Inferior Turbinate Hypertrophy Research Articles

Functional Nasal Surgery.

After studying this article, the participant should be able to: (1) understand the functional significance of nasal anatomy as it relates to rhinoplasty and perform a comprehensive functional nasal assessment. (2) Identify the anatomical level of obstruction based on the authors' algorithmic approach and understand the current evidence supporting operative techniques for correcting nasal airway obstruction from septal deformity, inferior turbinate hypertrophy, internal nasal valve collapse, external nasal valve collapse. (3) Understand the current evidence supporting operative techniques for correcting nasal airway obstruction from septal deformity, inferior turbinate hypertrophy, internal nasal valve collapse, and external nasal valve collapse. (4) Appreciate the objective assessment tools for functional nasal surgery from a clinical and research perspective. The intent of functional rhinoplasty is to improve nasal airflow (and the perception thereof) by surgically correcting the anatomical sources of obstruction in the nasal airway. Cosmetic and functional rhinoplasty are not mutually exclusive entities, and the techniques that address one area, inevitably may affect the another. The rate of functional problems after cosmetic rhinoplasty range from 15 to 68 percent with nasal airway obstruction found to be the most common indication for secondary surgery. The objective of this CME article is to provide readers with an understanding of the (1) functional components of nasal anatomy, (2) clinical functional assessment, and (3) the current evidence supporting corrective maneuvers for each component.

Detection of Helicobacter pylori in paranasal sinus specimens from chronic rhinosinusitis patients

Background and aim Chronic rhinosinusitis (CRS) is an upper respiratory-tract disease, which affects general health of patients. This study aims to detect Helicobacter pylori in paranasal sinus specimens of patients having CRS and to approve if there is a relation between H. pylori and CRS. Patients and methods This study included 60 patients complaining of nasal and gastroesophageal reflux disease (GERD) symptoms. According to computed tomography findings, patients were divided into group A: this included 30 patients, they had chronic sinusitis, or nasal polyp and GERD symptoms, and group B: this included 30 patients, they had inferior-turbinate hypertrophy without sinus affection and with GERD symptoms. All patients were submitted to endoscopic surgery, under general anesthesia, and the samples of diseased sinus mucosa or nasal polyp in group A and the samples of inferior turbinate in group B were sent for histopathological and microbiological examination. Results In group A, rapid urease test (RUT) was positive in 10 (33.3%) patients and negative in 20 (66.6%) patients, while immunohistochemistry (IHC) was positive in five (16.5%) patients and negative in 25 (83.5%) patients. In group B, RUT was positive in five (16.5%) patients and negative in 25 (83.5%) patients, while IHC was positive in 0 (0%) patients and negative in 30 (100%) patients. There was a significant difference between RUT and IHC results in both groups (P=0.032). Conclusion H. pylori infection has possible role in chronic sinusitis. More studies are required to confirm this correlation.

Endoscopic Inferior Turbinoplasty Versus Radiofrequency Ablation for Treatment of Inferior Turbinate Hypertrophy

Endoscopic Inferior Turbinoplasty Versus Radiofrequency Ablation for Treatment of Inferior Turbinate Hypertrophy

Association Between Inferior Turbinate Hypertrophy and Extraesophageal Reflux

To the authors' knowledge, no prior studies have examined the association between inferior turbinate hypertrophy (ITH) and extraesophageal reflux (EER). If EER were a cause or cofactor of ITH, antireflux treatment can be considered prior to surgical intervention. To evaluate EER presence and severity in patients with different degrees of ITH. Prospective multicentric cohort study conducted at 3 referral centers treating patients with EER and certified for 24-hour monitoring of oropharyngeal pH. The monitoring was performed between October 2020 and October 2021. A total of 94 adult patients with EER symptoms were recruited, 90 of whom were analyzed. Nasal endoscopy was performed to determine the degree of ITH, according to the Camacho classification. Presence and severity of EER were examined using 24-hour monitoring of oropharyngeal pH. Primary outcomes were presence of EER according to RYAN Score, total percentage of time below pH 5.5, and total numbers of EER events below pH 5.5. Of the 90 analyzed patients (median [IQR] age, 46 [33-58] years; 36 [40%] male patients), 41 had a maximum of second-degree ITH (group 1), and 49 patients had at least third-degree ITH (group 2), according to the Camacho classification. On the basis of the RYAN Score, EER was diagnosed more often in group 2 (69.4%) than in group 1 (34.1%; difference, 35.3% [95% CI, 13.5%-56.9%]). Moreover, compared with group 1, group 2 exhibited higher median total percentage of time below pH 5.5 (median [IQR], group 1: 2.1% [0.0%-9.4%], group 2: 11.2% [1.5%-15.8%]; difference, 9.1% [95% CI, 4.1%-11.8%]) and higher median total number of EER events (median [IQR], group 1: 6 [1-14] events, group 2: 14 [4-26] events; difference, 8 [95% CI, 2-15] events). Patients with proven EER demonstrated no difference in the degree of ITH between the right and left nasal cavity (Cohen g, -0.17 [95% CI, -0.50 to 0.30]), or between the anterior and posterior parts of the nasal cavity (Cohen g, -0.21 [95% CI, -0.50 to 0.17]). In this cohort study, patients with a higher degree of ITH had more severe EER. A possible association between severe ITH and EER was demonstrated.

Prevalence of mouth breathing, with or without nasal obstruction, in children with moderate to severe obstructive sleep apnea

BackgroundMouth breathing (MB) is a symptom of obstructive sleep apnea (OSA) in children, but its diagnosis remains challenging. The main objectives of our study were to evaluate whether parents' and physician's diagnose of MB were concordant and to evaluate the prevalence of nasal obstruction in children with OSA and MB. MethodsNinety-three children (median age: 10.6 years, range 3–18) with moderate to severe OSA prospectively underwent otorhinolaryngologist (endoscopy, acoustic rhinometry and pharyngometry allowing calculation of pharyngeal compliance) and orthodontist (clinical exam and cephalometry) assessments together with parental interview (daytime MB: never, sometimes, often, always). MB was also assessed by the otorhinolaryngologist (nasal obstruction on endoscopy) and the orthodontist (incompetent lips or anterior open bite or low tongue position). ResultsThirty-eight children (41%) were mouth (parental criterion: MB often or always, median age 8.2 years) and 55 nasal (11.4 years, p = 0.016) breathers. The agreement of parental and physician diagnosis of MB was slight (orthodontist) to moderate (otorhinolaryngologist). Parental diagnosis of MB was associated with nasal obstruction on acoustic rhinometry and endoscopy (hypertrophy of inferior turbinate, n = 18 or adenoids, n = 15) and with an adenoid facies (increased Frankfort's mandibular plane angle on cephalometry). Eleven children had MB by habit and were characterized by more severe OSA and higher pharyngeal compliance than mouth breathers with nasal obstruction. ConclusionMB diagnosis by parents is acceptable and is mainly related to nasal obstruction. A subset of children had MB by habit associated with worst OSA and increased pharyngeal compliance that could benefit from myofunctional therapy.

Features of inhalant allergy on nasal endoscopy: a systematic review and meta-analysis.

Nasal endoscopy is increasingly accessible to ENT surgeons. The characteristics of the allergic upper airway are not well recognised. MEDLINE (1946-2021), EMBASE (1974-2021), and the Cochrane Library were searched on 16th November 2021 to identify articles that reported endoscopic findings of patients with documented allergy who had undergone nasal endoscopy. The review followed the Cochrane Handbook for Systematic Reviews of Diagnostic Test Accuracy. Meta-analysis was performed by pooling sensitivities and specificities using the hierarchical summary receiver operating characteristics model. A total of 4108 articles were identified, of which 15 manuscripts met the inclusion criteria. The included studies involved 4660 patients who had undergone nasal endoscopy. Middle turbinate (diffuse/polypoid) oedema (sensitivity 58.0%, specificity 84.5%), watery secretions (sensitivity 65.7%, specificity 76.5%), inferior turbinate hypertrophy (sensitivity 86.2%, specificity 32.2%), and unspecified turbinate hypertrophy (sensitivity 82.0%, specificity 42.9%) were identified as the features with the highest predictive value of inhalant allergy. Diffuse or polypoid oedema of the middle turbinate or watery secretions seen on nasal endoscopy can be a useful adjunct in the identification and diagnosis of inhalant allergy. These clinical features should be part of the diagnostic workup for patients that includes a clinical history and surrogate markers of allergic sensitisation from the skin and serum.

Swing Door Compressive Fracture Technique for Turbinoplasty: Retrospective Study Based on Computed Tomography and NOSE Scale.

Treatment of inferior turbinate hypertrophy is performed using different techniques in rhinoplasty. However, the reported results are not consistent. In this study, we aimed to evaluate the outcomes of Swing door compressive fracture (SDCF) technique for turbinoplasty using computed tomography (CT) and Nasal Obstruction Symptom Evaluation (NOSE) scale. This study involved retrospective analysis of 24 patients who underwent inferior turbinoplasty using Swing door compressive fracture (SDCF) technique with or without septoplasty. The angle between the inferior turbinate and lateral nasal wall, total area, inferior turbinate area and the area medial to inferior turbinate were measured preoperatively and postoperatively using coronal section CT images for objective evaluation. Moreover, the NOSE scale was used for subjective evaluation. The angle between inferior turbinate and lateral nasal wall was decreased by 25.3% after the treatment (p <0.0001). Inevitably, postoperative total nasal airway area (area 1) did not face a statistically significant change (p = 0.6878). On the other hand, the area of inferior turbinate (area 2) decreased significantly compared to preoperative value (p = 0.0021), while the area 3, the area medial to inferior turbinate was widened 1.5 times postoperatively. The total preoperative NOSE score was moderate (39.58 ± 22.31%) and it was decreased to mild (5.83 ± 8.81%) after the treatment (p <0.0001). The Swing door compressive fracture (SDCF) technique for turbinoplasty is an effective and straightforward modality. However, the further study involving more patients and longer follow-up period is mandatory. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Effeciny of CO2 laser in treatment of nasal obstration due to inferfer turninate hypertrohy in Kirkuk province

Introduction: Nasal obstruction secondary to Inferior turbinate hypertrophy (ITH) may be a slight irritation to some people but to others it is considerable distress and affects the value of life to a great extent. The aim of study is to assessment of outcome of CO2 laser application to anterior end of inferior turbinate in treatment of nasal obstruction, and assessment of effect of CO2 laser on mucosa of inferior turbinate. Method: Cross sectional comparative study of 46 patients with nasal obstruction due to inferior turbinate hypertrophy. After select of patient according to inclusion and exclusion criteria, complete explanation of the procedure and its sequel with informed, procedure done in Kirkuk general hospital with lemmer CO2 laser with local anesthesia apply to nasal cavity, by using proper size laser probe laser apply to anterior 1/3 of inferior turbinate for 30-90 seconds, nasal pack apple for 2 -3 hours then removed, with re-packing if there is bleeding, daily follow up of patient for 1st week then 1 month and 6-month post operatively done. Results: Cross sectional comparative study of 46 patients, mean age (37 ± 14) years old, 14 (30%) of them are females and 32 (70%).

Քթի միջնապատի ուղղումը մանկական տարիքում

Pediatric septoplasty has been one of the most controversial topics discussed among ENT and plastic surgeons. The aim of the study is to evaluate the outcome of septoplasty several years after performing it during the pediatric age, and if it contributes subsequently to the recurrent deformation of the nasal septum or the external nasal structure. The study also touches on the notion of whether adenoidectomy and/or inferior turbinate reduction without correcting the deviated nasal septum are enough to restore nasal breathing. The study included 56 children aged 5-15 years. 33 were male and 23 were female. All the participating patients were diagnosed with deviated nasal septum, but were divided into 2 groups according to the surgical techniques performed. The first group included 24 patients and their difficult nasal breathing was conditioned by deviated nasal septum, adenoid tissue hypertrophy with 5 of the children also having inferior turbinate hypertrophy. However, they all underwent adenoidectomy and inferior turbinate radiofrequency reduction only. The second group included 32 patients with difficult nasal breathing caused by deviated nasal septum, adenoid tissue hypertrophy with 11 children also having inferior turbinate hypertrophy. All the patients in this group underwent septoplasty, adenoidectomy and where indicated, inferior turbinate radiofrequency reduction. All the 24 patients included in the first group exhibited improvement in nasal breathing index from 231,6 ± 9,26 cm3 up to 427,0±5,6 cm3 (P&lt;0,05). As for the snoring loudness scale, there was improvement from 2,6±0,1 to 1,3±0,1 (P&lt;0,05), but without complete disappearance. Patients included in the second group which totalled 32 in number saw improvement in nasal breathing index from 228,5±7,29 cm3 to 592,9±5,29 cm3 P&lt;0,05) while snoring loudness scale improved from 2,47±0,09 to 0,09±0,05 (P&lt;0,05). Our study results have shown us that for pediatric patients diagnosed with deviated nasal septum, it is advisable to perform septoplasty while preserving the corresponding anatomical growth zones, as it provides the patient adequate nasal breathing and prevents potential deformation of facial bone structure in the future.Thus, we can conclude that any cause of difficult nasal breathing in the pediatric age must be alleviated, be it conservatively or surgically, to avoid future complications.

Correlation between Radiological and Total Nasal Symptom Severity Score Effect of Montelukast in Patient with Allergic Rhinitis Associated with Inferior Turbinate Hypertrophy

Correlation between Radiological and Total Nasal Symptom Severity Score Effect of Montelukast in Patient with Allergic Rhinitis Associated with Inferior Turbinate Hypertrophy

INFERIOR TURBINOPLASTY: COMPARISON BETWEEN THE DIRECT VISION AND NASAL ENDOSCOPIC TECHNIQUES

The hypertrophy of inferior turbinates is considered one of the main causes of nasal obstruction. There are clinical and surgical options for treatment. If clinical control fails, the volumetric reduction of those structures is usually recommended. Theendoscopic approach is considered safe, as it enables a comprehensive assessment of the extent of the turbinate anatomy and effective hemostasis. Turbinoplasty is a procedure that requires manual skill and has the advantages of non-exposure of raw area, less chance of bleeding and less crusting. This study aimed to compare the postoperative outcome of patients who underwent inferior turbinoplasty under direct vision and via nasal endoscopy, through a prospective randomized study conducted at the IPO hospital (Instituto Paranaense de Otorrinolaringologia, Curitiba/PR, Brazil). In this study, 17 patients were evaluated and divided into two groups according to the surgical technique used. Both groups underwent flexible nasofibroscopy on the 15th and 30th day postoperatively, were asked if they experienced cacosmia, and if there was any need for nasal packing during the period. Although the video technique offers a broad view of the nasal anatomy and of the inferior turbinates, it demands more adequate material and more experience from the surgeon, and its surgical time is longer. By considering these results, we can conclude that there are no statistical differences between the postoperative results of the two turbinoplasty techniques.

Effects of orthognathic surgery with maxillary impaction plus septoplasty and total turbinectomy on breathing

Complete removal of hypertrophied inferior nasal turbinates may favour the occurrence of the empty nose syndrome (ENS). Some surgeons recommend partial turbinectomy in order to minimize the occurrence of ENS. However, little is known about whether total removal of the inferior nasal turbinate is associated with ENS. The aim of the present study was to evaluate the effects of total turbinectomy and septoplasty on the breathing of individuals undergoing orthognathic surgery with maxillary impaction. A total of 20 individuals participated in this cross-sectional study, in which the relationship between exposure (maxillary orthognathic surgery) and outcome (nasal respiratory function) was investigated. The Empty Nose Syndrome 6-Item questionnaire and Nasal Obstruction Symptom evaluation scale were applied to investigate the ENS. A three-dimensional assessment of the piriform opening was performed pre- and postoperatively by computed tomography in order to measure the volume of the nasal cavities using the Dolphin Imaging software. ENS was detected in 35% of patients, while 13 reported improved breathing. Symptoms of ENS such as dryness, suffocation, nose feels too open and nasal crusting were mentioned. The mean nasal cavity volume was 7477.15 mm³ greater in the initial evaluation (p&lt;0.05). In summary, the occurrence of ENS does not constitute an absolute contraindication of total turbinectomy, a procedure that contributed to the improvement of airway permeability.

The effect of septal deviation on postoperative quality of life in patients undergoing radiofrequency-assisted turbinate reduction.

ObjectivesInferior turbinate hypertrophy (ITH) and nasal septum deviation are leading causes of chronic nasal obstruction. Radiofrequency ablation (RFA) of hypertrophic inferior turbinates is effective for improving quality of life (QOL). We aim to assess QOL among patients with nasal obstruction associated with ITH and major deviated nasal septum.MethodsA prospective cohort study comparing the difference in improved QOL among patients with and without septal deviation following RFA treatment between March 2016 and June 2019. The patients formed two groups according to their grade of septal deviation. Patients participating filled in QOL questionnaires (Sino‐Nasal Outcome Test‐22 [SNOT‐22] and Nasal Obstruction Symptom Evaluation [NOSE]) Pre‐ and 2 months postprocedure.ResultsAll patients demonstrated QOL improvement with no significant difference between those with and those without any degree of deviated septum, as demonstrated by their responses to the SNOT‐22 questionnaire (p = .29), the NOSE questionnaire (p = .93), and the degree of nasal obstruction (question 22 in the SNOT‐22 questionnaire) (p = .14).ConclusionWe conclude that septal deviation to certain degree does not preclude treatment of ITH with RFA nor does it negatively affect subjective improvement of the patient's QOL. Both those with and those without septal deviation will benefit similarly with regards to subjective QOL improvement.

Sakit Kepala pada Variasi Anatomi Hidung dan Sinus Paranasal

The anatomical variations of the nasal and sinus paranasal can cause headaches. The most common variants have deviated septum, concha bullosa, and agger nasi cells. These variations can cause narrowing of the osteomeatal complex. Computed tomography was the primary modality for evaluating anatomical variations of the nasal and paranasal sinuses in diagnosis and management. Functional endoscopic sinus surgery was generally performed to restore the sinuses' drainage and ventilation in anatomical variations. It has been reported a 45-year-old woman with a congested left nostril and headache that has gotten worse since 2 months ago and computed tomography of the paranasal sinuses show thickening of the bilateral maxillary sinus mucosa, bilateral anterior ethmoid, left septum deviation, concha bullous, and right inferior turbinate hypertrophy. Functional Endoscopy Sinus Surgery was performed, found anatomical variations namely, deviation septum, concha bullosa, agger nasi cells and supra agger cells. The operation gave satisfactory results. Correct evaluation of anatomical variations based on history, physical examination and investigations can assist in patient management and avoid errors during surgery. The operation gave a satisfactory result for managing symptoms on patient with anatomical variation of nasal and paranasal sinuses when compared with medicamentosa.Keywords: anatomical variations, agger nasi cells , concha bullosa, deviated septum, headache, supra agger cell

Effectiveness of submucosal turbinoplasty in refractory obstructive rhinitis: a prospective comparative trial.

Refractory inferior turbinate hypertrophy requires a surgical approach to address symptomatic complaints. Submucosal approaches demonstrated their efficacy in restoring respiratory function and respecting the nasal mucosa. Microdebrider-assisted turbinoplasty (MAT) tools effectively reduces the soft tissue, exploiting a very different principle from the kinetic energy of radiofrequency. Thus, we aimed to compare the microdebrider-assisted turbinoplasty and the quantum molecular resonance (QMR) to assess patients' perspectives and respiratory outcomes. Subjects with persistent bilateral nasal blockage due to inferior turbinates hypertrophy were prospectively recruited from the University Medical Center. We randomly assigned the patients to each treatment and performed symptom evaluation via the visual analog score and endoscopic assessment at baseline and 30-, 90-, and 180-day post-treatment. Seventy participants completed the evaluations, 35 in MAT and 35 in the QMR group. Nasal complaints were significantly reduced after 1month using both methods. Although the MAT group reported higher postoperative bleeding and edema than QMR group, similar significant reductions were seen for turbinate size at long-term follow-up. Conversely, the MAT group reported greater VAS outcomes than QMR from the first postoperative month. In addition, MAT showed a longer operating time, although this difference was not statistically significant (p < 0.05). MAT allows effective control of nasal symptoms by reducing the size of turbinates in patients with lower turbinate hypertrophy. Although QMR may cause fewer postoperative complications, functional results are comparable to long-term follow-up.

Office based inferior turbinate coblation treatment: a randomized controlled trial on effectiveness and tolerability of medicinal honey

Background: When conservative treatment for nasal obstruction fails, surgery is often applied. Inferior Turbinate Hypertrophy (ITH) is a common cause of nasal obstruction, which can be treated by means of radiofrequency coblation. This technique can be administered under local anesthesia (office based coblation; OBC) and if expedient combined with a lateralization (out-fracture) of the inferior turbinate (IT). Ointment based on medical grade honey, is known to have wound healing characteristics. Methodology: Single center, single blinded randomized controlled trial. Fifty-five subjects received bilateral OBC of the IT. Subjects were randomized to postoperative care with either nasal saline irrigations (NSI) or NSI combined with ointment based on honey (NSI+STB). Subjects weekly reported subjectively overall nasal burden, -crusting, -pain, loss of smell by means of VAS-scores and nasal obstruction by means of the NL-NOSE scale. Results: No significant differences between the NSI and NSI+STB groups, though the latter showed less pain. Concerning the study group as a whole, mean nasal burden score and nasal obstruction significantly decreased from 63.4 to 16.0 and 65.3 to 22.0, respectively. Nasal crusting, -pain, and loss of smell largely resolved 3-4 weeks postoperatively and were only mild. Concomitant lateralization showed a tendency to quicker resolution of the nasal obstruction. Conclusions: OBC is a safe, well tolerated and effective treatment for nasal obstruction caused by ITH. Concerning multiple end-points, we found no evidence of a beneficial effect of ointment based on honey as addition to NSI in postoperative care, except a clear tendency in less crusting and pain.

Impact of severe nasal obstruction due to nasal septal deviation and hypertrophic inferior turbinates on Eustachian tube function and middle ear ventilation

Background Eustachian tube (ET) function and middle ear ventilation is affected by severe chronic nasal obstruction. Aim To study the effect of severe nasal obstruction due to nasal septal deviation and hypertrophic inferior turbinate and their correction on ET functions and middle ear ventilation. Patients and methods This prospective study involved 50 patients with severe nasal obstruction along with complaints of ear fullness. The nasal pathologies were surgically managed. Preoperative and postoperative impedance audiometric evaluation and nasal endoscopy were done to assess ET function. Results Patients included 28 (56%) males and 22 (44%) females. The age of patients ranged between 15 and 41 years, each group was divided into subtypes according to middle ear affection: group 1: severe nasal obstruction with type C: 18 ears, type B: four ears, and type A: 18 ears. Group 2: severe nasal obstruction with type C: eight ears, type B: nine ears, and type A: 17 ears. Group 3: severe nasal obstruction with type C: 17 ears, type B: five ears, and type A on tympanogram: four ears. Tympanogram was done preoperatively, and postoperatively the results were a significant improvement in ET dysfunction (P&lt;0.05). Conclusions ET function and middle ear ventilation are affected by severe chronic nasal obstruction caused by deviated nasal septum and hypertrophic inferior turbinate. After septoplasty and inferior turbinate reconstruction, there was a signification improvement in nasal airway and ET function but insignificant improvement in cases with OME (Otitis Media with Effusion).

Relationship between Inferior Turbinate Hypertrophy and Maxillofacial Morphology in Children

Relationship between Inferior Turbinate Hypertrophy and Maxillofacial Morphology in Children

Inferior Turbinate Hypertrophy Histopathology in Allergic Rhinitis Patients and in Patients with Deviated Nasal Septum

Inferior Turbinate Hypertrophy Histopathology in Allergic Rhinitis Patients and in Patients with Deviated Nasal Septum

COMPARISON OF MICRODEBRIDER - ASSISTED TURBINOPLASTY VERSUS ENDOSCOPIC PARTIAL TURBINECTOMY IN CASES OF INFERIOR TURBINATE HYPERTROPHY IN ALLERGIC RHINITIS PATIENTS

Objective: To compare microdebrider-assisted turbinoplasty versus endoscopic partial turbinectomy in cases of inferior turbinate hypertrophy in allergic rhinitis patients in terms of relief/improvement of nasal obstruction, post operative bleeding, crusting and synechie formation.&#x0D; Study Design: Quasi experimental study.&#x0D; Place and Duration of Study: Combined Military Hospital Mardan and Combined Military Hospital Malir, from Jan 2019 to Jan 2020.&#x0D; Methodology: A total of 90 patients of allergic rhinitis with severe nasal obstruction due to bilateral inferior turbinate hypertrophy fulfilling the inclusion exclusion criteria were selected. Cases were randomly divided into two groups of 45 each. Group A cases underwent microdebrider assisted turbinoplasty and Group B cases underwent partial turbinectomy via endoscpic approach. They were comparedin terms of post op bleeding, relief of nasal obstruction, post op crusting &amp; synechie/adhesions. All the data was entered on SPSS-17 and analyzed.&#x0D; Results: Out of 90 cases, there were 43 (47.8%) females and 47 (52.2%) males with age range from 15-65, mean age 37.68 ± 11.56 Years. There was only 1 case of post op bleeding after microdebrider assisted turbinoplasty requiring nasal packing in contrast to 6 cases of post op bleeding after endoscopic partial turbinectomy. On one month post op visit, there was no case of nasal crusting in turbinoplasty group in contrast to 7 of mild and 1 of moderate crusting &amp; 3 synechie/adhesions in endoscopic partial turbinectomy group.&#x0D; Conclusion: Microdebrider-assisted turbinoplasty is associated with less post operative bleeding and synechie formation as compared to endoscopic turbinectomy.