Sinusitis Clinical Trial
Official title:
The Effect of RF Turbinoplasty Versus Two Other Methods in Management of Polypoid Change of Middle Turbinates: A Randomized Trial.
The aim of this study is to evaluate the effect of middle turbinate Radio Frequency (RF) turbinoplasty with middle turbinate resection and medialization
The management of middle turbinate in treatment of nasal polyposis is still an interesting
debatable topic. The surgical access and its possible role in pathophysiology of sinusitis
are two important points about its treatment. On the one hand, middle turbinate resection
can improve surgical access and possibly reduce the nasal polyposis recurrence. On the other
hand, there are some reports of anosmia, empty nose syndrome, synechia, and difficulties in
revision surgery. Also, synechia, lateralization, and possibly recurrence can be the
possible outcome after middle turbinate preservation.
Among different modalities, radiofrequency (RF) gradually increase its popularity as
surgical tools, which can treat mucosal hypertrophy without any tissue removal. Inferior
turbinate is a famous place for its usage, especially for decreasing of the nasal
obstruction. Also, some authors have showed its effect on refractory allergic rhinitis,
which is not only related to reducing of nasal obstruction, but also it is related to
changing of the allergic mediators. [5, 6] Comparing to other treatments for turbinates is
sparing its overlaid mucosa, which can reduce the possible future morbidities.
Probably considering of the above mention points, RF has a possible impact on the polypoid
changes of middle turbinates and possibly does not have the same deleterious effect of the
resection on cilia of mucosal layer. Therefore, we performed a randomized clinical trial to
compare its outcome with two famous methods of the middle turbinate management: partial
resection and medialization.
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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