Effectiveness of Inferior Turbinoplasty in Patients with Chronic Rhinosinusitis

Document Type : Original Article

Authors

1 Department of Otorhinolaryngology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.

2 Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Abstract

Background: Chronic sinusitis is an inflammation of the nasal passages or sinuses that persists for a duration exceeding twelve weeks. Inferior turbinate hypertrophy is commonly seen in CRS and may obstruct sinus drainage and ventilation. Inferior turbinoplasty aims to relieve obstruction by surgical reduction of the turbinates.
The aim of the work: To evaluate the efficacy of inferior turbinoplasty in improving symptom scores and endoscopic findings in patients with CRS and inferior turbinate hypertrophy.
Patients and Methods: For this prospective, randomized, controlled research, forty cases without polyps who had chronic rhinosinusitis were divided into two groups by the numerical randomization method: The primary group [20 patients] undergoes endoscopic sinus surgery. The second group [20 patients] undergoes endoscopic sinus surgery and coblation-assisted turbinoplasty. Outcome measures assessed preoperatively included: Lund-Kennedy endoscopic appearance scores; and Sino-Nasal Outcome Test-22 [SNOT-22] quality of life assessment.
Results: There was no statistically significant difference within the examined groups regarding the modified SNOT score and the Lund-Mackay score, while there was statistically significant variance within the examined groups as regard the NES score, the post-operative MODIFIED SNOT score after 1 month, & the post-operative MODIFIED SNOT score after 2 and 3 months.
Conclusion: According to our outcomes, we found that there was statistically significant variance within examined groups according to post-operative NES score after 1 month, and post- operative NES score after 2 and 3 months. The inferior turbinoplasty in patients with chronic rhinosinusitis are effective and safe.

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