14Apr 2020


  • Department of Otorhinolaryngology, Saveetha Medical College and Hospital, Chennai.
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Introduction: Mucociliary function is more important in the inferior turbinate than the other turbinates. Hypertrophy of the inferior turbinate is one of the commonest reason for chronic nasal obstruction. Mucociliary function is a vital defence mechanism that protects the respiratory system against microbes and alternative foreign particles. Nasal mucociliary function is either primarily or secondarily impaired within the majority of patients with repeated chronic rhinitis, sinusitis. A number of interventions are offered for the treatment of nasal obstruction secondary to inferior turbinate hypertrophy. An ideal procedure for turbinate reduction is one that ought to be related to least discomfort or adverse reactions and will preserve the physiological function of the turbinate, like control of humidification and temperature of the inspired air. Hence this study was done with the following aim Aim: The aim of this study is to evaluate nasal functions after treatment by submucosal diathermy and coblation partial turbinectomy on chronic nasal airway obstruction due to inferior turbinate hypertrophy. Methods: This study was started after obtaining the approval of Institutional Ethics Committee. Patients with unilateral or bilateral nasal block who visited the Department of Otorhinolaryngology, SMC&H, were screened. Of them, 72 patients with inferior turbinate hypertrophy as the cause for the nasal block had been recruited into the study after obtaining their written informed consent. All the patients were registered into the study during their first visit and all the patients were followed-up at 3 months and 6 months. The 72 patients who were recruited based on the inclusion and exclusion criteria were randomized using simple randomization into 2 treatment groups ie. Thirty six patients in group A ? submucosal diathermy and thirty six patients in group B ? coblation partial turbinectomy. A detailed history, examination and routine investigations were done on all the patients who were enrolled in the study. Nasal mucociliary function by saccharin test and Peak Nasal Inspiratory Flow Rate (PNIF) have been measured in all the patients before the surgery and at 3 months and 6 months post operatively. Results & Conclusion: Both the surgical techniques showed a statistically significant improvement in nasal mucociliary function and airway patency three months and 6 months post operatively. There was no statistically significant difference between the two surgical procedures. This suggests that both submucosal diathermy and coblation partial turbinectomy are equally effective in improving nasal mucociliary function and airway patency due to inferior turbinate hypertrophy.

  1. Smith T, Correa A, Kuo T, Reinisch L. Radiofrequency Tissue Ablation of the Inferior Turbinates Using a Thermocouple Feedback Electrode. The Laryngoscope. 1999109(11):1760-5.
  2. Li K, Powell N, Riley R, Troell R, Guilleminault C. Radiofrequency Volumetric Tissue Reduction for Treatment of Turbinate Hypertrophy: A Pilot Study. Otolaryngology?Head and Neck Surgery. 1998119(6):569-73.
  3. Nuutinen J. Asymmetry in the Nasal Mucociliary Transport Rate. The Laryngoscope. 1996106(11):1424-8.
  4. Ottaviano G, Scadding G, Scarpa B, Accordi D, Staffieri A, Lund V. Unilateral peak nasal inspiratory flow, normal values in adult population. Rhinology Journal. 201250(4):386-92.
  5. Utley D, Goode R, Hakim I. Radiofrequency energy tissue ablation for the treatment of nasal obstruction secondary to turbinate hypertrophy. The Laryngoscope. 1999109(5):683-6.
  6. Jackson L, Koch J. Controversies in the Management of Inferior Turbinate Hypertrophy: A Comprehensive Review. Plastic and Reconstructive Surgery. 1999103(1):300-12.
  7. Sapci T, Sahin B, Karavus A, Akbulut U. Comparison of the Effects of Radiofrequency Tissue Ablation, CO2 Laser Ablation, and Partial Turbinectomy Applications on Nasal Mucociliary Functions. The Laryngoscope. 2003113(3):514-9.
  8. vonHaacke N, Hardcastle P. Submucosal Diathermy of the Inferior Turbinate and the Congested Nose. ORL. 198547(4):189-93.
  9. Gindros G, Kantas I, Balatsouras D, Kaidoglou A, Kandiloros D. Comparison of ultrasound turbinate reduction, radiofrequency tissue ablation and submucosal cauterization in inferior turbinate hypertrophy. European Archives of Oto-Rhino-Laryngology. 2010267(11):1727-33.
  10. Warwick-Brown N, Marks N. Turbinate Surgery: How Effective Is It?. ORL. 198749(6):314-20.
  11. Garzaro M, Landolfo V, Pezzoli M, Defilippi S, Campisi P, Giordano C et al. Radiofrequency Volume Turbinate Reduction versus Partial Turbinectomy: Clinical and Histological Features. American Journal of Rhinology & Allergy. 201226(4):321-5.
  12. Wengraf C, Gleeson M, Siodlak M. The stuffy nose: a comparative study of two common methods of treatment. Clinical Otolaryngology & Allied Sciences. 200911(2):61-8.
  13. Jones A, Lancer J. Does submucosal diathermy to the inferior turbinates reduce nasal resistance to airflow in the long term? The Journal of Laryngology & Otology. 1987101(5):448-51.
  14. Farmer S, Quine S, Eccles R. Efficacy of inferior turbinate coblation for treatment of nasal obstruction. The Journal of Laryngology & Otology. 2008123(3):309-14.
  15. Fradis M, Danino J, Gaitini L, Gershinski M, Malatskey S, Golz A et al. Inferior Turbinectomy versus Submucosal Diathermy for Inferior Turbinate Hypertrophy. Annals of Otology, Rhinology & Laryngology. 2000109(11):1040-5.

[Merwin Paul. R, K. Shoba and B. C. Surekha (2020); SUBMUCOSAL DIATHERMY VS. COBLATION PARTIAL TURBINECTOMY ON NASAL MUCOCILIARY FUNCTION Int. J. of Adv. Res. 8 (Apr). 32-42] (ISSN 2320-5407). www.journalijar.com

Dr. Merwin Paul. R
Department of Otorhinolaryngology, Saveetha Medical College, Chennai


Article DOI: 10.21474/IJAR01/10741       DOI URL: http://dx.doi.org/10.21474/IJAR01/10741

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