Long-term efficacy of turbinoplasty compared with medical treatment in patients with allergic rhinitis

Abstract

Background

The effectiveness of turbinate surgery has been proven in patients with allergic rhinitis (AR).

Objectives

This study evaluated the long-term efficacy of turbinoplasty in AR and to compare the results with those of medical treatment.

Methods

This study included 192 patients diagnosed with AR who underwent surgical or medical treatment. Medical records were reviewed to assess pre-treatment and 2-year post-treatment frequency and severity of AR symptoms, prescription frequency for AR medication, and satisfaction score for treatment. Parameters for 5-year post-treatment efficacy were acquired via a telephone survey. A total of 128 patients who had undergone turbinoplasty were defined as a ‘turbinoplasty group,’ and 64 patients who were treated only with medications were defined as a ‘medication group’. Allergic symptom, medication, and satisfaction scores were compared.

Results

Patients in the turbinoplasty group demonstrated significant improvements in all allergic symptom scores, while those in the medication group showed significant symptom improvement only in nasal obstruction on long-term follow-up. Patients in the turbinoplasty group also showed a lower prescription frequency after treatment and higher subjective satisfaction scores than those in the medication group.

Conclusions

This long-term follow-up study demonstrated that turbinoplasty for AR appears to be an effective treatment option compared with medical therapy alone.

Chinese Abstract

背景：鼻甲手术的有效性已在过敏性鼻炎 (AR) 患者中得到证实。

目的：本研究评估了鼻甲成形术对 AR 的长期疗效, 并将其结果与药物治疗结果想比较。

方法：本研究包括 192 名接受手术治疗或药物治疗的 AR 患者。审查医疗记录以评估治疗前和治疗后 2 年的AR 症状的发生频率和严重程度、AR 药物的处方频率和治疗满意度评分。通过电话调查获得治疗后 5 年疗效的参数。128 名接受鼻甲成形术的患者被定义为“鼻甲成形术组”, 64 名仅接受药物治疗的患者被定义为“药物治疗组”。比较了过敏症状、药物和满意度评分。

结果：鼻甲成形术组的患者在所有过敏症状评分上都有显著改善, 而药物组经长期随访仅表现出鼻塞的显著症状改善。鼻甲成形术组患者也表现出较低的治疗后处方频率, 他们的主观满意度得分高于药物治疗组。

结论：这项长期随访研究表明, 过敏性鼻炎鼻甲成形术与单纯药物治疗相比, 看来是一种有效的治疗选择。

Keywords:

• Allergic rhinitis
• turbinoplasty
• efficacy
• long-term

Disclosure statement

No potential conflict of interest relevant to this article was reported.

Additional information

Funding

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education [2021R1I1A1A01052298]. None of the authors have any financial interests related to the content of this article. This research was also supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT & Future Planning (2020R1A2C1012105) and the Ministry of Education (NRF-2020R1A6A1A03043283). This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HI20C2088).