The Effectiveness of Inferior Turbinoplasty in Children with Nasal Obstruction

Abstract

Objective
To evaluate the effectiveness of medial flap inferior turbinoplasty for the treatment of nasal obstruction in children.
Patients and Methods
This study was conducted at the ear nose throat (ENT) Department at Minia University Hospital, Minia, Egypt which include 40 children with bilateral nasal obstruction due to bilateral hypertrophied inferior turbinates that did not respond to medical treatment for 3 successive months in the form of (systemic antihistamines, systemic and local decongestant drugs and local corticosteroid spray) who attended the ENT outpatient clinic. All patients were subjected to turbinate reduction through medial flap inferior turbinoplasty.
Results
Forty patients with bilateral hypertrophied inferior turbinates were assessed. Ninety days after surgery, 90% of patients trans-formed from severe or moderate degrees of nasal obstruction “pre-operatively” to mild degree or completely with no nasal obstruction; 80% of patients had grade I improvement in nasal obstruction and 14 patients had only grade II improvement; only 10% of patients had crustation.
Conclusion
Medial flap inferior turbinoplasty is safe and effective in the treatment of nasal obstruction in children with almost no complica-tions was recorded.