The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Radiofrequency Ablation Turbinoplasty versus Microdebrider-Assisted Turbinoplasty: A Systematic Review and Meta-analysis
Abstract
Objective: To critically review published literature for treatment‐related outcomes for bilateral inferior turbinate reduction (IFTR) via either microdebrider‐assisted turbinoplasty (MAT) or radiofrequency turbinoplasty. The primary outcomes were relief of nasal obstruction according to visual analog scale and nasal airflow, volume, and resistance measures based on acoustic rhinomanometry. Data Sources: MEDLINE, EMBASE, The Cochrane Catalog, and CINAHL. Review Methods: The databases were searched with the terms “turbinoplasty” and “turbinate reduction.” Inclusion criteria were English language, human subjects, and studies specifically relating to IFTR with radiofrequency turbinoplasty or MAT. Exclusion criteria were pediatric patients and concurrent nasal procedures. Results were tabulated, and the data were analyzed per random effects modeling. Subgroup analysis and quality assessment were also performed. Results: A total of 976 articles were initially identified, with 26 meeting the inclusion/exclusion criteria. Random effects modeling demonstrated a significant improvement after IFTR, as measured with the visual analog scale (4.26‐point improvement, 95% confidence interval [95% CI] = 3.32‐5.20, P <. 001, k = 21 studies, I2 = 99%) and with acoustic rhinomanometry measurements of volume (2.43‐cm 3 improvement, 95% CI = 0.48‐4.38, P =. 015, k = 6 studies, I2 = 99%), flow (203‐mL/s improvement, 95% CI = 131‐276, P <. 001, k = 4 studies, I2 = 99%), and resistance change (2.78‐Pa/cm 3 improvement, 95% CI = 0.433‐5.13, P =. 020, k = 5 studies, I2 = 99%). There was no difference in outcome by technique, allergic rhinitis, or quality score. The 2 highest‐quality papers favored MAT. The median follow‐up was 6 months. Conclusions: IFTR produces a significant subjective and objective improvement in nasal airflow in the short term. This change does not appear to be related to the technique used for IFTR.
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Procedures that excise mucosa and turbinate bone may have better results.
“In procedures that act by excising mucosa and turbinate bone (partial turbinectomy, submucosal resection [203]), the risk of complication seems somewhat higher [191,204,205], although the results may be better [193,205-209].”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [193]
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Cites
PRISMA-P Group, Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., & Stewart, L. A. (2015) · Systematic Reviews · doi:10.1186/2046-4053-4-1 · Cited by 26,223
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Position Paper on Nasal Obstruction: Evaluation and Treatment
SEAIC Rhinoconjunctivitis Committee & SEORL Rhinology, A., Valero, A., Navarro, A., del Cuvillo, A., Alobid, I., Benito, Jr., Colás, C., de los Santos, G., Fernández Liesa, R., García-Lliberós, A., et al. (2018) · Journal of Investigational Allergology and Clinical Immunology · doi:10.18176/jiaci.0232 · Cited by 76
Metadata
- Authors
- Acevedo, J. L., Camacho, M., & Brietzke, S. E.
- Affiliations
- Uniformed Services University of the Health Sciences (US)
- Stanford University (US)
- Corresponding author
- Acevedo, Jason L.
- Venue
- Otolaryngology–Head and Neck Surgery
- Publisher
- Wiley
- Published
- 2015-10-08
- Volume
- 153
- Issue
- 6
- Pages
- 951-956
- ISSN
- 0161-6439 (ISSN-L)
- 0194-5998
- 1097-6817
- OpenAlex
- W2288317054
- Cited by
- 54
- References
- 1
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 3 · 2023: 5 · 2022: 6 · 2021: 6 · 2020: 6 · 2019: 8 · 2018: 9 · 2017: 1 · 2016: 1
- FWCI
- 3.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Otolaryngology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Health Sciences › Medicine › Immunology and Allergy › Allergic Rhinitis and Sensitization
- Keywords
- inferior turbinate reduction, nasal obstruction, nasal airflow, allergic rhinitis, surgical technique comparison
- MeSH terms
- Adult, Debridement, Humans, Middle Aged, Turbinates, Nasal Obstruction, Treatment Outcome, Catheter Ablation, Visual Analog Scale
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