Document Type : Original research articles
Authors
Otorhinolaryngology Department, Faculty of Medicine, South Valley University, Qena, Egypt
10.21608/svuijm.2024.265596.1789
Abstract
Background: Inferior turbinate hypertrophy (ITH) significantly affect patients quality of life. Coblation and microdebrider-assisted turbinectomy can offer distinct mechanisms for precise tissue removal.
Objectives: To evaluate the efficacy and complications of bilateral partial inferior turbinectomy using shaver (microdebrider) versus coblation.
Patients and methods: this is a case-control clinical study included 40 patients with bilateral hypertrophied inferior turbinates, were devided into two groups, group A included 20 patients were underwent bilateral partial inferior turbinectomy using microdebrider.group B included 20 patients were underwent bilateral partial inferior turbinectomy using coblation. Postoperatively, all patients were followed at 1st,2nd,4th and 8th weeks to assess nasal obstruction, post-operative pain, snoring, hyposmia, headache, bleeding , blood loss, rhinorrhea and crustation.
Results: The significant improvement in nasal obstruction scores was observed in both groups postoperatively at 1st, 2nd, 4th, and 8th weeks, with Group A demonstrating a more substantial decrease at 1st week. Also post-operatively there were significant statistical difference in nasal obstruction between 2 groups in 1st,2nd,4th,8th weeks(p<0.0001). Hyposmia in Group A significantly improved post-operatively , while Group B remained unchanged . Snoring and headache also significantly decreased in both groups, with no clear superiority of one technique over the other. Group B had significantly lower postoperative pain (p=0.0187). Notable differences were observed in bleeding rates, crustation occurrences emphasizing variations in outcomes.
Conclusion: this study reported that both therapies reduced nasal blockage although microdebrider is more effective than coblation. Microdebrider reduced hyposmia, both reduced snoring, while coblation is better in postoperative pain and reduced bleeding.
Keywords
Main Subjects
)
View on SCiNiTO