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Medial Flap Versus Coblation-Assisted Turbinoplasty For Turbinates Hypertrophy: A Prospective Randomized Controlled
Amani Daoud1,2, Shiri Geva1,2, Amiel Dror1,2
1Department of Otolaryngology-Head and Neck Surgery, Galilee Medical Center, Nahariya, Israel.
Summary
Medial-flap turbinoplasty (MFT) and coblation-assisted turbinoplasty (CAT) both improve nasal obstruction. MFT offers superior long-term symptom relief and fewer complications for inferior turbinate hypertrophy.
Area of Science:
- Otolaryngology
- Surgical Innovation
Background:
- Inferior turbinate (IT) hypertrophy frequently causes nasal obstruction.
- Medical management failure necessitates surgical intervention for IT hypertrophy.
Purpose of the Study:
- To compare the long-term efficacy of medial-flap turbinoplasty (MFT) and coblation-assisted turbinoplasty (CAT).
- To evaluate outcomes in patients with persistent nasal obstruction due to IT hypertrophy.
Main Methods:
- Prospective, randomized controlled trial involving patients with IT hypertrophy.
- Symptom severity assessed using NOSE scale and VAS at baseline and 12 months postoperatively.
- Blinded outcome examiners evaluated turbinate size, complications, and pain.
Main Results:
- Both MFT and CAT significantly improved symptoms post-surgery.
- Medial-flap turbinoplasty showed superior long-term symptom relief at 12 months (NOSE, VAS).
- MFT resulted in greater turbinate size reduction and less postoperative crusting.
Conclusions:
- Medial-flap turbinoplasty and coblation-assisted turbinoplasty are effective for nasal breathing improvement.
- MFT demonstrates superior long-term outcomes and reduced complications compared to CAT.
- MFT is a recommended technique for selected patients with inferior turbinate hypertrophy.
