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Does inferior turbinate outfracture provide additional benefit when combined with inferior turbinate radiofrequency ablation?

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

To evaluate, both subjectively and objectively, whether turbinate outfracture provides any additional benefit in the treatment of inferior turbinate hypertrophy when combined with radiofrequency ablation.

Methods

The study was conducted on 58 patients diagnosed with inferior turbinate hypertrophy. The patients were randomly divided into two groups according to the treatment they receive. Group A consisted of patients undergoing radiofrequency ablation and Group B included patients undergoing turbinate outfracture in combination with radiofrequency ablation. For the purposes of objective evaluation, all patients underwent acoustic rhinometry and anterior rhinomanometry preoperatively and at 6 months postoperatively. In addition, for subjective evaluation, the patients completed the Nasal Obstruction Symptom Evaluation (NOSE) questionnaire. Postoperative changes in objective and subjective parameters in both groups versus the preoperative period and their differences were compared statistically.

Results

In Group A, mean postoperative minimal cross-sectional area (MCA) and nasal volume (NV) values and NOSE scores were significantly greater compared to those obtained in the preoperative period. Similarly, Group B showed significantly greater mean postoperative MCA, NV and NOSE score values compared to the preoperative period. In Group A and B, mean postoperative total nasal resistance (TNR) value was significantly lower in comparison to the preoperative period. The differences in mean preoperative and postoperative MCA, NV, TNR and NOSE scores were significantly greater in Group B versus Group A.

Conclusion

The addition of turbinate outfracture to inferior turbinate radiofrequency ablation treatment provides both objective and subjective benefits in the resolution of nasal obstruction.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Ankara Numune Training and Research Hospital, ENT&HNS Clinic, Talatpaşa Boulevard No:44, Altındağ, 06230, Ankara, Turkey

    Süleyman Emre Karakurt, Mehmet Ali Çetin, Aykut İkincioğulları, Serdar Ensari & Hacı Hüseyin Dere

  2. Department of Otorhinolaryngology, Ankara Keçiören Training and Research Hospital, Ankara, Turkey

    Emre Apaydın

Authors
  1. Süleyman Emre Karakurt
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  2. Mehmet Ali Çetin
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  3. Emre Apaydın
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  4. Aykut İkincioğulları
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  5. Serdar Ensari
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  6. Hacı Hüseyin Dere
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Corresponding author

Correspondence to Süleyman Emre Karakurt.

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Conflicts of interest

Author Süleyman Emre Karakurt declares that he has no conflict of interest. Author Mehmet Ali Çetin declares that he has no conflict of interest. Author Emre Apaydın declares that he has no conflict of interest. Author Aykut İkincioğulları declares that he has no conflict of interest. Author Aykut İkincioğulları declares that he has no conflict of interest. Author Hacı Hüseyin Dere declares that he has no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Karakurt, S.E., Çetin, M.A., Apaydın, E. et al. Does inferior turbinate outfracture provide additional benefit when combined with inferior turbinate radiofrequency ablation?. Eur Arch Otorhinolaryngol 278, 2869–2874 (2021). https://doi.org/10.1007/s00405-020-06556-w

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  • DOI: https://doi.org/10.1007/s00405-020-06556-w

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