Effect of Submucosal Resection and Submucosal Diathermy on Nasal Airflow in Inferior Turbinate Hypertrophy

Mohammad Reza Niyousha, Samad Ghiasi


ubmucosal resection and submucosal diathermy are common procedures in the treatment of inferior turbinate hypertrophy. Nonetheless, there is still a debate on the safety and efficacy between these two surgical techniques. We aimed at comparing the effectiveness and safety of submucosal diathermy and submucosal resection in the treatment of inferior turbinate hypertrophy. Sixty patients with nasal obstruction due to inferior turbinate hypertrophy were randomly divided into two groups; submucosal resection and submucosal diathermy groups. Gertner-Podoshin plate was used for measurement of nasal airflow before operation and 2 months postoperative. Significant resolution of the obstruction reported by the patients was similarly detected in diathermy (93.1%) and resection groups (96%, P>0.05). According to the Gertner-Podoshin measurements, both diathermy and resection techniques similarly resulted in good nasal airflow two month postoperative (86.2% vs. 89.2%, respectively; P>0.05). Postoperative bleeding was more common in the resection group compared with the diathermy group (P=0.002). Moreover, patients in the diathermy group suffered from pain more than the resection group (P=0.01). Both submucosal resection and submucosal diathermy techniques result in similar postoperative outcomes in treatment of inferior turbinate hypertrophy, although postoperative bleeding
and pain was more in submucosal resection and submucosal diathermy techniques, respectively.

Keywords: Inferior turbinate hypertrophy; nasal airflow; side effects; submucosal diathermy; submucosal resection

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Kizilkaya Z, Ceylan K, Emir H, Yavanoglu A, Unlu I, Samim E, Akagün MC. Comparison of radiofrequency tissue volume reduction and submucosal resection with microdebrider in inferior turbinate hypertrophy. Otolaryngol Head Neck Surg. 2008;138:176-181.

Fradis M, Malatskey S, Magamsa I, Golz A. Effect of submucosal diathermy in chronic nasal obstruction due to turbinate enlargement. Am J Otolaryngol. 2002;23:332-336.

Lee KC, Hwang PH, Kingdom TT. Surgical management of inferior turbinate hypertrophy in the office: three mucosal sparing techniques. Oper Tech Otolaryngol Head Neck Surg. 2001;12:107-111.

Bhattacharyya N, Kepnes LJ. Clinical effectiveness of coblation inferior turbinate reduction. Otolaryngol Head Neck Surg. 2003;129:365-371.

Sroka R, Janda P, Killian T, Vaz F, Betz CS, Leunig A. Comparison of long term results after Ho:YAG and diode laser treatment of hyperplastic inferior nasal turbinates. Lasers Surg Med. 2007;39:324-331.

Friedman NR. Inferior turbinate reduction: Anapplication for the microdebrider. Oper Tech Otolaryngol Head Neck Surg. 2005;16:232-234.

Nease CJ, Krempl GA. Radiofrequency treatment of turbinate hypertrophy: a randomized, blinded, placebo-controlled clinical trial. Otolaryngol Head Neck Surg. 2004;130:291-299.

Sapci T, Usta C, Evcimik MF, Bozkurt Z, Aygun E, Karavus A, Peker M. Evaluation of radiofrequency thermal ablation results in inferior turbinate hypertrophies by magnetic resonance imaging. Laryngoscope. 2007;117:623-627.

Fradis M, Golz A, Danino J, Gershinski M, Goldsher M, Gaitini L, Malatskey S, Armush W. Inferior turbinectomy versus submucosal diathermy for inferior turbinate hypertrophy. Ann Otol Rhinol Laryngol. 2000;109:1040-1045.

Gertner R, Podoshin L, Fradis M. A simple method of measuring the nasal airway in clinical work. J Laryngol Otol. 1984;98:351-355.

Ophir D, Schindel D, Halperin D, Marshak G. Long-term follow-up of the effectiveness and safety of inferior turbinectomy. Plast Reconstr Surg. 1992;90:980-984.

Imad H, Javad K, Ullah S. Comparison of submucosal diathermy with partial inferior turbinectomy: a fifty case study. J Postgrad Med Inst. 2012;26:91-95.

Kafle P, Maharjan M, Shrestha S, Toran KC. Comparison of sub mucosal diathermy and partial resection of Inferior turbinate in the treatment of symptomatic nasal valve blockage. Kathmandu Univ Med J (KUMJ). 2007;5:501-503.

Oluwole M, Mills RP. An audit of the early complications of turbinectomy. Ann R Coll Surg Engl. 1994;76:339-341.

Williams HO, Fisher EW, Golding-Wood DG. 'Two-stage turbinectomy': sequestration of the inferior turbinate following submucosal diathermy. J Laryngol Otol. 1991;105:14-16.


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