Comparison Between Turbinoplasty Techniques in Chronic Nasal Obstruction Microdebrider Coblation andSubmucosalBipolarDiathermyTechniquesduetohypertrophoidturbinate
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 66
- 主要终点
- Change in endoscopic inferior turbinate grade
研究概览
简要总结
Chronic nasal obstruction is one of the most common complaints in otorhinolaryngology practice, with inferior turbinate hypertrophy being a major anatomical cause that significantly impairs nasal airflow and quality of life.(1) It is commonly associated with allergic rhinitis, vasomotor rhinitis, chronic rhinosinusitis, and compensatory hypertrophy secondary to septal deviation. (2) When medical treatment fails, surgical reduction of the inferior turbinate becomes necessary.(2) Available techniques include Microdebrider (3) , Coblation(4), and Submucosal Bipolar Diathermy(5) aim to reduce turbinate volume while maintaining normal mucosal function and are associated with less tissue damage than conventional procedures. (6) Although several surgical techniques have shown good clinical outcomes, no single method has been established as the gold standard. Comparative evidence evaluating microdebrider, coblation, and bipolar in the same prospective study remains limited,(7) particularly in the Egyptian population.
Therefore, this study aims to compare these techniques regarding efficacy, safety, postoperative outcomes, and patient satisfaction to provide evidence that supports appropriate surgical decision-making
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 60 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients aged 18- 60 years of either sex.
- •Chronic nasal obstruction of more than 3 months' duration attributable to bilateral inferior turbinate hypertrophy (Grade II or III on endoscopic grading).
排除标准
- •Nasal obstruction primarily attributable to severe septal deviation requiring septoplasty as the main corrective procedure.
- •Chronic rhinosinusitis with nasal polyposis.
- •Nasal or paranasal sinus tumors/masses.
- •Previous nasal, turbinate, or sinus surgery.
- •Atrophic rhinitis or empty nose syndrome.
- •Uncontrolled bleeding disorders or use of anticoagulant/antiplatelet therapy that cannot be safely withheld.
- •Uncontrolled systemic disease (e.g., uncontrolled diabetes mellitus, hypertension) precluding surgery/anesthesia.
- •Pregnancy.
- •Active nasal infection at the time of surgery.
- •Patient refusal to participate or to complete follow-up.
研究组 & 干预措施
Group A
Microdebrider-Assisted Turbinoplasty
干预措施: Microdebrider-Assisted Turbinoplasty (Procedure)
Group B
Coblation-Assisted Turbinoplasty
干预措施: Coblation-Assisted Turbinoplasty (Procedure)
Group c
Submucosal Bipolar Diathermy Assisted Turbinoplasty
干预措施: Submucosal Bipolar Diathermy Assisted Turbinoplasty (Procedure)
结局指标
主要结局
Change in endoscopic inferior turbinate grade
时间窗: 6 months
次要结局
未报告次要终点
研究者
Mary Zakaria Fam Sedhom
residant doctor at Assiut university hospital
Assiut University
