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

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2024-10-09 DOI:10.1016/j.ijporl.2024.112127

Tayebeh Kazemi , Sara S. Nabavizadeh , Reza Kaboodkhani , Ali Faramarzi , Erfan Sadeghi , Akram Rahmanipour

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引用次数: 0

Abstract

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.

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比较小儿鼻阻塞患者的鼻窦生活质量：下鼻甲烧灼术与鼻甲成形术--一项试点研究

本研究的目的是评估和比较下鼻甲单极黏膜下烧灼术和微剥离器辅助下鼻甲成形术对慢性鼻阻塞儿科患者鼻窦生活质量的影响。他们被分配接受下鼻甲单极粘膜下烧灼术或微剥离器辅助鼻甲成形术。两组手术均在全身麻醉下进行。在基线和随访期间，使用 SNOT-22 问卷对患者报告的鼻窦症状进行了评估。其中 19 人接受了烧灼术，21 人接受了鼻甲整形术。两组患者在术后 1、3 和 6 个月的 SNOT-22 评分均有明显改善，但鼻甲成形术组最初的改善幅度更大。结论：单极粘膜下烧灼术和微电刀辅助鼻甲成形术都能改善儿童患者的鼻窦生活质量。单极烧灼术与更多的术后早期恶臭有关，但可能具有潜在的成本效益和简便性。要验证这些发现并改进手术方法，还需要进一步的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.