Comparison Between Turbinoplasty Techniques in Chronic Nasal Obstruction Microdebrider Coblation andSubmucosalBipolarDiathermyTechniquesduetohypertrophoidturbinate

N/ANot Yet RecruitingNCT07832916

Assiut University66 enrolled

Overview

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

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Chronic Nasal Obstruction

Submucosal Bipolar Diathermy Assisted TurbinoplastyPROCEDURE

minimally invasive surgical procedure used to shrink enlarged inferior nasal turbinates and improve nasal breathing

Coblation-Assisted TurbinoplastyPROCEDURE

a minimally invasive surgical procedure that uses low-temperature radiofrequency plasma energy to shrink enlarged nasal turbinates and improve breathing

Microdebrider-Assisted TurbinoplastyPROCEDURE

a minimally invasive surgical procedure used to reduce the size of enlarged inferior turbinates

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 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). Exclusion Criteria: * 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.

Comparison Between Turbinoplasty Techniques in Chronic Nasal Obstruction Microdebrider Coblation andSubmucosalBipolarDiathermyTechniquesduetohypertrophoidturbinate

Overview

Conditions

Interventions

Eligibility

Outcomes

Primary Outcomes