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العنوان
Microdebrider-Assisted Turbinoplasty versus Bipolar Cautery in Treatment of Inferior Turbinate Hypertrophy /
المؤلف
El-Sayed, Dina Mohamed Naguib.
هيئة الاعداد
باحث / دينا محمد نجيب السيد
مشرف / أشـرف محمـود خالــد
مشرف / رامـز صبـرى فهيــم
مشرف / خالـد عبدالمعطي حافـظ
الموضوع
Turbinate bones Hypertrophy. Turbinate bones Surgery. Nose Surgery. Turbinates Surgery. Nasal Obstruction Surgery.
تاريخ النشر
2020.
عدد الصفحات
96 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الحنجرة
الناشر
تاريخ الإجازة
16/10/2020
مكان الإجازة
جامعة بني سويف - كلية الطب - انف واذن وحنجرة
الفهرس
Only 14 pages are availabe for public view

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Abstract

Summary
Chronic nasal obstruction is one of the most common human problems and a very frequent symptom in the ear, nose, and throat field. Hypertrophy of the inferior turbinates is the most frequent cause. Even though medical treatments are effective to restore comfortable nasal breathing, surgical reduction of inferior turbinates can be proposed. Inferior turbinate surgery is advocated for relief of symptoms in patients with chronic nasal congestion. Numerous reports substantiate the usefulness of inferior turbinate surgery.
During the last decade, a number of techniques for turbinoplasty have been described. No technique is perfect, and each is associated with known short- and long-term complications. The variety of surgical techniques available indicates the lack of consensus on the optimal technique. The goal of the surgical treatment should be to diminish complaints while preserving functions and optimal volume reduction together.
The aim of this work was to evaluate the results of microdebrider–assisted inferior turbinoplasty and to compare these with submucosal cauterization of the inferior turbinates in the treatment of chronic inferior turbinate hypertrophy.
Twenty patients were recruited from the ENT outpatient clinic in the Beni Suef hospital. All patients had the following surgical procedures performed in order to relieve their nasal obstruction. In every patient, on the Right side, the hypertophic inferior turbinate was reduced using the microdebrider (group A operation). A submucosal diathermy using bipolar was performed on the Left side (group B operation).
Submucosal diathermy (SMD) and microdebrider assisted turbinoplasty SMD should establish as procedures in all patients with inferior turbinate hypertrophy unresponsive to medical treatment.
Both microdebrider assisted turbinoplasty and submucosal diathermy are efficient methods for relieving nasal obstruction related to inferior turbinate hypertrophy. Both procedures have similar complication rates. However, microdebrider should be preferred, if available, because subjective and objective nasal obstruction improvement, in the microdebrider group, has been proven to be better than that in the SMD group, as there is less postoperative pain and bleeding. The choosing of the surgical technique must be evaluated individually in each individual. Both forms evaluated in this study to the surgical treatment of the inferior turbinate are effective.