Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (6): 83-88.doi: 10.6040/j.issn.1673-3770.0.2021.227

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A comparative study on the treatment of severe chronic hypertrophic rhinitis by modified inferior turbinate plasty under nasal endoscopy and low-temperature plasma ablation with fracture displacement of the inferior turbinate

ZHANG Min, LIU Yongliang, SONG Daoliang, HAN Xuefeng, FENG Xinrong, ZHAO Yunpei   

  1. Department of Otorhinolaryngology, Zibo Central Hospital, Zibo 255000, Shandong, China
  • Published:2021-12-10

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Abstract: Objective To compare the clinical effect of modified inferior turbinate plasty under nasal endoscopy and low-temperature plasma ablation with fracture displacement of the inferior turbinate in the treatment of severe chronic hypertrophic rhinitis(hypertrophy of the inferior turbinate mucosa and periosteum, abnormal turbinate morphology, and severe VAS score). Methods A total of 124 patients with severe chronic hypertrophic rhinitis were retrospectively analyzed. Patients were randomly divided into two groups according to the surgical method used: 64 patients in group A were treated with modified inferior turbinate plasty, and 60 patients in group B were treated with low-temperature plasma ablation of the inferior turbinate plus external fracture removal. The VAS standard score was used to evaluate nasal symptoms 1 week before as well as 6 and 12 months after surgery. Saccharin test was used to evaluate the nasal mucociliary transport function of patients in both groups, 1 week before and 6 months after surgery. Nasal resistance was measured 1 week before and 6 months after surgery, and the improvement in nasal obstruction was evaluated. Results Intraoperative hemorrhage was reduced, operative time was shorter, and the complications rate was lower in group B compared with group A. Six months after the surgery, nasal congestion significantly improved in both groups. Nasal mucociliary function was not significantly affected by either surgical methods. The average operation times were 27.80 min and 19.10 min, and the complication rates were 9.38% and 6.67%, in groups A and B, respectively. Comparison of the average VAS score after surgery between the two groups showed no statistically significant difference at 6 months after surgery(P=0.12); however, a statistically significant difference was found at 12 months after surgery(P=0.03) Conclusion Both surgical methods, modified inferior turbinate plasty and low-temperature plasma ablation of the inferior turbinate combined with fracture displacement, had good short-term effects(6 months)in the treatment of severe chronic hypertrophic rhinitis; further, modified inferior turbinate plasty had better long-term effect(>1 year). Therefore, it is suggested that precise diagnosis should be made and treatment should be accordingly performed in different patients with severe chronic hypertrophic rhinitis.

Key words: Modified inferior turbinate plasty, Low temperature plasma ablation, Displacement of fracture, Nasal endoscopy, Severe chronic hypertrophic rhinitis, Clinical effect

CLC Number: 

  • R765.21
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