RF Safe

A comparative study of radiofrequency assisted versus microdebrider assisted turbinoplasty in cases of inferior turbinate hypertrophy.

Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2014 · Mixed · Moderate evidence

← Research stream
MixedModerate evidencePaper 3094

In both the radiofrequency (RF) and microdebrider (MD) groups (30 cases each), all preoperative symptoms significantly improved postoperatively up to 6 months. Three cases of recurrence at 6 months were reported in the RF group, and the authors recommend MD-a…

Study snapshot

PublicationIndian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2014
Study typerandomized_trial
Reported directionMixed
Evidence ratingModerate

Abstract

Nasal obstruction is the most common complaint among patients presenting to otolaryngologists which disturbs the quality of life of the patient. The anterior end of inferior turbinate is in the narrowest part of nasal airway, enlargement of which causes significant nasal obstruction. In our, prospective and interventional, study a comparison was made between the results of bipolar radiofrequency assisted turbinoplasty and microdebrider assisted turbinoplasty in patients with chronic nasal obstruction due to inferior turbinate hypertrophy, not responding to medical treatments. The cases were randomly divided into radiofrequency (RF) and microdebrider (MD) groups, each consisting of 30 cases. Nasal obstruction, sneezing, itching in nose, rhinorrhea, intra operative bleeding, duration of surgery, post operative bleeding, post operative pain and crusting were the parameters recorded preoperative, intra operative and post operatively at 1 week, 1, 3 and 6 months. For bleeding and crusting standard 4-point scale was used. Rest of the symptoms were assessed subjectively on standard visual analogue scale (0-10). The statistical analysis was done by student's t test. Postoperatively, all the preoperative symptoms were significantly improved up to 6 months in group RF as well as group MD, but there were three cases of recurrence at 6th months of postoperative period in group RF. However, we recommend MD assisted inferior turbinoplasty under local anaesthesia in view of long term symptom relief and lesser recurrence.

Machine Enhanced Logic

AI evidence extraction

Structured fields below were generated from the paper’s abstract and metadata to make the evidence easier to inspect. Automated extraction may be incomplete or incorrect; verify important details against the original paper.

Study typerandomized_trial
Effect directionmixed
PopulationPatients with chronic nasal obstruction due to inferior turbinate hypertrophy not responding to medical treatments
Sample size60
ExposureNot supplied
Evidence strengthModerateConfidence: 74% · Peer reviewed: yes

Main findings

In both the radiofrequency (RF) and microdebrider (MD) groups (30 cases each), all preoperative symptoms significantly improved postoperatively up to 6 months. Three cases of recurrence at 6 months were reported in the RF group, and the authors recommend MD-assisted turbinoplasty for longer-term symptom relief and lesser recurrence.

Outcomes measured

  • Nasal obstruction
  • Sneezing
  • Itching in nose
  • Rhinorrhea
  • Intra operative bleeding
  • Duration of surgery
  • Post operative bleeding
  • Post operative pain
  • Crusting
  • Recurrence at 6 months

Limitations

  • Frequency/SAR or detailed RF exposure parameters not reported
  • Follow-up limited to 6 months
  • Outcomes largely subjective (visual analogue scale)
View raw extracted JSON
{
  "study_type": "randomized_trial",
  "exposure": {
    "band": null,
    "source": "bipolar radiofrequency assisted turbinoplasty (surgical device)",
    "frequency_mhz": null,
    "sar_wkg": null,
    "duration": null
  },
  "population": "Patients with chronic nasal obstruction due to inferior turbinate hypertrophy not responding to medical treatments",
  "sample_size": 60,
  "outcomes": [
    "Nasal obstruction",
    "Sneezing",
    "Itching in nose",
    "Rhinorrhea",
    "Intra operative bleeding",
    "Duration of surgery",
    "Post operative bleeding",
    "Post operative pain",
    "Crusting",
    "Recurrence at 6 months"
  ],
  "main_findings": "In both the radiofrequency (RF) and microdebrider (MD) groups (30 cases each), all preoperative symptoms significantly improved postoperatively up to 6 months. Three cases of recurrence at 6 months were reported in the RF group, and the authors recommend MD-assisted turbinoplasty for longer-term symptom relief and lesser recurrence.",
  "effect_direction": "mixed",
  "limitations": [
    "Frequency/SAR or detailed RF exposure parameters not reported",
    "Follow-up limited to 6 months",
    "Outcomes largely subjective (visual analogue scale)"
  ],
  "evidence_strength": "moderate",
  "confidence": 0.74,
  "peer_reviewed_likely": "yes",
  "keywords": [
    "inferior turbinate hypertrophy",
    "nasal obstruction",
    "radiofrequency assisted turbinoplasty",
    "microdebrider assisted turbinoplasty",
    "randomized",
    "recurrence",
    "visual analogue scale"
  ],
  "suggested_hubs": []
}
AI can be wrong. Always verify against the paper.

AI-extracted fields are generated from the abstract and metadata and may be incomplete or incorrect. This material is for informational purposes and is not medical advice.

Identifiers and source

DOI: 10.1007/s12070-013-0657-3
PubMed: 24605299

Read the original paper →

Related papers

← Back to the Research Library