Comparing sinonasal quality of life in pediatric nasal obstruction: Inferior turbinate cauterization vs turbinoplasty - A pilot study.

Autor: Kazemi T; Otolaryngology Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address: tayyebe.kazemi@gmail.com., Nabavizadeh SS; Otolaryngology Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran; Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address: Sara.nabavi222@gmail.com., Kaboodkhani R; Otolaryngology Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address: kaboodkhani@gmail.com., Faramarzi A; Otolaryngology Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran; Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address: ali_faramarzi@sums.ac.ir., Sadeghi E; Department of Biostatistics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address: sadeghi.e27@gmail.com., Rahmanipour A; Otolaryngology Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address: salmanp445@gmail.com.
Jazyk: angličtina
Zdroj: International journal of pediatric otorhinolaryngology [Int J Pediatr Otorhinolaryngol] 2024 Oct 09; Vol. 186, pp. 112127. Date of Electronic Publication: 2024 Oct 09.
DOI: 10.1016/j.ijporl.2024.112127
Abstrakt: Objective: The objective of this study is to evaluate and compare the impacts of inferior turbinate monopolar submucosal cauterization and microdebrider-assisted inferior turbinoplasty on the sinonasal quality of life in pediatric patients with chronic nasal obstruction.
Study Design: A pilot randomized controlled trial.
Setting: Tertiary hospital.
Methods: This pilot clinical trial enrolled pediatric patients, all of whom had persistent inferior nasal turbinate hypertrophy. They were assigned to undergo either inferior turbinate monopolar submucosal cauterization or microdebrider-assisted turbinoplasty. The procedures were conducted under general anesthesia for both groups. Patient-reported sinonasal symptoms were assessed using the SNOT-22 questionnaire at baseline and during follow-ups.
Results: The study enrolled 52 pediatric participants aged 4-14 years for turbinate reduction, ending with 40 after follow-up losses. Nineteen underwent cauterization, and 21 had turbinoplasty. Both groups showed significant SNOT-22 score improvements at 1, 3, and 6 months post-surgery, though the turbinoplasty group had initially greater improvements. No significant differences were found in postoperative complications, except a higher malodor sensation incidence at one week in the cauterization group.
Conclusion: In conclusion, both monopolar submucosal cautery and microdebrider-assisted turbinoplasty improved sinonasal quality of life in pediatric patients. Monopolar cautery was associated with more early postoperative malodor but may offer potential cost-effectiveness and simplicity. Further research is needed to validate these findings and refine surgical approaches.
Competing Interests: Declaration of competing interest We, the authors of this manuscript, declare that we have no financial and personal relationships with other people or organizations that could inappropriately influence or bias our work. We have no competing interests to disclose, including but not limited to. We confirm that we have selected the option, "I have nothing to declare."
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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