Bipolar Electrocautery Technique Versus Mini Inferior Turbinoplasty in Persistent Inferior Turbinate Hypertrophy | ||||
| International Journal of Medical Arts | ||||
| Articles in Press, Accepted Manuscript, Available Online from 07 July 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2025.390586.2193 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed Hassan El Khayal   ; Ahmed Seddik Abdelglil
| ||||
| Department Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. | ||||
| Abstract | ||||
| Background: Nasal obstruction is one of the most prevalent complaints in otolaryngological practice, significantly impairing patients’ quality of life. Inferior turbinate hypertrophy (ITH) is a common cause, often managed surgically when refractory to medical therapy. Aim: This study aimed to compare the efficacy, operative parameters, and postoperative outcomes of mini-inferior turbinoplasty (tunneling technique) versus bipolar electrocautery for ITH reduction. Patients and methods: This prospective randomized clinical trial included 60 patients with chronic nasal obstruction due to bilateral ITH unresponsive to medical therapy for over three months. Patients were randomly assigned to two equal groups: Group A (mini-inferior turbinoplasty) and Group B (bipolar electrocautery). All procedures were conducted at Al-Azhar University Hospitals. Patients were evaluated intraoperatively for bleeding and operative time, and postoperatively for nasal packing, crustation, synechia, nasal obstruction, and recurrence over a 3-month follow-up Results: Group A had a significantly longer operative time (27.77 ± 3.80 min vs. 13.07 ± 2.72 min, P=0.001) and higher intraoperative bleeding (22.37 ± 3.32 ml vs. 7.83 ± 1.46 ml, P=0.001) than Group B. Postoperative bleeding and need for nasal packing were observed only in Group A (16.7%, P=0.02). Crustation was significantly more frequent in Group B (96.7% vs. 6.7%, P=0.001), while nasal obstruction at one month was higher in Group B (66.7% vs. 16.7%, P=0.001). No significant differences were observed in synechia or recurrence Conclusion: Both mini-inferior turbinoplasty and bipolar electrocautery are effective in ITH reduction. Bipolar electrocautery offers advantages in operative time, minimal bleeding, and no need for nasal packing. However, mini-inferior turbinoplasty yields lower rates of crustation and better early postoperative relief from nasal obstruction | ||||
| Keywords | ||||
| Inferior turbinate hypertrophy; nasal obstruction; bipolar electrocautery; mini-inferior turbinoplasty; tunneling technique | ||||
|
Statistics Article View: 67 |
||||
