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

The Egyptian Journal of Otolaryngology volume 35, pages 17–24 (2019)Cite this article

Abstract

Objective

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.

Results

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.

Conclusions

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

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Authors and Affiliations

  1. Department of Otolaryngology, Head and Neck, Minia University Hospital, Minia, Egypt

    Balegh H. Ali MD, Osama G. Abdel-Naby Awad & Ahmd A. Abdel Azez

  2. Department of Otolaryngology, Head and Neck, Minia General Hospital, Minia, Egypt

    Aya Ibrahim

Authors
  1. Balegh H. Ali MD
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  2. Osama G. Abdel-Naby Awad
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  3. Aya Ibrahim
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  4. Ahmd A. Abdel Azez
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Correspondence to Balegh H. Ali MD.

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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). https://doi.org/10.4103/ejo.ejo_8_18

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  • DOI: https://doi.org/10.4103/ejo.ejo_8_18

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