Comparison of Efficacy of Submucosal Diathermy and Turbinoplasty in Patients with Chronic Nasal Obstruction due to Inferior Turbinate Hypertrophy
European Journal of Molecular & Clinical Medicine,
2021, Volume 8, Issue 2, Pages 2750-2756
AbstractBackground : Chronic nasal obstruction commonly defined as patient discomfort manifested as a sensation of insufficient airflow through the nose, and also is one of the most common human problems and a very frequent symptom in the otorhinolaryngology field. Chronic nasal obstruction has many adverse sequelae.
Objective : To evaluate the effectiveness of submucosal diathermy of inferior turbinate versus turbinoplasty in patients with inferior turbinate hypertrophy.
Material and Methods : A Prospective Comparative Study conducted at Department of ENT, Narayana Medical College, Nellore for the period of one years, with sample size of 50 (Each Group having 25 Samples). Symptomatic patients with bilateral inferior turbinate hypertrophy and age group 15 to 55 years were included in the study. Prior to surgical intervention patient is asked to fill in the SNOT-22 questionnaire includes patients rated 22 different symptoms related to both nasal and general heath on a score of 0 to 5 T-test were used to see the difference between means. Data were presented by mean and proportions, 5% significance were taken to asses the mean difference.
Results : Study had total 50 patients in which 20 were males, and 30 were females. Overall mean age of the patients was 29.28 years with standard deviation of 8.15 years., it was found that Nasal Obstruction improvement in Turbinoplasty was 84% compared to Submucosal Diathermy. Similarly Nasal Symptoms, Non-Nasal Symptoms and also general Health Symptoms proportion of improvement was more in Turbinoplasty as compared to the Submucosal Diathermy, and this improvement between the therapy was statistically significant. (P-value<0.01)
Conclusion : From overall observation and discussion we observed that Turbinoplasty is found to be more effective than submucosal diathermy in reducing the nasal obstruction and other nasal symptoms.
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