Department of Otorhinolaryngology, Dankook University College of Medicine, Cheonan, Korea.
Acta Otolaryngol. 2022 May;142(5):431-437. doi: 10.1080/00016489.2022.2078879. Epub 2022 May 28.
The effectiveness of turbinate surgery has been proven in patients with allergic rhinitis (AR).
This study evaluated the long-term efficacy of turbinoplasty in AR and to compare the results with those of medical treatment.
This study included 192 patients diagnosed with AR who underwent surgical or medical treatment. Medical records were reviewed to assess pre-treatment and 2-year post-treatment frequency and severity of AR symptoms, prescription frequency for AR medication, and satisfaction score for treatment. Parameters for 5-year post-treatment efficacy were acquired a telephone survey. A total of 128 patients who had undergone turbinoplasty were defined as a 'turbinoplasty group,' and 64 patients who were treated only with medications were defined as a 'medication group'. Allergic symptom, medication, and satisfaction scores were compared.
Patients in the turbinoplasty group demonstrated significant improvements in all allergic symptom scores, while those in the medication group showed significant symptom improvement only in nasal obstruction on long-term follow-up. Patients in the turbinoplasty group also showed a lower prescription frequency after treatment and higher subjective satisfaction scores than those in the medication group.
This long-term follow-up study demonstrated that turbinoplasty for AR appears to be an effective treatment option compared with medical therapy alone.
鼻甲手术在变应性鼻炎（AR）患者中的有效性已得到证实。
本研究评估了 AR 患者行鼻甲成形术的长期疗效，并将结果与药物治疗进行比较。
本研究纳入了 192 例被诊断为 AR 的患者，他们接受了手术或药物治疗。回顾病历以评估治疗前和 2 年治疗后 AR 症状的频率和严重程度、AR 药物处方的频率以及对治疗的满意度评分。5 年治疗效果的参数通过电话调查获得。共纳入 128 例行鼻甲成形术的患者为“鼻甲成形术组”，64 例仅接受药物治疗的患者为“药物组”。比较过敏症状、药物和满意度评分。
鼻甲成形术组患者的所有过敏症状评分均显著改善，而药物组患者仅在长期随访中鼻塞症状显著改善。鼻甲成形术组患者治疗后的处方频率也较低，主观满意度评分高于药物组。
这项长期随访研究表明，与单纯药物治疗相比，鼻甲成形术治疗 AR 似乎是一种有效的治疗选择。
