Issue N# 4 - 2009
Microdebrider-assisted partial turbinoplasty: Technique and results in perennial non-allergic rhinitis
Authors : Bouetel V, Lescanne E, Bakhos D, Moriniere S. (Tours)
Ref. : Rev Laryngol Otol Rhinol. 2009;130,4:261-266.
Article published in french
Downloadable PDF document french
Aim of the study: To assess objective and subjective outcomes in patients with perennial non-allergic rhinitis who had undergone endoscopic microdebrider-assisted inferior turbinoplasty. Patients and methods: Twenty patients (13 men and 7 women; age range, 15-64 years; mean age, 42.6 years) were included in a prospective study. Each patient had a perennial non-allergic rhinitis with substantial mucosal hypertrophy of the inferior turbinates, resistant to a 4- to 6-week course of nasal saline irrigations and nasal steroid spray. Then, they underwent endoscopic microdebrider-assisted inferior turbinoplasty with follow-up 6 months after surgery. This technique describes an elevator incorporated into a small microdebrider blade (2.0 mm). It provides a method for achieving the goals of volumetric reduction with mucosal preservation, with 0° endoscopic guidance, and minimal risk of complications. Objective outcomes were evaluated by peak nasal inspiratory flow (PNIF), an easy and highly reproducible measurement. Subjective symptoms were measured by a standard 10-cm visual analog scale, and analyzed before, at 1, 3 and 6 months after surgery. Results: Preoperative PNIF measurement was 65 L/min, 98 L/min at 1 month, 123 L/min at 3 months and 126 l/min at 6 months. Statistical analysis (Wilcoxon signed rank test) showed significant improvement between preoperative and 1, 3 and 6 months. Subjective nasal obstruction improvement was statistically significant between preoperative and 1, 3 and 6 months. Conclusions: Our results suggest that microdebrider-assisted inferior turbinoplasty is effective for decreasing objective and subjective nasal in patients with perennial allergic rhinitis who have substantial nasal congestion.
Price : 10.50 €