Volume 128, Issue 1 pp. 57-63
Facial Plastics/Reconstructive Surgery

Partial inferior turbinectomy in rhinoseptoplasty has no effect in quality-of-life outcomes: A randomized clinical trial

Bianca H. de Moura MD

Corresponding Author

Bianca H. de Moura MD

Graduate Program in Surgery

Send correspondence to Bianca Hocevar de Moura, Rinoclínica, Centro Clínico Mãe de Deus, Rua Costa, 30, sala 404, 90110-270, Porto Alegre, RS, Brazil. E-mail: [email protected]Search for more papers by this author
Raphaella O. Migliavacca MSc

Raphaella O. Migliavacca MSc

Department of Otolaryngology, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS

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Rafaela K. Lima MD

Rafaela K. Lima MD

Department of Otolaryngology, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS

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José E. L. Dolci MD, PhD

José E. L. Dolci MD, PhD

Department of Otolaryngology, School of Medical Sciences, Santa Casa de São Paulo, São Paulo, SP, Brazil

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Martina Becker

Martina Becker

School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS); Scientific Initiation Scholars (FAPERGS)

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Cássia Feijó

Cássia Feijó

Department of Otolaryngology, School of Medical Sciences, Santa Casa de São Paulo, São Paulo, SP, Brazil

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Elisa Brauwers

Elisa Brauwers

Department of Otolaryngology, School of Medical Sciences, Santa Casa de São Paulo, São Paulo, SP, Brazil

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Michelle Lavinsky-Wolff MD, PhD

Michelle Lavinsky-Wolff MD, PhD

Graduate Program in Surgery

Department of Otolaryngology, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS

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First published: 16 August 2017
Citations: 23

Support was provided by the Hospital de Clínicas de Porto Alegre (HCPA) Research and Events Incentive Fund (FIPE/HCPA) and Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). The authors have no other funding, financial relationships, or conflicts of interest to disclose.

Abstract

Objective

Evaluate the impact of endoscopic partial inferior turbinectomy (EPIT) associated with primary rhinoseptoplasty on quality-of-life outcomes (QOL), complications, and surgical duration.

Study Design

Randomized clinical trial.

Methods

Individuals with nasal obstruction aged ≥ 16 years who were candidates for functional and aesthetics primary rhinoseptoplasty were evaluated from March 2014 through May 2015. Eligible participants were randomly allocated to rhinoseptoplasty with or without EPIT (excision of one-third of the inferior turbinates).

Results

Fifty patients were studied. Most were Caucasian and had moderate/severe allergic rhinitis symptoms. Mean age was 36 ( ± 14.5) years. Rhinoseptoplasty was associated with improvement in all QOL scores irrespective of turbinate intervention (P < 0.001). Analysis of covariance was conducted to control for potential confounders. There was no difference between the groups in absolute score changes for Nasal Obstruction Symptom Evaluation-Portuguese (NOSE-p) (−50.5 vs. −47.6; P  = 0.723), Rhinoplasty Outcome Evaluation (ROE) (47 vs. 44.8; P = 0.742), and all World Health Organization Quality of Life Scale-Abbreviated (WHOQOL-bref) score domains (P  > 0.05). There were no differences between the groups regarding presence of the complications. Surgical duration was higher in the EPIT group (212 minutes ± 7.8 vs. 159.1 ± 5.6; P ? 0.001).

Conclusions

Turbinate reduction through EPIT during primary rhinoseptoplasty did not improve short-term general and specific QOL outcomes. The use of EPIT increases surgical time considerably without improving QOL scores. There was no difference in postoperative incidence of complications, suggesting that EPIT is a safe technique.

Level of Evidence

1b. Laryngoscope, 128:57–63, 2018

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