A Prospective Study to Compare the Efficacy of Powered Turbinectomy Versus Submucous Resection in the Surgical Management of Inferior Turbinate Hypertrophy at Rajarajeswari Medical College, Bengaluru

• Main Author: Mahajan, Ritesh
• Format: Dissertation
• Language: English
• Published: ProQuest Dissertations & Theses 01-01-2014
• Subjects: Air conditioning; Anatomy & physiology; Blood; Blood vessels; Bones; Boundaries; Cartilage; Cells; Cryotherapy; Edema; Hay fever; Health sciences; Hospitals; Immune system; Immunology; Lasers; Medicine; Morphology; Nose; Optics; Otolaryngology; Patients; Permeability; Physiology; Rhinitis; Sinuses; Surgery; Veins & arteries
• ISBN: 9798380286886

BackgroundHypertrophy of inferior turbinate impairs normal nasal airflow and mucociliary functions, which can lead to chronic sinusitis, headache and various other manifestations. Although there is a strong need to give symptomatic relief to the patients, but functional role of inferior turbinates in nasal breathing should be kept in mind. However, the studies regarding reduction of inferior turbinates that have been performed till date have not been conclusive on the ideal approach to deal with this situation.Objectives of the study1.To analyze the improvement of nasal obstruction in inferior Turbinectomy procedures.2.To identify the reduction in size of inferior turbinate following turbinectomy procedures.3.To analyze the surgical procedures in terms of results by subjective and Objective assessment.a. Submucous resectionb. Powered turbinectomyMethodologyA prospective study was conducted on all patients with nasal obstruction with inferior turbinate hypertrophy who get admitted to ENT department of Raja Rajeswari Medical College And Hospital between 1st December 2011 to 1stJune 2013. Patients aged between 18 to 50 years of either sex, with nasal obstruction and inferior turbinate hypertrophy not responding to medical treatment with or without septal deviation.ResultsMean age group of the patients undergoing surgery was 21-30 years (38.3%) with mean age of 31.21 years. Overall improvement of nasal obstruction was seen in 95% of the patients. Improvement of 90% and 66.7% in Group I (SMR) and Group II (PT) was seen respectively. Reduction in size of inferior turbinate was seen in 76.7% patients in Group I and 83.3% in Group II patients. Overall 80% of the patients post operatively had Grade I inferior turbinate.ConclusionBoth Submucosal resection and Powered turbinectomy are efficient methods for relieving nasal obstruction related to inferior turbinate hypertrophy. However, the results in our study confirm that Powered turbinectomy is a safe and effective procedure in relieving nasal obstruction and enabling optimal volume reduction with preservation of function of the inferior turbinate.