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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2022; 26(01): e111-e118
DOI: 10.1055/s-0041-1726046
Original Research

Inferior Turbinate Reduction during Rhinoplasty: Is There Any Effect on Rhinitis Symptoms?

João Pedro T. Garcia 
1   Graduate Program in Surgery, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
,
Bianca H. de Moura 
2   Otolaryngology Service, Hospital Mãe de Deus, Porto Alegre, RS, Brazil
,
Vinícius H. Rodrigues 
3   School of Medicine, UFRGS, Porto Alegre, RS, Brazil
,
Manoela A. Vivan 
3   School of Medicine, UFRGS, Porto Alegre, RS, Brazil
,
Simone M. de Azevedo 
3   School of Medicine, UFRGS, Porto Alegre, RS, Brazil
,
José Eduardo L. Dolci 
4   Otolaryngology Service, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil
,
Raphaella Migliavacca 
5   Otolaryngology Service, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil
,
Michelle Lavinsky-Wolff 
5   Otolaryngology Service, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil
› Author Affiliations Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
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Abstract

Introduction Inferior turbinate surgery is often performed concomitantly with rhinoseptoplasty. As inferior turbinates play a major role in allergic rhinitis, it seems reasonable to suggest that inferior turbinate surgery reduces allergy.

Objective To assess the impact of nasal turbinate surgery on non-obstructive allergic symptoms (nasal discharge, sneezing, pruritus, and allergic conjunctivitis) and on the use of allergic medication in patients with allergic rhinitis undergoing rhinoseptoplasty.

Methods Secondary analysis of aggregated data from two randomized controlled trials. Participants with allergic rhinitis aged ≥ 16 years were recruited. Data from two groups were analyzed: patients with rhinoseptoplasty and concomitant turbinate reduction (intervention group) and patients with rhinoseptoplasty only (control group). The 90-day postoperative frequency of non-obstructive allergic symptoms and of nasal steroid and oral antihistamine use were analyzed.

Results A total of 100 patients were studied. The groups were similar in terms of allergic symptom intensity and mean age. The frequency of non-obstructive allergic symptoms decreased 90 days postoperative in both groups (p < 0.01). There was no difference between the groups in the frequency of non-obstructive allergic symptoms at 90 days (p = 0.835). Topical nasal steroid and oral histamine antagonist use decreased in the intervention group at 90 days (p < 0.05).

Conclusions Ninety days after the surgery, turbinate reduction performed in association with rhinoseptoplasty did not reduce the frequency of non-obstructive allergic symptoms more than rhinoplasty alone. However, the observed decrease in nasal steroid and oral antihistamine use suggests an impact of turbinate reduction on medication use in patients with allergic rhinitis undergoing rhinoseptoplasty.

Trial Registration ClinicalTrials.gov database (NCT01457638 and NCT02231216).

Keywords

turbinates - rhinoplasty - rhinitis - allergic - randomized controlled trial - steroids

Informed Consent

Informed consent was obtained from all individual participants included in the study.


Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the national research committee of our institution (Research Ethics Committee at Hospital de Clínicas de Porto Alegre (HCPA), number 20180109) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


Data Availability

All relevant data are within the paper.




Publication History

Received: 10 August 2020

Accepted: 08 December 2020

Article published online:
05 August 2021

© 2021. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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