Abstract
Turbinoplasty is a procedure that aims to reduce the size of the inferior turbinate through exuberant bone removal with high mucosal preservation. The procedure is recommended for patients with or without allergic rhinitis and those showing irreversible hypertrophy of inferior turbinates.To evaluate the efficacy of inferior turbinoplasty for obstructive and non-obstructive symptoms in patients with or without allergic rhinitis.Prospective study with 57 patients who underwent inferior turbinoplasty. They were evaluated for nasal obstruction, snoring, facial pressure, smell alterations, sneezing, nasal itching and runny nose symptoms, surgery time, and intraoperative bleeding. The last evaluation took place three months after surgery.Thirty-nine patients with allergic rhinitis and 18 without it were assessed. Ninety days after surgery, 94.7% of patients showed breathing improvement; 89.5% showed moderate or complete improvement in snoring; all patients showed smell improvement; 95.5% experienced complete facial pressure improvement; and 89.7% showed moderate to complete improvement in nasal itching and runny nose symptoms, as well as in sneezing.The efficacy of inferior turbinoplasty was confirmed not only for obstructive symptoms, but also for non-obstructive symptoms in patients with and without allergic rhinitis.
Highlights
Turbinoplasty is a procedure that aims to reduce the size of the inferior turbinate through exuberant bone removal with high mucosal preservation
Patients were divided into two groups: group I patients with nasal obstruction and symptoms of rhinorrhea, sneezing, and itchy nose - were considered as having allergic rhinitis; and group II - patients with nasal obstruction without the other described symptoms - were considered without allergic rhinitis
The following inclusion criteria were used: patients with chronic nasal obstruction, without improvement after standard medications for at least two months; aged between 14 and 70 years; willing to participate in the study and to answer the protocol questions; available to return for reassessment seven, 30, and 90 days after surgery; patients with irreversible hypertrophy of the inferior turbinate; patients divided into groups with and without allergic rhinitis, based on the symptoms of itching, sneezing and rhinorrhea, in addition to nasal obstruction
Summary
Turbinoplasty is a procedure that aims to reduce the size of the inferior turbinate through exuberant bone removal with high mucosal preservation. Objective: To evaluate the efficacy of inferior turbinoplasty for obstructive and non-obstructive symptoms in patients with or without allergic rhinitis. Materials and Methods: Prospective study with 57 patients who underwent inferior turbinoplasty. They were evaluated for nasal obstruction, snoring, facial pressure, smell alterations, sneezing, nasal itching and runny nose symptoms, surgery time, and intraoperative bleeding. Conclusion: The efficacy of inferior turbinoplasty was confirmed for obstructive symptoms, and for non-obstructive symptoms in patients with and without allergic rhinitis. 1 It is a symptom that can affect people of all ages and ethnicities It has some degree of morbidity, which varies with the severity and cause of nasal obstruction.
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