Comparison between Submucous Bipolar Diathermy versus Coblation in Improving Nasal Obstruction and Post Operative Crustations After Turbinoplasty | ||
| Suez Canal University Medical Journal | ||
| Article 4, Volume 27, Issue 6, June 2024, Pages 35-45 PDF (633.01 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/scumj.2024.435707 | ||
| Authors | ||
| Muhammad Ali* ; Mohamed S. Rashwan; Maged Baher; Ibrahim Hassan | ||
| Department of Otolaryngology, Head and Neck surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt | ||
| Abstract | ||
| Background: Nasal blockage is a very common presentation among patients visiting ENT clinics; inferior turbinates’ hypertrophy is a very common cause. The inferior turbinate is composed of three layers: bone, submucosal tissue, and mucosa. Understanding the contributing component of the inferior turbinate hypertrophy is vital for deciding the type of inferior turbinate surgery, hence a CT scan is useful for this purpose. Aim: To compare the effect of submucous bipolar diathermy versus coblation for reduction of hypertrophied inferior turbinate under GA in terms of improvement of nasal obstruction and post operative crustations. Methods: The study was conducted as a randomized controlled prospective study following approval of our institutional research board. The study was carried out at the department of otorhinolaryngology, Suez Canal University hospital (SCUH), Ismailia, Egypt. The participants were recruitted into two groups: Group A: submucous bipolar diathermy group (n= 24) and Group B: coblation group (n= 24). Results: The mean age was 27.9± 9.1 years and 29.3± 7.8 years among groups A and B respectively. Females represented 62.5% and 58.3% among both A and B respectively. The mean BMI was 25.3± 1.3 and 25.8± 0.9 Kg/m2 among both A and B respectively. In preoperative assessment, all patients showed normal ear and oropharyngeal examination. All participants were G3 in Friedmann grading system. The mean VAS was 9.0 ± 0.8 in both groups. No significant difference was found between the two groups regarding preoperative assessment. After two weeks, there was no difference between the two groups regarding VAS and Friedmann grading system. After two months, a difference was not found between both groups regarding VAS and Friedmann grading system. A significant improvement of VAS score in both groups was found. The VAS 2 weeks postoperative was lower than preoperative with statistical difference in both groups. In addition to that VAS two months postoperative was significantly lower than preoperative in both groups. Conclusion: There was no difference between bipolar diathermy and coblation in terms of postoperative pain or Friedman grading. However, coblation proved to be both safe and effective in comparison to submucosal diathermy. | ||
| Keywords | ||
| Diathermy; coblation; nasal obstruction; turpinoplasty | ||
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