Comparative Study of Microdebrider-Assisted Versus Radiofrequency-Assisted Inferior Turbinoplasty, ESSAM FATHY
Abstract
Objective: This study was carried out to compare post-operative outcome between microdebrider-assisted turbino-plasty and radiofrequency-assisted turbinoplasty in the treat-ment of chronic inferior turbinate hypertrophy using subjective and objective criteria.
Background: Chronic nasal obstruction is one of the most common human problems and a very frequent symptom in the ear, nose and throat field. Hypertrophy of the inferior turbinates is the most frequent cause.
Material and Methods: This prospective study was con-ducting on 60 cases with nasal obstruction and hypertrophied turbinate mucosa refractory to medical treatment, from October 2009 to June 2014. Thirty cases in this study were subjected to microdebrider assisted turbinoplasty MAIT (Group A operation) and the other 30 cases subjected to Radiofrequency-assisted Turbinoplasty RAIT (Group B operation). Post-operative changes in the degree of nasal obstruction, nasal discharge and snoring were evaluated by nasal endoscopy. Rhinomanometric evaluation was also performed for objective comparison.
Results: There were statistically significant differences between both groups regarding operative duration, blood loss and post-operative nasal obstruction, discharge, snoring and patient satisfaction in favor of microde-brider-assisted turbino-plasty.
Conclusion: This study suggests that microdebrider-assisted turbinoplasty is more effective and satisfactory in relieving nasal obstruction.