PROSPECTIVE AND COMPARATIVE STUDIES IN THE SURGICAL TREATMENT MODALITIES OF HYPERTROPHIED INFERIOR TURBINATE

Dr.C.R.Vijay Bharath Reddy; Dr.M.Santhosh Reddy

Volume : VI, Issue : IX, September - 2017

PROSPECTIVE AND COMPARATIVE STUDIES IN THE SURGICAL TREATMENT MODALITIES OF HYPERTROPHIED INFERIOR TURBINATE

Dr. C. R. Vijay Bharath Reddy, Dr. M. Santhosh Reddy

Abstract :

Inferior turbinate hypertrophy is one of the major causes of nasal airway obstruction. Medical treatment often produces insufficient improvement. In these cases, surgical reduction of inferior turbinate can be proposed. As there are new and effective techniques like electrocautery, cryotherapy and radiofrequency ablation are currently available. The aim of our study is to prospectively evaluate the effectiveness of this three techniques by comp� the response of patients to these three surgical modalities of turbinates in size reduction. A total of 90 patients presenting with nasal obstruction with or without allergic symptoms, fulfilling the inclusion and exclusion criteria and attending ENT OPD are included in the study. A prospective study was conducted on three groups of this thirty patients with symptoms and signs of nasal obstruction associated with inferior turbinate hypertrophy of more than 3 months duration. Then the percentage of subjective improvement in nasal airway is assess post surgical treatment outcomes after 1week later on 1, 3, 6, 9 and 12 months. At the end of 12 months, 56.6 % of patients treated with electrocautery and 56.6 % of patients treated with cryotherapy showed 75 % improvement in nasal obstruction whereas 59.99 % of patients treated with radiofrequency ablation showed 100 % improvement. No statistical difference in the amount of improvement in nasal obstruction was noted between the three treatment groups at the end of 12 months as the total sample size was 90 patients only. But clinically with radiofrequency treatment showed better subjective improvement in nasal obstruction when compared to cryotherapy and electrocautery.