Microdebrider assisted turbinoplasty for nasal obstruction in inferior turbinate hypertrophy: a systematic review and meta-analysis

Introduction: Common cause of nasal obstruction is inferior turbinate hypertrophy and microdebrider is a new method for inferior turbinoplasty that preserves mucosa. Objective(s): The objective of this study is to examine the efficacy of microdebrider assisted inferior turbinoplasty compared to oth...

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Main Author:	Kanesan, Nithya
Format:	Thesis
Language:	English
Published:	2020
Subjects:	RF Otorhinolaryngology
Online Access:	http://eprints.usm.my/59135/1/NITHYA%20KANESAN-24%20pages.pdf
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id	my-usm-ep.59135
record_format	uketd_dc
spelling	my-usm-ep.591352023-08-16T05:55:02Z Microdebrider assisted turbinoplasty for nasal obstruction in inferior turbinate hypertrophy: a systematic review and meta-analysis 2020 Kanesan, Nithya RF Otorhinolaryngology Introduction: Common cause of nasal obstruction is inferior turbinate hypertrophy and microdebrider is a new method for inferior turbinoplasty that preserves mucosa. Objective(s): The objective of this study is to examine the efficacy of microdebrider assisted inferior turbinoplasty compared to other standard techniques. Our primary outcome is to assess the relieve in nasal obstruction. Our secondary objective is to assess the relieve of other nasal symptoms and complications related to these techniques. Methods: We retrieved trials from the Cochrane Register of Controlled Trials CENTRAL which includes MEDLINE. We used Review Manager 5.3.5 software to perform the meta-analysis. Results: We retrieved 124 records from the search of the electronic database and other sources. 11 trials were included systematic review and 10 studies in meta-analysis. There is a reduction in nasal obstruction in the microdebrider group when compared to radiofrequency (SMD -0.58, 95% CI -1.01 to -0.15; P=0.008, I2=76%; 4 studies, 400 patients). However, there is no difference when compared between the microdebrider and submucosal resection (MD -0.10, 95% CI -0.36 to 0.15; P=0.13, I2=57%; 2 studies, 280 patients). There is no difference between microdebrider and radiofrequency or submucosal resection in reduction of other nasal symptoms. Hemorrhage is increased in the microdebrider group when compared to radiofrequency but no difference when compared with submucosal resection. However, crusting was noted to be less in the microdebrider group when compared with submucosal resection group. Conclusion(s): Microdebrider offers an alternative, safe method for inferior turbinoplasty. However, the efficacy of the microdebrider is unsure until new trials are available to make a further recommendation. 2020 Thesis http://eprints.usm.my/59135/ http://eprints.usm.my/59135/1/NITHYA%20KANESAN-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RF Otorhinolaryngology
spellingShingle	RF Otorhinolaryngology Kanesan, Nithya Microdebrider assisted turbinoplasty for nasal obstruction in inferior turbinate hypertrophy: a systematic review and meta-analysis
description	Introduction: Common cause of nasal obstruction is inferior turbinate hypertrophy and microdebrider is a new method for inferior turbinoplasty that preserves mucosa. Objective(s): The objective of this study is to examine the efficacy of microdebrider assisted inferior turbinoplasty compared to other standard techniques. Our primary outcome is to assess the relieve in nasal obstruction. Our secondary objective is to assess the relieve of other nasal symptoms and complications related to these techniques. Methods: We retrieved trials from the Cochrane Register of Controlled Trials CENTRAL which includes MEDLINE. We used Review Manager 5.3.5 software to perform the meta-analysis. Results: We retrieved 124 records from the search of the electronic database and other sources. 11 trials were included systematic review and 10 studies in meta-analysis. There is a reduction in nasal obstruction in the microdebrider group when compared to radiofrequency (SMD -0.58, 95% CI -1.01 to -0.15; P=0.008, I2=76%; 4 studies, 400 patients). However, there is no difference when compared between the microdebrider and submucosal resection (MD -0.10, 95% CI -0.36 to 0.15; P=0.13, I2=57%; 2 studies, 280 patients). There is no difference between microdebrider and radiofrequency or submucosal resection in reduction of other nasal symptoms. Hemorrhage is increased in the microdebrider group when compared to radiofrequency but no difference when compared with submucosal resection. However, crusting was noted to be less in the microdebrider group when compared with submucosal resection group. Conclusion(s): Microdebrider offers an alternative, safe method for inferior turbinoplasty. However, the efficacy of the microdebrider is unsure until new trials are available to make a further recommendation.
format	Thesis
qualification_level	Master's degree
author	Kanesan, Nithya
author_facet	Kanesan, Nithya
author_sort	Kanesan, Nithya
title	Microdebrider assisted turbinoplasty for nasal obstruction in inferior turbinate hypertrophy: a systematic review and meta-analysis
title_short	Microdebrider assisted turbinoplasty for nasal obstruction in inferior turbinate hypertrophy: a systematic review and meta-analysis
title_full	Microdebrider assisted turbinoplasty for nasal obstruction in inferior turbinate hypertrophy: a systematic review and meta-analysis
title_fullStr	Microdebrider assisted turbinoplasty for nasal obstruction in inferior turbinate hypertrophy: a systematic review and meta-analysis
title_full_unstemmed	Microdebrider assisted turbinoplasty for nasal obstruction in inferior turbinate hypertrophy: a systematic review and meta-analysis
title_sort	microdebrider assisted turbinoplasty for nasal obstruction in inferior turbinate hypertrophy: a systematic review and meta-analysis
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2020
url	http://eprints.usm.my/59135/1/NITHYA%20KANESAN-24%20pages.pdf
_version_	1776101253413076992

Microdebrider assisted turbinoplasty for nasal obstruction in inferior turbinate hypertrophy: a systematic review and meta-analysis

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