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Inferior turbinate reduction for refractory pediatric allergic rhinitis: Symptom control and sleep-related quality of

Jad Hosri1, Jonathan Abou Chaar1, Justin Ghadieh1

  • 1Department of Otolaryngology - Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.

American Journal of Otolaryngology
|March 28, 2026
PubMed

Insights

Inferior turbinate reduction surgery significantly improved symptom control and quality of life in children with refractory allergic rhinitis compared to medical therapy alone. This surgical intervention offers a better outcome for persistent allergic rhinitis symptoms.

Area of Science:

  • Otolaryngology
  • Allergy and Immunology
  • Pediatric Surgery

Background:

  • Allergic rhinitis is a common condition in children, often refractory to medical management.
  • Persistent symptoms significantly impact quality of life, including sleep and sinonasal health.
  • Inferior turbinate hypertrophy is a frequent finding in allergic rhinitis, contributing to nasal obstruction.

Purpose of the Study:

  • To compare symptom control and quality of life in children with refractory allergic rhinitis.
  • To evaluate outcomes between inferior turbinate reduction surgery and continued medical therapy.
  • To assess sinonasal and sleep-related quality of life improvements in pediatric patients.

Main Methods:

  • Prospective cohort pilot study involving children aged 5-17 years with refractory allergic rhinitis.
  • Comparison between a surgical group (inferior turbinate reduction) and a medical therapy control group.
  • Assessment using Sinus and Nasal-5 (SN-5), Obstructive Sleep Apnea-18 (OSA-18), and Nasal Obstruction Symptom Evaluation (NOSE) questionnaires at 1 and 3 months post-intervention.

Main Results:

  • The surgical group showed statistically significant greater improvement in SN-5, OSA-18, and NOSE scores at 1 and 3 months compared to the medical group.
  • Disease regression was significantly higher in the surgery group (88.2%) versus the medical group (29.4%) (p < 0.001).
  • Improvements in all measured quality of life domains were significantly better with surgery.

Conclusions:

  • Inferior turbinate reduction surgery is an effective treatment for children with refractory allergic rhinitis.
  • Surgical intervention significantly improves symptom control and overall quality of life in this pediatric population.
  • Turbinate reduction offers a valuable alternative for managing persistent allergic rhinitis symptoms impacting children's well-being.
Abstract

Keywords:
Allergic rhinitisNasal obstructionPediatric otolaryngologyRhinologyTurbinate reduction

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