title: Endoscopic microdebrider-assisted inferior turbinoplasty with and without posterior nasal neurectomy.
abstract: OBJECTIVE
  Endoscopic microdebrider-assisted inferior turbinoplasty (EMAIT) has been recognized as an efficient surgical technique in the management of hypertrophied inferior turbinate. In an attempt to further increase surgical successful outcomes, posterior nasal neurectomy (PNN) was developed. The aim of this retrospective case-control study was to assess the position of PNN in the surgery of hypertrophied turbinate.
  
  
  METHODS
  Seventy patients were assigned to the two treatment groups: Group A (EMAIT) and Group B (EMAIT and PNN). Subjective outcomes were represented by symptom score and quality of life scores (Rhinoconjunctivitis Quality of Life Questionnaire - RQLQ). Objective outcomes were nasal resistance, saccharin transit time and acoustic rhinometry parameters.
  
  
  RESULTS
  The survey demonstrated that symptoms and objective parameters improved postoperatively in both groups, with no statistical significant differences in objective and subjective outcomes between the surgical groups.
  
  
  CONCLUSIONS
  The addition of PNN appears to offer no additional benefit in the subjective and objective outcome related with surgery of hypertrophied inferior turbinate. However, longer follow-up studies and larger number of patients are required in order to validate our results.
authors.affiliation: II-nd Department of Otolaryngology, Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, Romania. Electronic address: silviualbu63@gmail.com.
authors.forename: Silviu
authors.initials: S
authors.lastname: Albu
authors.affiliation: II-nd Department of Otolaryngology, Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, Romania.
authors.forename: Veronica
authors.initials: V
authors.lastname: Trombitas
authors.affiliation: II-nd Department of Otolaryngology, Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, Romania.
authors.forename: Alina
authors.initials: A
authors.lastname: Nagy
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009079:Mucociliary Clearance; D009297:Nasal Mucosa / Q000294:innervation / Q000473:pathology / Q000601:surgery*; D015508:Nasal Obstruction / Q000601:surgery; D059747:Nasal Surgical Procedures / Q000379:methods*; D009882:Ophthalmic Nerve / Q000601:surgery*; D017764:Parasympathectomy / Q000379:methods*; D011788:Quality of Life; D012189:Retrospective Studies; D023842:Rhinometry, Acoustic; D016896:Treatment Outcome; D014420:Turbinates / Q000294:innervation / Q000473:pathology / Q000601:surgery*
keywords: Acoustic rhinometry; Endoscopic surgery; Microdebrider; Posterior nasal neurectomy; Quality of life; Rhinomanometry; Symptom score; Turbinoplasty