title: Pediatric inferior turbinoplasty with or without adenoidectomy: preliminary report on improvement of quality of life, symptom control, and safety.
abstract: OBJECTIVE
  To determine quality of life (QOL) improvement, symptom control, and safety after inferior turbinoplasty (IT) with or without adenoidectomy (Ad) in children.
  
  
  METHODS
  Retrospective uncontrolled cohort study.
  
  
  METHODS
  Tertiary care pediatric hospital.
  
  
  METHODS
  A prospective database was searched. The database contained information regarding age, gender, other diagnoses, and complications. Inclusion criteria were (1) children who presented with chronic rhinitis (CR) refractory to medical treatment and (2) children who underwent IT with or without Ad.
  
  
  METHODS
  The Glasgow Children's Benefit Inventory (GCBI) was used to assess QOL improvement. The GCBI calculates a score ranging from -100 (maximum harm) to +100 (maximum benefit), with 0 representing no change after surgery.
  
  
  RESULTS
  Eighty-seven patients were identified. Forty-one were excluded owing to concurrent lingual tonsillectomy or septal or sinus surgery. Forty-six consecutive patients were included. Data were obtained from all 46 patients (100%). The average age was 10 years, with 15 females and 31 males. One complication required admission. The GCBI scores showed that patients derived benefit in all domains (median GCBI 28.1, range -6.3 to 93.8).
  
  
  CONCLUSIONS
  Preliminary results indicate that IT with or without Ad is a safe, beneficial procedure for CR in children. The impact of IT on QOL is comparable to that of well-established operations in otolaryngology.
authors.affiliation: Department of Surgery, The Stollery Children’s Hospital and University of Alberta Hospital, Edmonton, AB.
authors.forename: Morgan
authors.initials: M
authors.lastname: Langille
authors.forename: Hamdy
authors.initials: H
authors.lastname: El-Hakim
mesh_terms: D000233:Adenoidectomy / Q000379:methods*; D000293:Adolescent; D000402:Airway Obstruction / Q000601:surgery; D000416:Alberta; D002648:Child; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D005260:Female; D006776:Hospitals, Pediatric; D006801:Humans; D008297:Male; D061214:Patient Safety; D011183:Postoperative Complications / Q000209:etiology* / Q000517:prevention & control*; D011788:Quality of Life; D012189:Retrospective Studies; D012220:Rhinitis / Q000601:surgery*; D020181:Sleep Apnea, Obstructive / Q000601:surgery; D016896:Treatment Outcome; D014420:Turbinates / Q000601:surgery*