A comparative study between cobblator and microdebrider assisted inferior turbinate reduction surgery
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20222443Keywords:
Microdebrider, Cobblator, Inferior turbinate hypertrophy, Submucosal, NOSE scoreAbstract
Background: Inferior turbinate hypertrophy (ITH) management includes medical and surgical line which reduces the size of the turbinate. The surgical line of management includes old partial and total turbinectomy to newer technique as submucous inferior turbinate reduction (ITR) using cobblation, microdebrider, radiofrequency ablation, diathermy, cryotherapy, and laser therapy.
Methods: Our study was duration based prospective observational study conducted between August 2021 to August 2022 in department of otorhinolaryngology at our institute with total of 160 patients who have undergone turbinate reduction surgery during 1 year duration. Half number of patients have undergone microdebrider assisted submucous inferior turbinate reduction surgery (group A) and remaining half number have undergone cobblator assisted submucous Inferior turbinate reduction surgery (group B). Comparison of pre-operative and postoperative data of each surgical technique was the aim of our study.
Results: On comparing the nasal obstruction symptom evaluation (NOSE) score using unpaired t test, between the two techniques on each follow up days respectively, it was found that cobblation provided better improvement than microdebrider on each day and the results were highly significant with p value <0.01. On comparing the pre-operative and post-operative (day 60) inferior turbinate size using paired t test, the result of the test was statistically significant with p value <0.01 in both nostrils using both the techniques.
Conclusions: Submucosal inferior turbinate reduction surgery for ITH using either microdebrider or cobblator technique shown better improvement in terms of NOSE score improvement, Inferior turbinate size reduction, mucocilliary transit time improvement.
Metrics
References
Hsu DW, Suh JD. Anatomy and physiology of nasal obstruction. Otolaryngologic Clin N Am. 2018;51(5):853-65.
Hesham A, Badran H, Hussein A, Amin S, Salah M. Intraturbinal versus extraturbinal Microdebrider-assisted inferior turbino-Plasty: Preliminary results. Egyp J Ear, Nose, Throat Allied Sci. 2013;15:10.
Lund VJ, Stammberger H, Fokkens WJ, Beale T, Bernal-Sprekelsen M, Eloy P, et al European position paper on the anatomical terminology of the internal nose and paranasal sinuses. Rhinology Suppl. 2014;24:1-34.
Lund VJ, Stammberger H, Fokkens WJ, Beale T, Bernal-Sprekelsen M, Eloy P, et al European position paper on the anatomical terminology of the internal nose and paranasal sinuses. Rhinology Suppl. 2014;24:1-34.
Berger G, Balum-Azim M, Ophir D. The Normal inferior turbinate: histomorphometric analysis and clinical implications. Laryngoscope. 2003;113(7):1192-8.
Hassoun YL. Comparison and evaluation Effect between microdebrider assisted turbinopalsty and submucosal diathermy of the inferior tubinates techniques. Am J Res Comm. 2015;3(7):47-56.
Ragab A, Elbanhawy O, Khashba A, Ali A, AbdelAziz M. Microdebrider-assisted turbinoplasty against submucosal cauterization In inferior turbinate hypertrophy. Menoufia Med J. 2016;29(3):504.
Bäck LJ, Hytönen ML, Malmberg HO, Ylikoski JS. Submucosal bipolar radiofrequency thermal ablation of inferior turbinates: a long-term follow-up with subjective and objective assessment. Laryngoscope. 2002;112(10):1806-12.
Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg. 2004;130(2):157-63.
Lorenz KJ, Maier H. Minimally invasive technique for the treatment of nasal airway obstruction caused by enlarged turbinates. HNO. 2013;61(3):240-9.
Hol MK, Huizing EH. Treatment of inferior Turbinate pathology: a review and critical evaluation of the different techniques. Rhinology. 2000;38(4):157-66.
Scheithauer MO. Surgery of the turbinates And “empty nose” syndrome GMS Curr Top Otorhinolaryngol Head Neck Surg. 2010;9:3.
Hackman TG, Ferguson BJ. Powered instrumentation and tissue effects in the nose and paranasal sinuses. Curr Opin Otolaryngol Head Neck Surg. 2005;13(1):22-6.
Joniau S, Wong I, Rajapaksa S, Carney SA, Wormald PJ. Long-term comparison Between submucosal cauterization and Powered reduction of the inferior turbinates. Laryngoscope. 2006;116(9):1612-6.
Lee CF, Chen TA. Power microdebrider Assisted modification of endoscopic inferior Turbinoplasty: a preliminary report. Chang Gung Med J. 2004;27(5):359-65.
Hegazy HM, El Badawy MR, Hassan AA. Endoscopic Submucous Inferior Turbinate Reduction with Microdebrider – A Study of 50 Case. Tanta Med Sci J. 2007;2(1):194-9.
Zeynep K, Kursat C. Comparison of radiofrequency tissue volume reduction and sub-Mucosal resection with microdebrider in Inferior turbinate hypertrophy. Otolaryngol Head Neck Surg. 2008;138:176-81.
Kesornsukhon N. Radiofrequency volumetric Tissue reduction for treatment of inferior Turbinate hypertrophy. Region 6-7 Med J. 2007;26(2):197-204.
Kesornsukhon N. Comparison of RFTVR and SMRM in treatment of inferior turbinate Hypertrophy. Chachoengsao Hospital J. 2008;96:97-104.
Friedman M, Tanyeri H, Lim J, Landsberg R, Caldarelli, D. A safe, alternative technique for inferior turbinate reduction. Laryngoscope. 1999;109(11):1834-7.
Downloads
Published
How to Cite
Issue
Section
