Tuesday, 13 September 2016

Comparison of KTP Laser Turbinate Reduction with Surgical Turbinoplasty in the Management of Inferior Turbinate Hypertrophy: A Randomised Controlled Clinical Trial

Inferior turbinate hypertrophy is one of the commonest causes of nasal obstruction. Several surgical methods are used for thereduction of inferior turbinate hypertrophy refractory to medical management. This study compared KTP laser turbinate reduction andsurgical turbinoplasty procedures.Materials and Methods This study was carried out in JIPMER, Puducherry from November 2011 to March 2013. Patients attending ENTOPD with inferior turbinate hypertrophy who were refractory to medical management were selected.
KTP Laser Turbinate Reduction

They were randomized into twogroups. Group 1 underwent KTP laser turbinate reduction Group 2 underwent Surgical turbinoplasty.Total of 60 patients were selected for the study. Onepatient lost to follow up. Hence 59 patients were considered for the study. Outof the 59 patients 29 underwent KTP laser turbinate reduction and 30 underwent Surgical turbinoplasty. Both the procedures were found tobe equally effective in terms of improvement of the symptoms associated with inferior turbinate hypertrophy.

 KTP laser turbinate reductionhad shorter operation time compared to surgical turbinoplasty and were associated with no serious intra operative or post operativecomplications.Both KTP laser turbinate reduction and surgical turbinoplasty procedures are equally effective in the treatment of inferior turbinate hypertrophy. Both the procedures are safe, minimally invasive and well tolerated by the patients.


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