Nasal Obstruction, Turbinate Surgery
Conditions
Keywords
Turbinate Hypertrophy, Coblation, Radiofrequency, Nasal obstruction
Brief summary
The purpose of this trial is to know which method is better in delivering radiofrequency waves for hypertrophied turbinates: coblation or RavoR technique? Researchers will compare both techniques in randomized blinded manner patients will have subjective outcomes like NOSE score, pain Objective outcomes like Turbinate size over long term clinical follow up visits for 1 year
Interventions
DEVICEturbinate surgery
Turbinoplasty to decrease the turbinate size in cases with turbinate hypertrophy with mainly soft tissue component without sacrificing the mucosal function
Sponsors
Kafrelsheikh University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Masking description
only one surgeon did the surgeries, other two assessors didnt know which intervention was done, the patient didn't know which group did they belong to
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
All patients with the following criteria were eligible for inclusion: 1. Age group: 18-60 years old. 2. Patients complaining of chronic nasal obstruction because of bilateral (HIT) diagnosed by our former protocol refractory to medical treatment for at least three months. 3. Evident (HIT) on the CT nose and paranasal sinuses with mainly soft tissue component hypertrophy with or without minimal septal deviation without any other cause for the obstruction. 4. Patients who are unfit for general anesthesia
Exclusion criteria
* All Patients with: Marked septal deviation or Concha Bullosa, Nasal polyps, Sinonasal Tumors, Any previous nasal surgeries or radiotherapy, Chronic sinusitis or Cystic Fibrosis, Pregnancy, Patients with severe bleeding tendency, coagulopathy disorder, and Patients who refuse participation in this study were excluded from our study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| NOSE score | 1 year | nasal obstruction symptom score for subjective analysis of patient symptom before and after intervention |
| Pain VAS score | 1-3 months postoperative | patient score on a scale from 0 to 10 where 0 is no pain and 10 is most severe pain |
| Turbinate Size grading | 1 year postoperative | endoscopic grading of turbinate size before and after intervention from 0-4 where 1 is 25% of nasal cavity |
Countries
Egypt
Outcome results
None listed