Habib-ur Rehman, Fazal-i Wahid, Bakht Zada, Muhammad Javaid, Naseemul Haq.
Anterior Trimming vs Outer Displacement of Inferior Turbinate: a Comparative study at a Tertiary Care Hospital.
J Saidu Med Col Jan ;11(3):169-74.

Background: Obstruction of nose due to enlargement of inferior turbinate is a very common problem faced by ENT surgeon. In this study a useful technique for treatment of inferior turbinate hypertrophy is described. Objective: To determine the surgical outcome and complications of the two surgical procedures. Material and Methods: This non-randomized comparative study was performed in the Department of ENT, HNS, MTI/LRH, Peshawar, Pakistan, from June 01, 2017 to May 31, 2018. After ethical approval, sample size of 112 was calculated and patients included of both genders fulfilling inclusion criteria. After taking consent patients were equally divided into two groups with nonrandom number table method. Both subjective and objective assessment was carried out and observations were recorded on a predesigned proforma. Data were analyzed using SPSS 20.Results: Total patients were 112,in age range from 16 to 50 years. There were 56(50%) patients in each group. Males were 71 and female 41withmale to female ratio of 1.7:1 and mean age was 32.92+S.D 10.29 years. Relief from nasal obstruction obtained was94.64% and 92.86% in Group A and B respectively. Headache was relived 83.34 % and 88.38% in Group A and B respectively. The complications experienced were post operative bleeding, adhesion formation and crusting 2.6%, 3.5% and 1.78% respectively. Statistics showed no significant difference between the two operations (p >0.05).Conclusion: Both trimming and outer displacement of hypertrophied inferior turbinate are effective procedures for relief of nasal obstruction but there was no significant difference between the two techniques in term of outcome and complications. Keywords: Inferior turbinate, Hypertrophy, Trimming, Outer displacement. Nasal obstruction

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