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389271

Microdebrider-Assisted Turbinoplasty versus Bipolar Cautery in Treatment of Inferior Turbinate Hypertrophy

Article

Last updated: 25 Dec 2024

Subjects

-

Tags

Surgery ·

Abstract

Background: Nasal Obstruction is a prevalent sign which affects 25% of people. Nasal obstruction is often caused by septal deviation, middle and inferior turbinate hypertrophy, nasal polyposis, or pharyngeal tonsils hypertrophy. Among these causes, inferior turbinate hypertrophy is the most prevalent etiology of nasal obstruction. Aim of the Work: To compare the results of microdebrider assisted inferior turbinoplasty (MAIT) and bipolar cautery in treatment of inferior turbinate hypertrophy and post operative morbidity. Patients and Methods: Twenty cases from the ENT outpatient clinic in the Beni Suef hospital were recruited. All patients had the following surgical procedures performed in order to relieve their nasal obstruction. In every patient, on the Right side, the hypertrophic inferior turbinate was reduced using MAIT (Group A operation). A submucosal diathermy (SMD) using bipolar was performed on the Left side (Group B operation).  Results: There was no significant difference in crust at 1, 2 and 3 weeks post operative between the studied groups but there was a significant decrease in frequency of crust among Group I compared to II from 4 week post operative till end of follow up. Also, there was no significant difference between 1- and 8-week post treatment in Groups II but there was a significant decrease in frequency of crust between 1 and 8 weeks in Group I. Conclusion: As inferior turbinates hypertrophy is a prevalent cause of nasal obstruction, it is seen with relative frequency in ENT clinics. Most patients are effective for the treatment with topical steroids and/or antihistamines. Conversely, some cases exhibit resistance to medical treatment. Proper history taking with proper diagnosis and treatment of laryngopharyngeal reflux (LPR) is important before proceeding to trurbinate surgery.

DOI

10.21608/ejmr.2024.250959.1500

Keywords

Microdebrider, Assisted Turbinoplasty, Bipolar Cautery, inferior turbinate hypertrophy

Authors

First Name

Ashraf

Last Name

Khaled

MiddleName

Mahmoud

Affiliation

Otorhinolaryngology Department, Faculty of Medicine, Beni-Suef University

Email

dr_akhaled_94@hotmail.com

City

-

Orcid

26004090100479

First Name

Ramez

Last Name

Fahim

MiddleName

Sabry

Affiliation

Otorhinolaryngology Department, Faculty of Medicine, Beni-Suef University

Email

ramez.sabry@med.bsu.edu.eg

City

-

Orcid

27201012407154

First Name

Dina

Last Name

Naguib

MiddleName

Mohamed

Affiliation

Otorhinolaryngology resident at Agouza Police Hospital

Email

dr.tekitoka@gmail.com

City

Cairo

Orcid

-

First Name

Khaled

Last Name

Hafez

MiddleName

Abd Elmoaty

Affiliation

Otorhinolaryngology Department, Faculty of Medicine, Beni-Suef University

Email

khaledabdelmoate@med.bsu.edu.eg

City

-

Orcid

28103062200391

Volume

5

Article Issue

4

Related Issue

51016

Issue Date

2024-10-01

Receive Date

2024-03-14

Publish Date

2024-10-01

Page Start

138

Page End

151

Print ISSN

2682-4396

Online ISSN

2682-440X

Link

https://ejmr.journals.ekb.eg/article_389271.html

Detail API

https://ejmr.journals.ekb.eg/service?article_code=389271

Order

389,271

Type

Original Article

Type Code

1,224

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Research

Publication Link

https://ejmr.journals.ekb.eg/

MainTitle

Microdebrider-Assisted Turbinoplasty versus Bipolar Cautery in Treatment of Inferior Turbinate Hypertrophy

Details

Type

Article

Created At

25 Dec 2024