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Does turbinate reduction combined with septoplasty have better outcomes than septoplasty alone? A randomised, controlled study

Published online by Cambridge University Press:  27 October 2021

N Seden Open the ORCID record for N Seden [Opens in a new window] ,
E Araz Server ,
O Yigit  and
E Misir
N Seden*
Affiliation:
Otorhinolaryngology Head and Neck Surgery Department, University of Health Sciences, Istanbul Training and Research Hospital, İstanbul, Turkey
E Araz Server
Affiliation:
Otorhinolaryngology Head and Neck Surgery Department, University of Health Sciences, Istanbul Training and Research Hospital, İstanbul, Turkey
O Yigit
Affiliation:
Otorhinolaryngology Head and Neck Surgery Department, University of Health Sciences, Istanbul Training and Research Hospital, İstanbul, Turkey
E Misir
Affiliation:
Otorhinolaryngology Head and Neck Surgery Department, University of Health Sciences, Istanbul Training and Research Hospital, İstanbul, Turkey
*
Author for correspondence: Dr Nihal Seden, Darussafaka Caddesi Acelya Sokak, No:17, Istinye, Istanbul, Turkey E-mail: [email protected]
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Abstract

Objective

This study investigated whether inferior turbinate reduction combined with septoplasty improves patients’ outcomes, as assessed by objective and subjective methods.

Methods

A single-centre, parallel-group, randomised, open-label trial was conducted at a tertiary hospital ENT clinic. Patients who underwent septoplasty were divided into two groups: group A underwent septoplasty with radiofrequency ablation; group B underwent only septoplasty. All patients were assessed before and three months after surgery using acoustic rhinometry and peak nasal inspiratory flow measurements, as well as Nasal Obstruction Symptom Evaluation scale and Sino-Nasal Outcome Test-22 scores.

Results

Seventy-four patients completed the study (36 in group A and 38 in group B). The patients in both groups showed significant improvements in acoustic rhinometry and peak nasal inspiratory flow measurements and in Nasal Obstruction Symptom Evaluation scale and Sino-Nasal Outcome Test-22 scores after the surgery (p < 0.05). However, the differences between the groups were not significant (p > 0.05).

Conclusion

Inferior turbinate ablation combined with septoplasty does not provide any more benefit to the objective and subjective outcomes of patients than septoplasty alone.

Keywords

Rhinometry, AcousticNasal ObstructionSino-Nasal Outcome TestTurbinatesRadiofrequency AblationNasal Septum
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 1 , January 2022 , pp. 55 - 59
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr N Seden takes responsibility for the integrity of the content of the paper

References

Han, JK, Stringer, SP, Rosenfeld, RM, Archer, SM, Baker, DP, Brown, SM et al. Clinical consensus statement: septoplasty with or without inferior turbinate reduction. Otolaryngol Head Neck Surg 2015;153:708–20CrossRefGoogle ScholarPubMed
Shedden, A. Impact of nasal congestion on quality of life and work productivity in allergic rhinitis: findings from a large online survey. Treat Respir Med 2005;4:439–46CrossRefGoogle ScholarPubMed
Smith, KD, Edwards, PC, Saini, TS, Norton, NS. The prevalence of concha bullosa and nasal septal deviation and their relationship to maxillary sinusitis by volumetric tomography. Int J Dent 2010;2010:404982CrossRefGoogle ScholarPubMed
Stallman, JS, Lobo, JN, Som, PM. The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. AJNR Am J Neuroradiol 2004;25:1613–18Google ScholarPubMed
Farmer, SE, Eccles, R. Chronic inferior turbinate enlargement and the implications for surgical intervention. Rhinology 2006;44:234–8Google ScholarPubMed
Devseren, NO, Ecevit, MC, Erdag, TK, Ceryan, K. A randomized clinical study: outcome of submucous resection of compensatory inferior turbinate during septoplasty. Rhinology 2011;49:53–7CrossRefGoogle ScholarPubMed
Güvenç, AI, Ecevit, MC. Subjective assessment methods in chronic rhinitis and rhinosinusitis: quality of life scales. Turk J Rhinol 2016;5:38–52CrossRefGoogle Scholar
Onerci Celebi, O, Araz Server, E, Yigit, O, Longur, ES. Adaptation and validation of the Turkish version of the Nasal Obstruction Symptom Evaluation scale. Int Forum Allergy Rhinol 2018;8:72–6CrossRefGoogle ScholarPubMed
Starling-Schwanz, R, Peake, HL, Salome, CM, Toelle, BG, Ng, KW, Marks, GB et al. Repeatability of peak nasal inspiratory flow measurements and utility for assessing the severity of rhinitis. Allergy 2005;60:795–800CrossRefGoogle ScholarPubMed
van Egmond, MMHT, Rovers, MM, Tillema, AHJ, van Neerbeek, N. Septoplasty for nasal obstruction due to a deviated nasal septum in adults: a systematic review. Rhinology 2018;56:195–208CrossRefGoogle ScholarPubMed
Vogt, K, Bachmann-Harildstad, G, Lintermann, A, Nechyporenko, A, Peters, F, Wernecke, KD. The new agreement of the international RIGA consensus conference on nasal airway function tests. Rhinology 2018;56:133–43CrossRefGoogle ScholarPubMed
Grymer, LF, Illum, P, Hilberg, O. Septoplasty and compensatory inferior turbinate hypertrophy: a randomized study evaluated by acoustic rhinometry. J Laryngol Otol 1993;107:413–17CrossRefGoogle ScholarPubMed
Illum, P. Septoplasty and compensatory inferior turbinate hypertrophy: long-term results after randomized turbinoplasty. Eur Arch Otorhinolaryngol 1997;254(suppl 1):S89–92CrossRefGoogle ScholarPubMed
Stölzel, K, Bandelier, M, Szczepek, AJ, Olze, H, Dommerich, S. Effects of surgical treatment of hypertrophic turbinates on the nasal obstruction and the quality of life. Am J Otolaryngol 2017;38:668–72CrossRefGoogle ScholarPubMed
Nilsen, AH, Helvik, AS, Thorstensen, WM, Bugten, V. A comparison of symptoms and quality of life before and after nasal septoplasty and radiofrequency therapy of the inferior turbinate. BMC Ear Nose Throat Disord 2018;18:2CrossRefGoogle ScholarPubMed
Nilsen, AH, Thorstensen, WM, Helvik, AS, Nordgaard, S, Bugten, V. Improvement in minimal cross-sectional area and nasal-cavity volume occurs in different areas after septoplasty and radiofrequency therapy of inferior turbinates. Eur Arch Otorhinolaryngol 2018;275:1995–2003CrossRefGoogle ScholarPubMed
Nunez, DA, Bradley, PJ. A randomised clinical trial of turbinectomy for compensatory turbinate hypertrophy in patients with anterior septal deviations. Clin Otolaryngol Allied Sci 2000;25:495–8CrossRefGoogle ScholarPubMed
de Moura, BH, Migliavacca, RO, Lima, RK, Dolci, JEL, Becker, M, Feijó, C et al. Partial inferior turbinectomy in rhinoseptoplasty has no effect in quality-of-life outcomes: a randomized clinical trial. Laryngoscope 2018;128:57–63CrossRefGoogle ScholarPubMed
van Egmond, MMHT, Rovers, MM, Hannink, G, Hendriks, CTM, van Heerbeek, N. Septoplasty with or without concurrent turbinate surgery versus non-surgical management for nasal obstruction in adults with a deviated septum: a pragmatic, randomised controlled trial. Lancet 2019;394:314–21CrossRefGoogle ScholarPubMed