Open AccessTurbinate Surgery in Rhinoplasty: Randomized Clinical Trial
Author(s) -
LavinskyWolff Michelle,
Camargo Humberto L.,
Barone Carolina,
Rabaioli Luisi,
Petersen Sara,
Dolci Jose E. L.,
Polanczyk Carisi A.
Publication year - 2012
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599812451438a23
Subject(s) - acoustic rhinometry , medicine , rhinoplasty , nose , quality of life (healthcare) , randomized controlled trial , nasal administration , surgery , dentistry , immunology , nursing
Objective Evaluate the role of turbinate reduction during rhinoplasty in quality‐of‐life outcomes and nasal airway cross‐sectional area. Method Adults with nasal obstruction, functional and aesthetics primary rhinoseptoplasty candidates were randomized to rhinoseptoplasty with or without inferior turbinate reduction. Study was conducted from December 2010 through January 2011 at the facial plastic clinic of a tertiary center in Brazil. Changes in Nasal Obstruction Symptom Evaluation (NOSE) and WHOQOL‐bref scores and acoustic rhinometry (AR) were assessed. Results Fifty were included, mainly Caucasians with moderate/severe allergic rhinitis symptoms. Mean age was 32 ± 12 years. Baseline characteristics were similar between groups. Rhinoseptoplasty improved specific and general quality‐of‐life scores irrespective of turbinate intervention group ( P <. 001). There was no difference in relative change of NOSE score (–75% vs –73%; P =. 893); WHOQOL‐bref score domains (Physical: 7% vs 6% [ P =. 10]; Psychological: 6% vs 7% [ P =. 158]; Social: 0% vs 0% [ P =. 99]; Environment 7% vs 5% [ P =. 77]), NO‐VAS (–88% vs –81%; P =. 89), and all AR recordings ( P >. 05) between turbinate reduction and no turbinate reduction groups, respectively. Conclusion Turbinate reduction during primary rhinoplasty did not improve short‐term general and specific quality‐of‐life outcomes or acoustic rhinometry recordings.