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Published on: June 20, 2018
Comparative Efficacy and Safety of Turbinate Surgery for Chronic Rhinitis: A Systematic Review and Network
Do Hyun Kim1, David W Jang2, Se Hwan Hwang3
1Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Summary
Microdebrider-assisted turbinoplasty (MAT) offers favorable outcomes for chronic rhinitis but carries a risk of mucosal tearing. Radiofrequency tissue volume reduction (RFVTR) excels in minimizing dryness and preserving mucosa.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Innovation
Background:
- Chronic rhinitis significantly impacts quality of life.
- Turbinate surgery is a common treatment for refractory chronic rhinitis.
- Various surgical techniques exist, each with unique outcomes and risks.
Purpose of the Study:
- To systematically compare the efficacy and safety of different turbinate surgeries for chronic rhinitis.
- To provide evidence-based guidance for surgical technique selection.
Main Methods:
- Systematic review and meta-analysis of six databases.
- Included six surgical interventions: coblator-assisted turbinoplasty (CAT), laser ablation, microdebrider-assisted turbinoplasty (MAT), radiofrequency tissue volume reduction (RFVTR), submucosal diathermy (SMD), and partial inferior turbinectomy (PIT).
- Evaluated outcomes including symptom scores, turbinate size, operative time, and adverse effects.
Main Results:
- Microdebrider-assisted turbinoplasty (MAT) showed favorable outcomes but increased mucosal tearing risk.
- Radiofrequency tissue volume reduction (RFVTR) had the shortest operative time and minimized nasal dryness.
- Submucosal diathermy (SMD) and laser ablation demonstrated limited efficacy and higher adverse event rates, including atrophic rhinitis and crusting.
Conclusions:
- MAT offers a balance of efficacy and favorable outcomes, with careful consideration of mucosal tearing.
- RFVTR is advantageous for nasal dryness and mucosal preservation.
- SMD and laser ablation present limitations in efficacy and higher risks of complications.
