Systematic review and meta-analysis for comparison of radiofrequency turbinoplasty and microdebrider-assisted turbinoplasty in patients with inferior turbinate hypertrophy
Keywords:
turbinoplasty, turbinate reductionAbstract
Objective: This systematic review and meta-analysis was to evaluate the treatment of inferior turbinate reduction with radiofrequency (IFTR) versus the use of a microdebrider-assisted turbinoplasty (MAT). Data Sources: Complete searching from the MEDLINE, EMBASE, PUBMED, SCOPUS and COCHRANE databases were undertaken.
Results: A total of 25 studies (679 patients) met our criteria. The postoperative nasal obstructive symptom scores (VAS) were better in the Microdebrider group (MAT) but not statistically significant. [95% confidence interval (CI) (-1.63, 4.33); P = 0.24]. The mean VAS score improved by 1.63. However, there was no statistically significant difference in total nasal resistance (TNR) with acoustic rhinomanometry [95% confidence interval (CI) (-0.02, 0.02); P=0.81]. A statistically significant less rhinorrhea in radiofrequency group (IFTR) [95% confidence interval 95% (CI) (0.02, 0.11); P=0.004] with a mean difference of 0.07 points. Postoperative bleeding was more in the microdebrider group (MAT) with statistically significant difference [95% confidence interval (CI) (0.08, 0.44); P=0.0001]. The risk of bleeding events in the microdebrider group (MAT) was about 5.6 per 1 time radiofrequency group (IFTR)
Conclusion: Our goal is to review literature published for inferior turbinate reduction with radiofrequency (IFTR) with a microdebrider-assisted turbinoplasty (MAT). The main treatment goal is to relieve nasal congestion by using a visual analogue scale (VAS) and acoustic resistance measurement with rhinomanometry. Comparison of adverse side effects were also evaluated in terms of postoperative bleeding or runny nose symptoms. Our results show that MAT surgical technique has a positive effect on the reduction of nasal congestion with a greater risk of bleeding after surgery when compared with radiofrequency ablation (IFTR). We encourage large, high-quality studies in the future to confirm the results.
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