الفهرس 
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Abstract
Chronic nasal obstruction is one of the most common human problems and a very frequent symptom in the ear, nose, and throat field. Hypertrophy of the inferior turbinate is the most frequent cause. Even though medical treatments are effective to restore comfortable nasal breathing; surgical reduction of inferior turbinates can be proposed. Inferior turbinate surgery is advocated for relief of symptoms in patients with chronic nasal congestion. Numerous reports substantiate the usefulness of inferior turbinate surgery.
During the last decade, a number of techniques for turbinoplasty have been described. No technique is perfect, and each is associated with known short- and long-term complications. The variety of surgical techniques available indicates the lack of consensus on the optimal technique. The goal of the surgical treatment should be to diminish complaints while preserving functions and optimal volume reduction together.
The aim of this study was to evaluate the results of Endoscopic microdebrider–assisted inferior turbinoplasty and to compare these with submucosal cauterization of the inferior turbinates in the treatment of chronic inferior turbinate hypertrophy.
This prospective study was carried out over twenty five patients with nasal obstruction and hypertrophied turbinate mucosa refractory to medical treatment. All patients were enrolled in the present prospective randomized study subjected to microdebrider assisted turbinoplasty on the right side (Group A operation) and a submucosal cauterization on the left side (Group B operation). Post-operative
Summary
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changes in the degree of nasal obstruction, nasal discharge and crustations were evaluated at 1 week, 1month and 6 months by nasal endoscopy. Patient satisfaction score was evaluated at 6 months postoperatively .Rhinomanometric measurement was also performed pre-operative and at 6 months post-operative for objective comparison.
Microdebrider-assisted turbinoplasty was statistically better in comparison with submucosal cauterization regarding post-operative nasal obstruction at 1month (P=0.025) and 6 months (P=0.049), nasal crustations at 1month (P=0.004) and 6 months (P=0.017), post-operative patient satisfaction at 6 months (P=0.042) and rhinomanometric measurement at 6 months (P=0.001). There was improvement of nasal discharge and headache with no statistically significant difference between both groups (P> 0.05).
Microdebrider-assisted turbinoplasty is more effective and satisfactory in relieving nasal obstruction subjectively and objectively than submucosal cauterization.