Inferior partial turbinectomy versus radiofrequency assisted inferior turbinoplasty - 6 years prospective trial
DOI:
https://doi.org/10.34631/sporl.770Keywords:
Inferior Turbinate Hypertrophy, Radiofrequency-assisted turbinoplasty, Partial inferior turbinectomyAbstract
Aim: To compare the effectiveness of radiofrequency-assisted inferior turbinoplasty (RFCI) and partial inferior turbinectomy (TPI) in reducing the intensity of nasal symptoms after 6 years of surgery.
Study Design: Prospective observational study in consecutive patients undergoing septoplasty and surgical reduction of the inferior turbinates between November 2011 and February 2012 during 6 years after surgery.
Methods: Surveys were carried out before, one month, one year and six years after the surgery. The intensity of nine nasal symptoms (nasal obstruction, anterior rhinorrhea, posterior rhinorrhea, hyposmia, sneezing, nasal pruritus, facial pressure, headache and snoring) was evaluated using a visual analogue scale (VAS). Statistical analysis of data was made with SPSS v25 using Wilcoxon, Mann-Whitney test, Chi-square and T Student. Statistical significance was defined for p<0,05.
Results: Fifty-seven patients completed the protocol, 26 on septoplasty with RFCI group and 31 on septoplasty with TPI. The intensity of nasal symptoms in both groups decreased after the surgery for all the periods studied. The subgroup septoplasty with TPI proved to be superior to the subgroup septoplasty with RFCI on sneezing one month after the surgery, on nasal obstruction, anterior rhinorrhea, posterior rhinorrhea, sneezing, headache and snoring one year after the surgery and on anterior rhinorrhea, hyposmia, nasal pruritus and snoring six years after the surgery.
Conclusion: Both techniques proved to be effective on reduction of nasal symptoms up to 6 years after surgery in all symptoms analyzed, with TPI being superior in all post-surgery evaluations.
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