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Objectives <p>To compare the postoperative outcomes and complication profiles of three surgical techniques for inferior turbinate hypertrophy (ITH): Partial Inferior Turbinectomy (PIT), Complete Inferior Turbinectomy (CIT), and Microdebrider-Assisted Submucosal Resection (MASR).</p> Methods <p>A prospective comparative study was conducted on 60 patients with ITH refractory to medical management. Participants were randomized into three groups (<i>n</i> = 20 each) undergoing PIT, CIT, or MASR. The primary outcome was subjective improvement measured by the Nasal Obstruction Symptom Evaluation (NOSE) scale preoperatively and at 1 week, 1 month, and 3 months postoperatively. Secondary outcomes included the incidence of postoperative complications (crusting, synechiae, haemorrhage, recurrence), assessed via diagnostic nasal endoscopy.</p> Results <p>All groups showed significant improvement in NOSE scores over time (<i>p</i> &lt; 0.001). CIT provided the most rapid symptomatic relief, with significantly lower NOSE scores than PIT at 1 month (<i>p</i> = 0.002). However, this significant difference between groups was not sustained at the 3-month follow-up (<i>p</i> = 0.058). MASR demonstrated a significant advantage in reducing postoperative morbidity, with a markedly lower incidence of nasal crusting (40%) compared to PIT (78.9%) and CIT (88.9%) (<i>p</i> = 0.002). No significant differences were observed in synechiae formation, haemorrhage, or recurrence rates.</p> Conclusion <p>While all three techniques effectively alleviate nasal obstruction, MASR offers the most favourable balance, providing robust and sustained symptomatic relief comparable to CIT, but with a significantly superior postoperative recovery profile due to its mucosa-preserving nature. It is recommended as the preferred surgical technique for most patients with ITH.</p>

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Analysis of postoperative outcomes of hypertrophied inferior concha reduction techniques –partial inferior turbinectomy vs. complete inferior turbinectomy vs. microdebrider assisted submucosal resection: A comparative study in a tertiary care centre

  • 期刊论文

  • 发表日期：

    2026年4月23日

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  • Sudha M,
  • Ajaiy M

摘要

Objectives

To compare the postoperative outcomes and complication profiles of three surgical techniques for inferior turbinate hypertrophy (ITH): Partial Inferior Turbinectomy (PIT), Complete Inferior Turbinectomy (CIT), and Microdebrider-Assisted Submucosal Resection (MASR).

Methods

A prospective comparative study was conducted on 60 patients with ITH refractory to medical management. Participants were randomized into three groups (n = 20 each) undergoing PIT, CIT, or MASR. The primary outcome was subjective improvement measured by the Nasal Obstruction Symptom Evaluation (NOSE) scale preoperatively and at 1 week, 1 month, and 3 months postoperatively. Secondary outcomes included the incidence of postoperative complications (crusting, synechiae, haemorrhage, recurrence), assessed via diagnostic nasal endoscopy.

Results

All groups showed significant improvement in NOSE scores over time (p < 0.001). CIT provided the most rapid symptomatic relief, with significantly lower NOSE scores than PIT at 1 month (p = 0.002). However, this significant difference between groups was not sustained at the 3-month follow-up (p = 0.058). MASR demonstrated a significant advantage in reducing postoperative morbidity, with a markedly lower incidence of nasal crusting (40%) compared to PIT (78.9%) and CIT (88.9%) (p = 0.002). No significant differences were observed in synechiae formation, haemorrhage, or recurrence rates.

Conclusion

While all three techniques effectively alleviate nasal obstruction, MASR offers the most favourable balance, providing robust and sustained symptomatic relief comparable to CIT, but with a significantly superior postoperative recovery profile due to its mucosa-preserving nature. It is recommended as the preferred surgical technique for most patients with ITH.