Update on surgical management of adult inferior turbinate hypertrophy

  title={Update on surgical management of adult inferior turbinate hypertrophy},
  author={Ting Ye and Bing Zhou},
  journal={Current Opinion in Otolaryngology \& Head and Neck Surgery},
  • T. YeB. Zhou
  • Published 1 February 2015
  • Medicine
  • Current Opinion in Otolaryngology & Head and Neck Surgery
Purpose of review There are numerous surgical managements of hypertrophic inferior turbinate. Controversy still exists involving the optimal surgical technique for hypertrophic inferior turbinate. The current review will discuss the most commonly used techniques for turbinate surgery and highlight their recently published clinical outcomes. Recent findings Microdebrider-assisted turbinoplasty, along with total removal of inferior turbinate mucosa, turned out to have no negative impact on… 

Diode laser–assisted inferior turbinoplasty in resistant cases of allergic rhinitis: a clinical and histopathological study

Diode laser produces histopathologic changes in the inferior turbinate soft tissues, providing excellent ablation of the soft tissue with controllable performance and good hemostasis, and is a safe, minimally invasive, and effective procedure in relieving nasal obstruction secondary to inferior turbinated hypertrophy as well as other symptoms of allergic rhinitis.

Comparative Study of Micro debrider-Assisted Versus Radio frequency-Assisted Inferior Turbinoplasty

There were statistically significant differences between both groups regarding operative duration, blood loss and post-operative nasal obstruction, discharge, snoring and patient satisfaction in favor of microdebrider-assisted turbinoplasty.

Study of Different Surgical Techniques in the Treatment of Hypertrophied Inferior Turbinate

The study found best early results in relieving the obstruction by the partial inferior turbinectomy, and the degloving technique was found to be the most efficacious, also the complication rate was the lowest in it.

Potassium titanyl phosphate laser turbinate reduction in the management of allergic inferior turbinate hypertrophy: Our experience

KTP laser turbinate reduction is a safe, effective, and minimally invasive procedure in the treatment of allergic inferior turbinate hypertrophy, with a minimal effect on the nasal mucosa.

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

Nasal complaints were significantly reduced after 1 month using both methods, and 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.

Comparison of Radiofrequency Thermal Ablation and Microdebrider-Assisted Turbinoplasty in Inferior Turbinate Hypertrophy: A Prospective, Randomized, and Clinical Study.

Both radiofrequency thermal ablation and microdebrider-assisted turbinoplasty are effective techniques for treating inferior turbinate hypertrophy.

Hipertrofia de cornetes inferiores: Revisión sobre técnicas quirúrgicas actuales

The surgery of inferior turbinate has favorable results in pa-219 tients with hypertrophic turbinates that do not respond to medical management, and microdebrider turbinoplasty has shown superiority in terms of long-term results and lower complication rates.

Comparing the Effects of Inferior Turbinate Radiofrequency and Intranasal Corticoster-oid on Symptoms Severity and Quality of Life in Patients with Inferior Turbinate Hypertrophy

Radiofrequency (RF) of inferior turbinate is known as an effec-tive method to decrease obstruction as well as other symptoms and improving quality of life in patients with ITH due to aller-gic rhinitis.

Endoscopic Submucosal Resection Versus Endoscopic Submucosal Diathermy for Inferior Turbinate Hypertrophy

Both endoscopic submucous diathermy and endoscopic SUBMucous resection are equally effective in improving airway in inferior turbinate hypertrophy with a slight advantage of endoscopicSubmucus resection in the early postoperative period.



Inferior Turbinate Hypertrophy: Review and Graduated Approach to Surgical Management

This article highlights the available literature and gaps in current knowledge on inferior turbinate hypertrophy and presents a graduated approach to the management of ITH.

Inferior turbinate surgery: an adjunct to successful treatment of nasal obstruction in 408 patients.

It is concluded that turbinate surgery, particularly when unilateral, in the carefully selected patient with nasal obstruction is a useful adjunct to septal surgery.

A randomized clinical study: outcome of submucous resection of compensatory inferior turbinate during septoplasty.

Submucous resection of a hypertrophied inferior turbinate is necessary for the treatment of nasal obstruction and led to a distinctive increase in cross-sectional area of nasal patency when the two groups were compared.

Contemporary techniques in inferior turbinate reduction: survey results of the American Society for Aesthetic Plastic Surgery.

It appears that limited turbinate excision and turbinate outfracture are the most commonly-used techniques in private practice by plastic surgeons.

Midterm outcomes of outfracture of the inferior turbinate

Radiofrequency Volume Turbinate Reduction versus Partial Turbinectomy: Clinical and Histological Features

Compared to partial resection, intraturbinal turbinate reduction seems to be the method of choice to better preserve nasal physiology, although the ciliated epithelium appeared partially impaired.

Ultrasonic Bone Aspirator Turbinoplasty: A Novel Approach for Management of Inferior Turbinate Hypertrophy

Ulasonic bone aspiration turbinoplasty is a safe and effective addition to the techniques employed for inferior turbinate reduction and addresses actual deformities in the turbinate bone which cannot be effectively treated through microdebrider or radiofrequency-assisted turbinplasty.

Respecting nasal mucosa during turbinate surgery: end of the dogma?

Surgical removal of the inferior turbinate mucosa with the microdebrider in patients suffering from hypertrophic chronic rhinitis allows the perfect regeneration of physiological respiratory tissue and doesn`t have a negative impact on healing time and offsets any adverse postoperative event.

The efficacy of radiofrequency volumetric tissue reduction of hypertrophied inferior turbinate in simple snoring.

It seems that RFVTR represents a safe, minimal invasive, easy performed, and time and cost effective surgery, which may decrease symptoms of snoring in patients with ITH, at least, in short-term follow-up.

Surgical management of adult inferior turbinate hypertrophy

The evidence‐based medicine (EBM) schema advocates critical appraisal of the scientific literature for treatment of diseases. The objective of this review was to analyze the role of surgery for