European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
Analysis of postoperative outcomes of hypertrophied inferior concha reduction techniques -partial inferior turbinectomy vs. complete inferior turbinectomy vs. microdebrider assisted submucosal resection: A comparative study in a tertiary care centre.
СтатьяСравнительное исследованиеРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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M Sudha, M Ajaiy
Аннотация
OBJECTIVES: To compare the postoperative outcomes and complication profiles of three surgical techniques for inferior turbinate hypertrophy (ITH): Partial Inferior Turbinectomy (PIT), Complete Inferior Turbinectomy (CIT), and Microdebrider-Assisted Submucosal Resection (MASR).
METHODS: A prospective comparative study was conducted on 60 patients with ITH refractory to medical management. Participants were randomized into three groups (n = 20 each) undergoing PIT, CIT, or MASR. The primary outcome was subjective improvement measured by the Nasal Obstruction Symptom Evaluation (NOSE) scale preoperatively and at 1 week, 1 month, and 3 months postoperatively. Secondary outcomes included the incidence of postoperative complications (crusting, synechiae, haemorrhage, recurrence), assessed via diagnostic nasal endoscopy.
RESULTS: All groups showed significant improvement in NOSE scores over time (p < 0.001). CIT provided the most rapid symptomatic relief, with significantly lower NOSE scores than PIT at 1 month (p = 0.002). However, this significant difference between groups was not sustained at the 3-month follow-up (p = 0.058). MASR demonstrated a significant advantage in reducing postoperative morbidity, with a markedly lower incidence of nasal crusting (40%) compared to PIT (78.9%) and CIT (88.9%) (p = 0.002). No significant differences were observed in synechiae formation, haemorrhage, or recurrence rates.
CONCLUSION: While all three techniques effectively alleviate nasal obstruction, MASR offers the most favourable balance, providing robust and sustained symptomatic relief comparable to CIT, but with a significantly superior postoperative recovery profile due to its mucosa-preserving nature. It is recommended as the preferred surgical technique for most patients with ITH.
METHODS: A prospective comparative study was conducted on 60 patients with ITH refractory to medical management. Participants were randomized into three groups (n = 20 each) undergoing PIT, CIT, or MASR. The primary outcome was subjective improvement measured by the Nasal Obstruction Symptom Evaluation (NOSE) scale preoperatively and at 1 week, 1 month, and 3 months postoperatively. Secondary outcomes included the incidence of postoperative complications (crusting, synechiae, haemorrhage, recurrence), assessed via diagnostic nasal endoscopy.
RESULTS: All groups showed significant improvement in NOSE scores over time (p < 0.001). CIT provided the most rapid symptomatic relief, with significantly lower NOSE scores than PIT at 1 month (p = 0.002). However, this significant difference between groups was not sustained at the 3-month follow-up (p = 0.058). MASR demonstrated a significant advantage in reducing postoperative morbidity, with a markedly lower incidence of nasal crusting (40%) compared to PIT (78.9%) and CIT (88.9%) (p = 0.002). No significant differences were observed in synechiae formation, haemorrhage, or recurrence rates.
CONCLUSION: While all three techniques effectively alleviate nasal obstruction, MASR offers the most favourable balance, providing robust and sustained symptomatic relief comparable to CIT, but with a significantly superior postoperative recovery profile due to its mucosa-preserving nature. It is recommended as the preferred surgical technique for most patients with ITH.