Objectives: This study aimed to evaluate the effect of septal body swelling on nasal airway in patients having both hypertrophied inferior turbinate and septal body.
Study design: Prospective randomized study.
Patients and methods: 60 patients complaining of persistent nasal obstruction due to both turbinate hypertrophy and septal body hypertrophy were included in this study. All patients were evaluated subjectively (NOSE score) and objectively by endoscopic examination and acoustic rhinometry. This was done for each patient preoperatively and 3 months postoperatively. Patients were divided randomly into 2 groups A &B each included 30 patients. Group A patients underwent submucosal coblation turbinate reduction while patients of group B underwent combined submucosal coblation reduction of both inferior turbinate and septal body.
Results: There was a significant difference in group A in relation to group B as regard nasal congestion (P = 0.027), nasal obstruction (P= 0.38), and sleeping problems (P= 0.033) while no significant difference in other NOSE questionnaire parameters. From acoustic rhinometry findings of both groups, 3 months postoperatively, We found that there was a significant difference in group B in relative to that in group A. Nasal resistance in RT side (P= 0.043) and in LT side (P= 0.033), also nasal volume in RT side (P= 0.031) and in LT side (P= 0.42).
Conclusion: From the obtained results we believed that combined volume reduction of both hypertrophied septal body and inferior turbinate using submucosal coblation is simple, safe and more effective than the coblation of inferior turbinate alone