Trimming of the inferior turbinates: a prospective long-term study
Article first published online: 2 AUG 2007
Clinical Otolaryngology & Allied Sciences
Volume 15, Issue 4, pages 347–350, August 1990
How to Cite
WIGHT, R. G., JONES, A. S. and BECKINGHAM, E. (1990), Trimming of the inferior turbinates: a prospective long-term study. Clinical Otolaryngology & Allied Sciences, 15: 347–350. doi: 10.1111/j.1365-2273.1990.tb00481.x
- Issue published online: 19 JAN 2009
- Article first published online: 2 AUG 2007
- Accepted f o r publication 23 May 1989
- anterior trimming;
- radical trimming;
- nasal resistance to airflow;
- nasal crusting
The aim of this study was to determine whether the initial benefits of radical trimming and anterior trimming of the inferior turbinates on nasal airflow persisted in the long term.
Radical trimming significantly reduced nasal resistance at 2 months following operation (n=12)(P<0.005). There was no significant change in nasal resistance over the next 20 months.
Symptom scores for nasal obstruction also showed a significant reduction (n = 16)(P< 0.005), at 2 months, and did not change significantly over the next 20 months.
Radical trimming of the inferior turbinates is a highly effective operation in patients with hypertrophy of the inferior turbinates with few initial complications. However, further analysis of the data revealed that up to 20% of patients lose the initial subjective benefit of relief of nasal obstruction within 2 years of follow-up. Late onset crusting occurs in some patients though this is not directly attributable to an increase in nasal airflow.
This study also concludes that anterior trimming of the inferior turbinates cannot be recommended as a form of treatment.