PDF(Pubmed)
Abstract：
OBJECTIVE: To compare and measure post-operative outcomes among various surgical techniques for reducing inferior turbinate hypertrophy (ITH), and to identify the factors associated with the clinical outcomes of turbinoplasty in patients with this condition.
METHODS: A cross-sectional study was carried out from January 2021 to December 2022 at the Otorhinolaryngology Department of King Abdulaziz Medical City in Riyadh, Saudi Arabia. A total of 301 adult patients with ITH were included and were divided into different groups. Postoperative follow-up assessments were completed after one week, one month, and 6 months to evaluate outcomes and complications associated with each surgical technique; descriptive analysis, cross-tabulation, and exact logistic regression were utilized as data analysis methods.
RESULTS: Most patients in both groups experienced partial or complete improvement after surgery, with 92% showing positive outcomes. Common clinical signs included deviated nasal septum deviation and external nasal deformity, while nasal obstruction was most frequently reported as the primary symptom. Post-surgery bleeding occurred in 3.7% of cases; no adhesions were noted. Microdebrider, medial flap, out-fracture, and submucosal diathermy techniques all demonstrated significantly higher improvement rates than others.
CONCLUSIONS: The identified techniques with higher improvement rates offer evidence-based guidance for selecting optimal surgical approaches, while the study\'s limitations warrant further prospective research to validate these findings. Ultimately, it contributes valuable knowledge to the field of otorhinolaryngology, aiming to enhance patient outcomes and improve the management of ITH worldwide.
METHODS: A cross-sectional study was carried out from January 2021 to December 2022 at the Otorhinolaryngology Department of King Abdulaziz Medical City in Riyadh, Saudi Arabia. A total of 301 adult patients with ITH were included and were divided into different groups. Postoperative follow-up assessments were completed after one week, one month, and 6 months to evaluate outcomes and complications associated with each surgical technique; descriptive analysis, cross-tabulation, and exact logistic regression were utilized as data analysis methods.
RESULTS: Most patients in both groups experienced partial or complete improvement after surgery, with 92% showing positive outcomes. Common clinical signs included deviated nasal septum deviation and external nasal deformity, while nasal obstruction was most frequently reported as the primary symptom. Post-surgery bleeding occurred in 3.7% of cases; no adhesions were noted. Microdebrider, medial flap, out-fracture, and submucosal diathermy techniques all demonstrated significantly higher improvement rates than others.
CONCLUSIONS: The identified techniques with higher improvement rates offer evidence-based guidance for selecting optimal surgical approaches, while the study\'s limitations warrant further prospective research to validate these findings. Ultimately, it contributes valuable knowledge to the field of otorhinolaryngology, aiming to enhance patient outcomes and improve the management of ITH worldwide.
摘要：
目的：比较和测量各种手术技术减少下鼻甲肥大（ITH）的术后结果，并确定与患有这种疾病的患者进行鼻甲成形术的临床结果相关的因素。
方法：于2021年1月至2022年12月在利雅得阿卜杜勒阿齐兹国王医疗城的耳鼻咽喉科进行了一项横断面研究，沙特阿拉伯。共纳入301例成人ITH患者，并将其分为不同的组。术后1周后完成随访评估，一个月,和6个月，以评估与每种手术技术相关的结果和并发症；描述性分析，交叉制表，和精确逻辑回归作为数据分析方法。
结果：两组中的大多数患者在手术后都有部分或完全的改善，92%的人表现出积极的结果。常见的临床体征包括鼻中隔偏曲和外鼻畸形。而鼻塞是最常见的主要症状。术后出血发生在3.7%的病例中；没有发现粘连。Microdebrider,内侧皮瓣,外骨折,和粘膜下透热技术的改善率均明显高于其他技术。
结论：已确定的改良率较高的技术为选择最佳手术入路提供了循证指导，而研究的局限性需要进一步的前瞻性研究来验证这些发现。最终,它为耳鼻咽喉科领域贡献了宝贵的知识，旨在提高患者预后并改善全球ITH的管理。
方法：于2021年1月至2022年12月在利雅得阿卜杜勒阿齐兹国王医疗城的耳鼻咽喉科进行了一项横断面研究，沙特阿拉伯。共纳入301例成人ITH患者，并将其分为不同的组。术后1周后完成随访评估，一个月,和6个月，以评估与每种手术技术相关的结果和并发症；描述性分析，交叉制表，和精确逻辑回归作为数据分析方法。
结果：两组中的大多数患者在手术后都有部分或完全的改善，92%的人表现出积极的结果。常见的临床体征包括鼻中隔偏曲和外鼻畸形。而鼻塞是最常见的主要症状。术后出血发生在3.7%的病例中；没有发现粘连。Microdebrider,内侧皮瓣,外骨折,和粘膜下透热技术的改善率均明显高于其他技术。
结论：已确定的改良率较高的技术为选择最佳手术入路提供了循证指导，而研究的局限性需要进一步的前瞻性研究来验证这些发现。最终,它为耳鼻咽喉科领域贡献了宝贵的知识，旨在提高患者预后并改善全球ITH的管理。
