ, Guilleminault C. Radiofrequency volumetric tissue reduction for treatment of turbinate hypertrophy: A pilot study. Otolaryngol Head Neck Surg. 1998;119(6):569-73.

Al-Baldawi MH. Management of inferior turbinate hypertrophy: a comparative study between Partial Turbinectomy and Submucous Diathermy. Iraqi J Comm. Med. 2009;22(4):264-7.

Vishnu MS, Rajamma KB. Comparison of Submucosal Diathermy and Partial Inferior Turbi nectomy. Int J Sci Stud. 2016;4(1):120-3.

Fradis M, Malatskey S, Mangamsa I, Golz A. Effect of submucosal diathermy in chronic nasal obstruction due to turbinate enlargement. Am J Otolaryngol. 2002;23:332-6.

Jones PH. Surgery in allergic nasal and paranasal disease. Clin Exp Allergy. 1990;20:329-32.

Rakover Y, Rosen G. A Comparison of partial inferior turbinectomy and cryosurgery of hypertrophic inferior turbinates. J Laryngol Otol. 1996;110(8):732-5.

Smitha Chandra BC, Kiran B, John S, Kumar C. Comparison of Partial Inferior Turbinectomy and Submucosal Diathermy for Hypertrophied Inferior Turbinate in Allergic Rhinitis Patients. J of Evolution of Med and Dent Sci. 2015;4(54):9457-67.

Mathai J. Inferior turbinectomy for nasal obstruction review of 75 cases. Indian J Otolaryngol Head Neck Surg. 2004;56(1):23-6.

Elwany S, Harrison R. Inferior turbinectomy: comparison of four techniques. J Laryngol Otol.1990;104:206-9.

Gomaa MA, Abdel Nabi OG, Abdel Kerim ARA, Aly A. Comparative Study between Partial Surgical Inferior Turbinectomy and Sub-mucosal Diathermy of Inferior Turbinate for Treatment of Inferior Turbinate Hypertrophy. Otolaryngol. 2015;5:217.

Imad H, Javed, Sanaullah. Comparison of Submucosal Diathermy with Partial Inferior Turbinectomy: A Fifty Case Study. J Postgrad Med Inst. 2012;26(1):91-5.

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Published

2018-02-23

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Original Research Articles