Aboulwafa, W., Saad, A., Abbas, A., Elewa, M., Eldahshan, T. (2019). Comparative Study between Submucosal Diathermy and Endoscopic Partial Turbinectomy in Hypertrophied Inferior Turbinate. The Egyptian Journal of Hospital Medicine, 74(4), 809-819. doi: 10.21608/ejhm.2019.24359
Wael Hassan Aboulwafa; Abd Elaziz Kamal Saad; Ayman Yehia Abbas; Mohammed Abed Elewa; Tarek Abd Elkarem Eldahshan. "Comparative Study between Submucosal Diathermy and Endoscopic Partial Turbinectomy in Hypertrophied Inferior Turbinate". The Egyptian Journal of Hospital Medicine, 74, 4, 2019, 809-819. doi: 10.21608/ejhm.2019.24359
Aboulwafa, W., Saad, A., Abbas, A., Elewa, M., Eldahshan, T. (2019). 'Comparative Study between Submucosal Diathermy and Endoscopic Partial Turbinectomy in Hypertrophied Inferior Turbinate', The Egyptian Journal of Hospital Medicine, 74(4), pp. 809-819. doi: 10.21608/ejhm.2019.24359
Aboulwafa, W., Saad, A., Abbas, A., Elewa, M., Eldahshan, T. Comparative Study between Submucosal Diathermy and Endoscopic Partial Turbinectomy in Hypertrophied Inferior Turbinate. The Egyptian Journal of Hospital Medicine, 2019; 74(4): 809-819. doi: 10.21608/ejhm.2019.24359
Comparative Study between Submucosal Diathermy and Endoscopic Partial Turbinectomy in Hypertrophied Inferior Turbinate
1Otolaryngology dept., Faculty of Medicine, AL-Azhar University
2Clinical Pathology dept., Faculty of Medicine, AL-Azhar University
Abstract
Background:Chronic nasal obstruction is a common subjective complaint seen by otolaryngologists; turbinate hypertrophy is one of its causes. There are various treatment options for enlarged turbinates, the method of treatment depends on the size of the enlarged turbinates. Objective:To evaluate the effectiveness of submucosal diathermy of inferior turbinate versus endoscopic partial turbinectomy in patients with inferior turbinate hypertrophy. Patients and methods:A total of sixty patients of different age groups and both sexes were involved in the study. Patients were divided in two groups; group (I), which included 30 patients, had submucosal diathermy of both inferior turbinates and group (II); which included 30 patients had surgical endoscopic partial turbinectomy of both inferior turbinates. Patients were followed up for 6 months postoperatively and nasal obstruction was analyzed according to (NOSE) scale. Results: there were no significant differences between both groups in nasal score mean at pre-operative, 1 week and 1 month (post-operative), however, group (II) had significantly (p<0.01) lower nasal score mean at 6 months compared to group (I),. In addition, there were a significant post-operative improvement in nasal obstruction in both used techniques at 1 week and 1 month. However, this significant improvement continued to 6 months in group II While, a type of recurrence was happened in group I at 6 months. Conclusion: both of the used surgical techniques were found to be effective in reducing nasal obstruction but endoscopic partial turbinectomy was more effective in reducing nasal obstruction for longer duration.
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