A randomised clinical trial of turbinectomy for compensatory turbinate hypertrophy in patients with anterior septal deviations.
Turbinectomy is performed at the time of nasal septal surgery by many otolaryngologists. One reason given for this procedure is the presence of a hypertrophied contralateral inferior turbinate. A randomised trial was undertaken to evaluate the relief of nasal obstruction following contralateral turbinectomy with septal surgery. Patients presenting with nasal obstruction who had a unilateral septal deviation and contralateral inferior turbinate enlargement were prospectively randomized to contralateral turbinectomy or no turbinate surgery at the time of septal surgery. Questionnaires and active anterior rhinomanometry were used for evaluation. Twenty-six patients (mean age 31 years) demonstrated a reduction in subjective and objective measures of nasal obstruction (P < 0.05) 8 weeks after operation. There was no intergroup difference, the median total decongested nasal resistance postoperatively in the non-turbinectomized patients was 0.17 kPal-1 s and 0.21 kPal-1 s in the turbinectomized patients. Contralateral inferior turbinectomy does not add to the relief of nasal obstruction beyond that attained by septal surgery in these patients.
Nunez
D A
DA
Department of Otolaryngology, Aberdeen Royal Infirmary and Department of Otolaryngology/Head and Neck Surgery, University Hospital, Nottingham, UK.
Bradley
P J
PJ
D000293:Adolescent; D000328:Adult; D006801:Humans; D006984:Hypertrophy; D008365:Manometry / Q000379:methods; D015508:Nasal Obstruction / Q000175:diagnosis; D009300:Nasal Septum / Q000002:abnormalities* / Q000601:surgery; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D011182:Postoperative Care; D011300:Preoperative Care; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D014420:Turbinates / Q000473:pathology* / Q000601:surgery*