Comparative study between surgical partial inferior nasal turbinectomy and coblation assisted inferior turbinate reduction in cases of inferior nasal turbinate hypertrophy

Ahmed R. Ali, Gamal I. Yousef, Mohammed A. Hussein, Mahmoud I. Elawamry
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Abstract

The inferior turbinate is located in the inferior part of the nose, and contribute to the nasal valve formation. Inferior turbinate hypertrophy causes chronic nasal obstruction. We aimed to assess the effectiveness of coblation-assisted reduction of the inferior turbinate hypertrophy using a specially designed coblator probe. Additionally, this study aimed to compare this technique with traditional surgical partial turbinectomy as the control arm and follow up with patients to identify potential complications. This study involved 40 patients with nasal obstruction, those patients attended the Otorhinolaryngology Department of Al Azhar University Hospital in Assiut and diagnosed with enlarged inferior turbinate that did not respond to medical treatment. Also, Pre- and post-operative CT scanning was performed to objectively evaluate the improvement. Coblation group has more advantages over the traditional group like less operative time, less intraoperative blood loss, less post-op pain, less post-op nasal crusts, early return to daily activity (P value < 0.001). Significant decrease in postoperative nasal obstruction among partial inferior turbinectomy group in comparison with coblation group (P value < 0.001). Coblation assisted inferior turbinate reduction of the hypertrophied inferior turbinate is the technique of less complications (i.e. post-operative pain, bleeding, and nasal crust), which are commonly encountered with traditional methods. Traditional method is a bit better in patient self-satisfaction after surgery and relieving post-operative nasal obstruction.
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手术下鼻甲部分切除术与共振辅助下鼻甲缩小术在下鼻甲肥大病例中的比较研究
下鼻甲位于鼻腔下部,有助于鼻瓣的形成。下鼻甲肥大会导致慢性鼻阻塞。我们的目的是评估使用特殊设计的螺旋器探针辅助缩减下鼻甲肥大的效果。此外,这项研究还旨在将该技术与传统的鼻甲部分切除术进行比较,并对患者进行随访,以确定潜在的并发症。这项研究涉及 40 名鼻塞患者,他们都曾在阿苏特的爱资哈尔大学医院耳鼻喉科就诊,并被诊断为下鼻甲肥大且对药物治疗无效。此外,还进行了术前和术后 CT 扫描,以客观评估改善情况。与传统组相比,钴化组具有更多优势,如手术时间更短、术中失血更少、术后疼痛更轻、术后鼻腔结痂更少、更早恢复日常活动(P 值 < 0.001)。下鼻甲部分切除术组的术后鼻腔阻塞情况明显少于球囊扩张术组(P 值小于 0.001)。钴化技术辅助下鼻甲缩小术治疗肥大的下鼻甲是一种并发症(即术后疼痛、出血和鼻痂)较少的技术,而这些并发症在传统方法中很常见。传统方法在患者术后自我满意度和缓解术后鼻塞方面略胜一筹。
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