引言鼻塞是临床实践中最常见的症状之一。鼻塞的第二大常见原因是下鼻甲肥大，通常需要手术治疗的鼻病理学。本研究旨在确定下鼻甲肥大（ITH）患者最有效的手术方法。材料与方法本研究于2018年9月至2019年10月在雅典Evangelismos医院耳鼻咽喉头颈外科进行。研究人群包括205名接受手术并在医院接受监测的患者。射频消融（RFA）是73例患者的治疗方法，68例患者接受了微清创器辅助鼻甲成形术（MAT）治疗，其余64例患者使用电灼术（EC）进行手术。手术后,对术后并发症进行评估和量化.总体结果,205例患者接受手术治疗。第一组（n=73）使用射频消融进行手术，并发症发生率为30.1％。在73名患者中，51恢复无并发症。其余22人出现并发症,由16例出血患者和6例鼻后滴漏患者组成。第二组（n=68）使用微清创方法进行处理。并发症发生率为26.5%,其中50例患者术后未出现任何症状，18例出现症状。具体来说,这种方法鼻后滴注更为普遍，因为所有18例患者的并发症均为鼻后滴注。第三组（n=64）采用电灼术治疗。本组患者并发症最多(n=24),16例归因于鼻后滴漏，8例归因于感染，及时口服抗生素治疗。使用该方法的并发症发生率为37.5％。结论在我们的研究中,微清创器辅助鼻甲成形术的并发症发生率最低，其次是射频消融和电灼。然而,所有这三种方法都可以减轻鼻塞并治疗下鼻甲肥大。由于缺乏关于下鼻甲肥大的最佳手术技术的共识，因此需要更多的研究。
Introduction Nasal obstruction is one of the most frequently reported symptoms in clinical practice. The second most common cause of nasal obstruction is inferior turbinate hypertrophy, a nasal pathology for which surgical treatment is often required. This study aims to determine the most effective surgical method in patients with inferior turbinate hypertrophy (ITH). Materials and methods The study was performed from September 2018 to October 2019 in the Otolaryngology-Head and Neck Surgery Department of the Evangelismos Hospital of Athens. The study population comprised 205 patients that underwent surgery and were monitored in the hospital. Radiofrequency ablation (RFA) was the method used in 73 patients, 68 patients were treated with the microdebrider-assisted turbinoplasty (MAT), and the remaining 64 patients were operated on using electrocautery (EC). Following surgery, postoperative complications were assessed and quantified. Results Overall, 205 patients underwent surgery. The first group (n=73) was operated on using radiofrequency ablation and had a complication rate of 30.1%. Out of 73 patients, 51 recovered without complications. The remaining 22 had complications, consisting of 16 patients with bleeding and six with postnasal drip. The second group (n=68) was treated using the microdebrider method. The complication rate was 26.5%, where 50 patients did not present with any symptoms post-operatively and 18 exhibited symptoms. Specifically, postnasal drip was more prevalent with this method as all 18 patients showed postnasal drip as their complication. The third group (n=64) was treated with electrocautery. Patients in this group had the most complications (n=24), 16 were attributed to postnasal drip and eight to infections, treated promptly with oral antibiotics. The complication rate using this method was 37.5%. Conclusion In our study, the microdebrider-assisted turbinoplasty offered the lowest complication rate, followed by radiofrequency ablation and electrocautery. However, all three methods managed to alleviate the nasal obstruction and treat inferior turbinate hypertrophy. More research is needed as a lack of consensus remains regarding the optimal surgical technique for lower turbinate hypertrophy.
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