Skip to main content

Assessment of safety and efficacy of extraturbinal microdebrider-assisted turbinoplasty versus partial inferior turbinectomy



The aim was to compare the extraturbinal microdebrider-assisted turbinoplasty (MAT) with the partial inferior turbinectomy (PIT) based on subjective and objective parameters.

Patients and Methods

A total of 18 patients with nasal obstruction owing to bilateral hypertrophied inferior turbinates were included in this study. All patients underwent extraturbinal MAT on one side of the nose and PIT on the other side in alternate manner. The patients were blinded to the technique used. This is a prospective blinded randomized trial was conducted. The study was conducted at a tertiary referral hospital.

Main outcome measures

Operative time, blood loss, subjective improvement of the nasal obstruction, degree of intranasal crustations, and degree of synechiae formation were the main outcomes recorded.


The operative time and intraoperative blood loss were less in the extraturbinal MAT compared with PIT. At 2 weeks postoperatively, the sides with MAT had significantly better relief of nasal obstruction (P=0.007), less degree of nasal pain (P=0.002), less crustations (P=0.010), and better tissue healing (P =0.010) than sides with PIT. At 1 and 3 months postoperatively, the sides with MAT had statistically significant less crustations (P=0.040 and 0.032, respectively) and better tissue healing (P=0.010 and 0.010, respectively) compared with the sides with PIT; however, there were no statistically significant differences regarding relief of nasal obstruction and degree of nasal pain.


Extraturbinal microdebrider-assisted inferior turbinoplasty is more effective and safe compared with PIT, especially in short-term follow-up periods.


  1. 1

    Kassab AM, Rifaat M, Madian Y. Comparative study of management of inferior turbinate hypertrophy using turbinoplasty assisted by microdebrider or 980nm diode laser. J Laryngol Otol 2012; 126:1231–1237.

    CAS  Article  Google Scholar 

  2. 2

    Bahadir O, Kosucu P. Quantitative measurements of radiofrequency volumetric tissue reduction by multidetector CT in patients with inferior turbinate hypertrophy. Auris Nasus Larynx. 2012 39:588–592.

    Article  Google Scholar 

  3. 3

    Ye T, Zhou B. Update on surgical management of adult inferior turbinate. Curr Opin Otolaryngol Head Neck surgery 2015; 23:29–33.

    Google Scholar 

  4. 4

    Imad H, Sanaullah J. Comparison of submucosal diathermy with partial inferior turbinectomy:a fifty case study. J Postgrad Med Inst. 2012; 26:91–95.

    Google Scholar 

  5. 5

    Lippert BM, Werner JA. CO2 laser surgery of the hypertrophied inferior turbinates. Rhinology 1997; 35:33–36.

    CAS  PubMed  Google Scholar 

  6. 6

    Yanez C. New technique for turbinate reduction in chronic hypertrophic rhinitis intraturbinal stroma removal using the microdebrider. Oper Tech Otolaryngol Head Neck Surg 1998; 9:135–137.

    Article  Google Scholar 

  7. 7

    Friedman M, Tanyeri H, Lim J, Landsberg R, Caldarelli D. A safe, alternative technique for inferior turbinate reduction. Laryngoscope 1999; 109:1834–1837.

    CAS  Article  Google Scholar 

  8. 8

    Gupta A, Mercurio E, Bielamowicz S. Endoscopic inferior turbinate reduction: an outcome analysis. Laryngoscope 2001; 111:1957–1959.

    CAS  Article  Google Scholar 

  9. 9

    Anil H, Mahjabeen B. Comparative study between partial inferior turbinectomy and submucosal diathermy in the management of inferior turbinate hypertrophy. Int J Otorhinolaryngol Head Neck Surg 3: 2014 2277–8179.

    Google Scholar 

  10. 10

    Lund VJ, Kennedy DW. Quantification for staging sinusitis. The Staging and Therapy Group. Ann Otol Rhinol Laryngol Suppl 1995; 167:17–21.

    CAS  Article  Google Scholar 

  11. 11

    Hol MK, Huizing EH. Treatment of inferior turbinate pathology: a review and critical evaluation of the different techniques. Rhinology 2000; 38:157–166.

    CAS  PubMed  Google Scholar 

  12. 12

    Sapci T, Sahin B, Karavus A, Akbulut UG. Comparison of the effects of radiofrequeny tissue ablation, CO2 laser ablation, and partial turbinectomy applications on nasal mucociliary functions. Laryngoscope 2003; 113:514–519.

    Article  Google Scholar 

  13. 13

    Moore JR, Picknell PG. a comparison of cryosurgery and submucous diathermy in vasomotor rhinitis. J laryngol Otol 1987; 101:452–460.

    Article  Google Scholar 

  14. 14

    Cauna N, Cauna D. The fine structure and intervention of the Coshiow veins of the human nasal respiratory mucosa. Anat Res 1975; 43:66–74.

    Google Scholar 

  15. 15

    Van Delden MR, Cook PR, Davis WE. Endoscopic partial inferior turbinoplasty. Otolaryngol Head Neck surg 1999; 121:406–409.

    Article  Google Scholar 

  16. 16

    Davis WE, Nishioka GJ. Endoscopic partial inferior turbinectomy using a power microcutting instrument. Ear Nose Throat J 1996; 75:49–50.

    CAS  Article  Google Scholar 

  17. 17

    Lee CF, Chen TA. Power microdebrider-assisted modification of endoscopic inferior turbinoplasty: a preliminary report. Chang Gung Med J 2004; 27:359–365.

    PubMed  Google Scholar 

  18. 18

    Gupta A, Mercurio E, Bielamowicz S. Endoscopic inferior turbinate reduction: an outcome analysis. Laryngoscope 2001; 111:1957–1959.

    CAS  Article  Google Scholar 

  19. 19

    Lee JY, Lee JD. Comparative study on the long-term effectiveness between coblation- and microdebrider-assisted partial turbinoplasty. Laryngoscope 2006; 116:729–734.

    Article  Google Scholar 

  20. 20

    Salzano FA, Mora R, Dellepiane M, Zannis I, Salzano G, Moran E, Salami A. Radiofrequency, high-frequency, and electrocautery treatments vs. partial inferior turbinotomy: microscopic and macroscopic effects on nasal mucosa. Arch Otolaryngol Head Neck Surg 2009; 135:752–758.

    PubMed  Google Scholar 

  21. 21

    Imad H, Sanaullah J. Comparison of submucosal diathermy with partial inferior turbinectomy: a fifty case study. J Postgrad Med Inst 2012; 26:91–95.

    Google Scholar 

  22. 22

    Fradis M, Malatskey S, Magamsa I, Golz A. Effect of submucosal diathermy in chronic nasal obstruction due to turbinate enlargement. Am J Otolaryngol 2002; 23:332–336.

    Article  Google Scholar 

  23. 23

    Mohammed G, Nabi OA, Abdel Rahim A, Aly A. Comparative study between partial surgical inferior turbinectomy and sub-mucosal diathermy of inferior turbinate for treatment of inferior turbinate hypertrophy. Otolaryngol Open Acess 2015;5:1–4.

    Google Scholar 

  24. 24

    Hesham A, Hatem B, Ahmed H, Sameh A, Mohamad S. Intraturbinal versus extraturbinal microdebrider-assisted inferior turbinoplasty: PRELIMINARY results. EJENTAS 2014; 11:1–5.

    Google Scholar 

Download references

Author information



Corresponding author

Correspondence to Balegh H. Ali MD.

Additional information

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Ali, B.H., Awad, O.G.AN., Ibrahim, A. et al. Assessment of safety and efficacy of extraturbinal microdebrider-assisted turbinoplasty versus partial inferior turbinectomy. Egypt J Otolaryngol 35, 17–24 (2019).

Download citation


  • extraturbinal
  • microdebrider
  • turbinoplasty