From the College of Medicine (Al Sumairi, Al Salamah, Al Mahdi, Al Hedaithy), King Saud bin Abdulaziz University for Health Sciences, and from the Division of Otolaryngology-Head and Neck Surgery (Asiri, Al Mahdi, Al Fayez, Al Hedaithy), Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
Saudi Med J. 2024 Jun;45(6):578-584. doi: 10.15537/smj.2024.45.6.20230977.
To compare and measure post-operative outcomes among various surgical techniques for reducing inferior turbinate hypertrophy (ITH), and to identify the factors associated with the clinical outcomes of turbinoplasty in patients with this condition.
A cross-sectional study was carried out from January 2021 to December 2022 at the Otorhinolaryngology Department of King Abdulaziz Medical City in Riyadh, Saudi Arabia. A total of 301 adult patients with ITH were included and were divided into different groups. Postoperative follow-up assessments were completed after one week, one month, and 6 months to evaluate outcomes and complications associated with each surgical technique; descriptive analysis, cross-tabulation, and exact logistic regression were utilized as data analysis methods.
Most patients in both groups experienced partial or complete improvement after surgery, with 92% showing positive outcomes. Common clinical signs included deviated nasal septum deviation and external nasal deformity, while nasal obstruction was most frequently reported as the primary symptom. Post-surgery bleeding occurred in 3.7% of cases; no adhesions were noted. Microdebrider, medial flap, out-fracture, and submucosal diathermy techniques all demonstrated significantly higher improvement rates than others.
The identified techniques with higher improvement rates offer evidence-based guidance for selecting optimal surgical approaches, while the study's limitations warrant further prospective research to validate these findings. Ultimately, it contributes valuable knowledge to the field of otorhinolaryngology, aiming to enhance patient outcomes and improve the management of ITH worldwide.
比较和评估不同手术技术治疗下鼻甲肥大（ITH）的术后效果，并确定与该病症患者鼻甲成形术临床效果相关的因素。
本研究为 2021 年 1 月至 2022 年 12 月在沙特阿拉伯利雅得阿卜杜勒阿齐兹国王医疗城耳鼻喉科进行的横断面研究，共纳入 301 例 ITH 成年患者，并将其分为不同组。术后 1 周、1 个月和 6 个月进行随访评估，以评估与每种手术技术相关的结果和并发症；描述性分析、交叉表和精确逻辑回归用于数据分析方法。
两组患者术后大部分患者均有部分或完全改善，92%的患者有积极的结果。常见的临床体征包括鼻中隔偏曲和外鼻畸形，而鼻塞是最常见的主要症状。术后出血发生在 3.7%的病例中；无粘连。微动力、内侧瓣、外骨折和黏膜下透热技术的改善率明显高于其他技术。
确定的改善率较高的技术为选择最佳手术方法提供了循证指导，而研究的局限性需要进一步的前瞻性研究来验证这些发现。最终，这为耳鼻喉科领域提供了有价值的知识，旨在改善全球 ITH 患者的结局并改善其管理。
