Microdebrider-Assisted Turbinoplasty versus Bipolar Cautery in Treatment of Inferior Turbinate Hypertrophy
Khaled, A., Fahim, R., Naguib, D., Hafez, K. (2024). Microdebrider-Assisted Turbinoplasty versus Bipolar Cautery in Treatment of Inferior Turbinate Hypertrophy. EKB Journal Management System, 5(4), 138-151. doi: 10.21608/ejmr.2024.250959.1500
Ashraf Mahmoud Khaled; Ramez Sabry Fahim; Dina Mohamed Naguib; Khaled Abd Elmoaty Hafez. "Microdebrider-Assisted Turbinoplasty versus Bipolar Cautery in Treatment of Inferior Turbinate Hypertrophy". EKB Journal Management System, 5, 4, 2024, 138-151. doi: 10.21608/ejmr.2024.250959.1500
Khaled, A., Fahim, R., Naguib, D., Hafez, K. (2024). 'Microdebrider-Assisted Turbinoplasty versus Bipolar Cautery in Treatment of Inferior Turbinate Hypertrophy', EKB Journal Management System, 5(4), pp. 138-151. doi: 10.21608/ejmr.2024.250959.1500
Khaled, A., Fahim, R., Naguib, D., Hafez, K. Microdebrider-Assisted Turbinoplasty versus Bipolar Cautery in Treatment of Inferior Turbinate Hypertrophy. EKB Journal Management System, 2024; 5(4): 138-151. doi: 10.21608/ejmr.2024.250959.1500

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

Egyptian Journal of Medical Research
Volume 5, Issue 4, October 2024, Page 138-151  XML PDF (451.12 K)
Document Type: Original Article
DOI: 10.21608/ejmr.2024.250959.1500
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Authors
Ashraf Mahmoud Khaledorcid 1; Ramez Sabry Fahimorcid 1; Dina Mohamed Naguib email 2; Khaled Abd Elmoaty Hafezorcid 1
1Otorhinolaryngology Department, Faculty of Medicine, Beni-Suef University
2Otorhinolaryngology resident at Agouza Police Hospital
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.
Keywords
Microdebrider; Assisted Turbinoplasty; Bipolar Cautery; Inferior Turbinate Hypertrophy
References
 

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