Surgical interventions for inferior turbinate hypertrophy.

Ali Abd-Almer Jwad, Wasam A Albualih, Abbas Kalaf Mahdi
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Abstract

Background and aim: Nasal obstruction can be induced by various causes; however, inferior turbinate hypertrophy is considered the most frequent cause of this anatomical malfunctioning condition. The current surgical interventional study was focused on comparing the final outcomes of partial inferior turbinectomy (PIT) and powered endoscopic turbinoplasty (PET).

Subjects and methods: The criterion followed for deciding the successfulness of each surgical method was the rate of occurrence of postoperative complications such as bleeding, crustation, and atrophic rhinitis. Fifty patients who suffered from nasal obstruction were randomly divided into two groups: PIT group, with 25 patients, of which 15 (52%) were males and 10 were (48%) females, at an average age of 27.40 ± 7.7 years, and PET group, with 25 patients, out of which 14 (48%) were males and 11 (62%) were females, at an average age of 26.68 ± 6.82 years. The surgical operations were performed at the Department of Otolaryngology, Al-Diwaniyah General Teaching Hospital, Diwaniyah City, Iraq, during the period between March 2015 and March 2020.

Results: The PET group showed significantly lower incidence (P < 0.05) of bleeding and crustation than those from the PIT group; however, no significant differences (P > 0.05) were observed between PIT and PET in the occurrence of atrophic rhinitis.

Conclusion: PET showed promisingly less postoperative complications when compared to PIT.

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下鼻甲肥大的外科治疗。
背景与目的:鼻塞可由多种原因引起;然而,下鼻甲肥大被认为是这种解剖功能障碍的最常见原因。目前的外科介入研究集中在比较部分下鼻甲切除术(PIT)和动力内镜下鼻甲成形术(PET)的最终结果。对象和方法:以术后出血、结痂、萎缩性鼻炎等并发症的发生率为判断手术方法是否成功的标准。50例鼻塞患者随机分为两组:PIT组25例,其中男性15例(52%),女性10例(48%),平均年龄27.40±7.7岁;PET组25例,其中男性14例(48%),女性11例(62%),平均年龄26.68±6.82岁。手术于2015年3月至2020年3月期间在伊拉克迪瓦尼耶市Al-Diwaniyah综合教学医院耳鼻喉科进行。结果:PET组出血、结痂发生率显著低于PIT组(P < 0.05);而PIT与PET在萎缩性鼻炎发生方面无显著差异(P > 0.05)。结论:与PIT相比,PET有希望减少术后并发症。
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