Abstract

Abstract In the present study, indications, outcomes, and complications of partial inferior turbinectomy were studied, along with histopathological analysis of the resected turbinate. A total of 20 patients with inferior turbinate hypertrophy were evaluated before and after surgery. Clinical evaluation of partial turbinectomy showed that 100% of patients were relieved of their symptoms either completely or partially. None of the patients experienced a worsening of their symptoms after surgery. Complications of this surgery are also fewer and patients can be managed conservatively either by regular follow-up or through proper postoperative instructions. Histopathological evaluation of the turbinate specimens revealed both mucosa and bone as being contributors toward hypertrophy in allergic rhinitis patients more than in patients with inferior turbinate hypertrophy with a deviated nasal septum.

Highlights

  • Clinical evaluation of partial turbinectomy showed that 100% of patients were relieved of their symptoms either completely or partially

  • Perceived nasal obstruction resulting from inferior turbinate hypertrophy (ITH) is a common complaint in otorhinolaryngology practice

  • Significant hypertrophic changes of the IT may be the outcome of several factors, including perennial allergic rhinitis and nonallergic rhinitis

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Summary

Methods

Data for this study were collected from patients attending the Department of Otolaryngology in Kasr Al-Ainy Hospital, Cairo University, during the period from January 2011 to January 2012. This study was approved by the ethical committee of the Department of Otolaryngology, Faculty of Medicine, Cairo University. This is a prospective, nonrandomized, morphometric study that was conducted on 20 patients. Severity of nasal obstruction was assessed subjectively. Patients who were diagnosed to have ITH secondary to deviated nasal septum and allergic or non-allergic rhinitis, not resolving after medical therapy with antihistamines, nasal decongestant drops, or intranasal steroids, were included in the study

Results
Discussion
Conclusion

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