Background: Nasal obstruction due to inferior turbinate hypertrophy is a common complaint of allergic rhinitis (AR) which affects significantly the patient's quality of life. Surgical reduction of inferior turbinate is recommended for patients with AR refractory to medical therapy. The objective of this study was to evaluate the efficacy of partial inferior turbinectomy for obstructive and non-obstructive symptoms in patients with persistent allergic rhinitis that is not responsive to usual treatments.
Material and Method: Prospective study with 45 patients with allergic rhinitis who underwent partial inferior turbinectomy. They were assessed for nasal obstruction and other rhinologic functional signs by subjective (questionnaires) and objective methods (endoscopic examination) before and after six months of the surgery. Comparison between severity of symptoms before and after surgery allowed us to evaluate the degree of improvement of each symptom. We categorized the results as null, fair, good and excellent, after subtracting the postoperative score from the preoperative score.
Results: the surgical procedure was effective in reducing nasal obstruction & other symptoms of AR. For nasal obstruction, the surgery showed good or excellent improvement in 84,4% of the cases. 77,7 % presented good or excellent improvement in sneezing. Rhinorrhea presented good or great results in 53,3% of the patients and, nasal itching, 46,6%.
Conclusion: The study demonstrated the interest of partial inferior in controlling obstructive and non-obstructive symptoms in patients with allergic rhinitis refractory to medical treatment.
Impact Factor
2022: 6.012
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