EVALUATION OF OUTCOMES FOLLOWING ENDOSCOPIC MEDIAL FLAP INFERIOR TURBINOPLASTY IN THE TREATMENT OF INFERIOR TURBINATE HYPERTROPHY

Văn Trường Nguyễn, Minh Ngọc Nguyễn, Mạnh Cường Trương, Đức Nhật Nguyễn, Trung Nhật Lê

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Abstract

Objective: To evaluate the outcomes of endoscopic Medial flap Inferior turbinoplasty in the treatment of Inferior turbinate hypertrophy. Subjects and Methods: A clinical trial was conducted on 48 patients aged ≥18 years, suffering from nasal obstruction due to  inferior turbinate hypertrophy unresponsive to medical treatment. These patients underwent Endoscopic Medial flap Inferior turbinoplasty at the Department of Surgery and Required Services at 108 Military Central Hospital from August 1, 2023, to July 30, 2024. Effectiveness was assessed based on nasal obstruction evaluation (NOSE score), nasal endoscopy, and Glatzel mirror test score before surgery and at 1 week, 1 month, and 3 months postoperatively. Results: The study included 48 cases (22 males, 26 females) with a mean age of 34.87 ± 8.2 years. The average surgery duration was 14.8 ± 2.30 minutes. Postoperative pain, bleeding, and nasal crusting were minimal. Nasal obstruction improved in 56.25% of patients by the first postoperative week, 70.6% after 1 month, and 91.6% after 3 months, with a statistically significant reduction in NOSE scores (66.8 vs 36.2, P < 0.0001), which was maintained at 1 and 3 months (P < 0.0001). Accompanying symptoms of nasal obstruction—rhinorrhea, sneezing, dry throat, anosmia, and headache—showed statistically significant reductions in both frequency and severity (P < 0.05). The mean postoperative Glatzel mirror test score was 6.93 ± 0.78 cm, ranging from 5 cm to 8 cm. A total of 41/48 patients (81.66%) experienced complete relief from nasal obstruction after surgery. Conclusion: Endoscopic Medial flap Inferior turbinoplasty is a safe and effective method for treating chronic nasal obstruction caused by inferior turbinate hypertrophy 

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References

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