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Management of inferior turbinate hypertrophy: a comparative study between Partial Turbinectomy and Submucous Diathermy | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 22, Issue 4, 2009, Pages 264-267 | ||
| Author | ||
| Mohammad Hassan Al-Baldawi | ||
| Abstract | ||
| Objectives : -Comparison between submucous diathermy ( SMD ) & partial turbinectomy in patients with inferior turbinate hypertrophy & nasal obstruction showing the advantages & disadvantages of each procedure in order to find a clear way for the otolaryngologists to manage inferior turbinate hypertrophy . Patients & Methods: Fourty patients are enrolled in this study with bilateral inferior turbinate hypertrophy & nasal obstruction . They were subjected to detailed study of medical history & clinical examination. All patients underwent SMD in the left side & partial turbinectomy in the right side with postoperative follow up frequently up to one year duration by subjective & objective assessments. Results: Subjective improvement of nasal air flow is seen in 82.5% of SMD & 97.5% of partial turbinectomy. Snoring persists in 10% of patients with SMD & only 2.5% in turbinectomy . Postoperative reactionary hemorrhage is nil in SMD , while it is 12.5% in turbinectomy . Unilateral facial pain resists for longer duration with higher incidence ( 12.5% ) in turbinectomy . Nasal crusts & wound infection seen only in turbinectomy ( 5 % ). No remote sequalae reported precisely atrophic rhinitis & nasal adhesions . Conclusions: Various surgical methods have been tried for enlarged inferior turbinate , the most well known techniques are SMD & turbinectomy . SMD is relatively safer & less invasive technique but turbinectomy is more effective one , both procedures have advantages , disadvantages & their own complications , hence the choice of surgery can be individualized according to many factors Keywords: turbinate, Partial turbinactmoy, Submucous Diathermy. | ||
| Keywords | ||
| turbinate; Partial turbinactmoy; Submucous Diathermy | ||
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