Scholarlink

<p>There remains ongoing debate among ENT surgeons regarding the need for inferior turbinate reduction in conjunction with septoplasty. This study aims to compare the outcomes of septoplasty alone versus septoplasty with partial turbinectomy, and to evaluate the efficacy of two turbinate reduction techniques—scissors and coblation-assisted approaches. A total of 108 patients were randomly assigned to two groups: Group A (septoplasty alone) and Group B (septoplasty with partial turbinectomy), which was further subdivided into Group B1 (scissors-assisted) and Group B2 (coblation-assisted). Outcome measures included NOSE score, nasal airflow (rhinomanometry), postoperative pain, intraoperative blood loss and patient satisfaction. Group A demonstrated lower postoperative pain scores (2.5 ± 1.2), and minimal synechiae formation. In contrast, Group B showed superior NOSE score improvement, increased nasal airflow (215 ± 45&#xa0;ml/s), reduced intraoperative blood loss, and higher patient satisfaction scores (8.0 ± 1.2). Partial turbinectomy is preferred over complete resection to avoid activation of the turbinocerebral reflex. Among techniques, coblation offers advantages such as reduced operative time and less blood loss, making it suitable for most patients. However, the scissors technique, associated with lower postoperative pain and shorter analgesic requirement, may be better suited for patients prioritizing postoperative comfort.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Functional Outcomes of Septoplasty with and Without Turbinate Reduction: A Prospective Randomized Interventional Study with Subset Analysis

  • 期刊论文

  • 发表日期：

    2026年3月12日

查看全文
  • Preeti Chahar,
  • Pawan Singhal,
  • Kumkum Agarwal,
  • Mrityunjai Singh,
  • Nishant Gupta,
  • Pragya Rajupurohit,
  • Eshita Bansal

摘要

There remains ongoing debate among ENT surgeons regarding the need for inferior turbinate reduction in conjunction with septoplasty. This study aims to compare the outcomes of septoplasty alone versus septoplasty with partial turbinectomy, and to evaluate the efficacy of two turbinate reduction techniques—scissors and coblation-assisted approaches. A total of 108 patients were randomly assigned to two groups: Group A (septoplasty alone) and Group B (septoplasty with partial turbinectomy), which was further subdivided into Group B1 (scissors-assisted) and Group B2 (coblation-assisted). Outcome measures included NOSE score, nasal airflow (rhinomanometry), postoperative pain, intraoperative blood loss and patient satisfaction. Group A demonstrated lower postoperative pain scores (2.5 ± 1.2), and minimal synechiae formation. In contrast, Group B showed superior NOSE score improvement, increased nasal airflow (215 ± 45 ml/s), reduced intraoperative blood loss, and higher patient satisfaction scores (8.0 ± 1.2). Partial turbinectomy is preferred over complete resection to avoid activation of the turbinocerebral reflex. Among techniques, coblation offers advantages such as reduced operative time and less blood loss, making it suitable for most patients. However, the scissors technique, associated with lower postoperative pain and shorter analgesic requirement, may be better suited for patients prioritizing postoperative comfort.