Long-term outcome of concurrent coblator turbinoplasty with adenotonsillectomy in children with allergic rhinitis

Abstract

Background

Allergic rhinitis (AR) is one of the most prevalent chronic diseases in children. Patients with AR tend to have more persistent symptoms after adenotonsillectomy (T&A).

Objectives

This study was aimed to evaluate the outcome of additional concurrent coblation-assisted turbinoplasty with adenotonsillectomy (T&A + T) in patients with AR.

Material and Methods

This study included 104 children who underwent T&A, and 67 who underwent T&A + T. All patients were diagnosed as AR and were aged < 12 years at the time of surgery. Symptoms (snoring, mouth breathing, nasal obstruction, rhinorrhea, itching, and sneezing) were evaluated preoperatively and postoperatively via a questionnaire and a telephone survey.

Results

None of the six symptoms investigated differed significantly between the two groups preoperatively, and all evaluated symptoms exhibited dramatic improvements after the surgery in both groups. The T&A + T group showed significantly greater difference of improvement in mouth breathing and nasal obstruction than T&A group. There were no significant difference of improvements in snoring, rhinorrhea, itching and sneezing postoperatively between two groups. In multiple regression analysis, postoperative obstructive symptoms including mouth breathing and nasal obstruction were significantly associated with concurrent turbinoplasty.

Conclusion

Concurrent turbinoplasty should be considered especially in patients who have AR and adenotonsillar hypertrophy to improve obstructive symptoms.

Chinese abstract

背景：过敏性鼻炎（AR）是儿童最普遍的慢性疾病之一。腺扁桃体切除术（T&A）后, AR患者往往会出现更持久的症状。

目的：本研究旨在评估为AR患者同时进行消融辅助治疗和鼻甲成形术（T&AþT）的结果

材料和方法：这项研究包括104名接受过T&A的儿童和67名接受过T&AþT的儿童。所有患者在手术时被诊断为AR, 年龄小于12岁。在术前和术后通过问卷和电话调查对症状（打鼾、口呼吸、鼻阻塞、鼻漏、瘙痒和打喷嚏）进行评估。

结果：术前所检查的六个症状在两组患者之间无显著差异, 而两组所有评估的症状在术后均表现出显著改善。与T&A组相比, T&AþT组在口呼吸和鼻阻塞方面的改善更大。两组之间打鼾、鼻漏、瘙痒和打喷嚏的术后改善无显着差异。根据多元回归分析, 术后阻塞性症状, 包括口呼吸和鼻塞, 与同时进行鼻甲成形术显著相关。

结论：为改善阻塞性症状, 应考虑同时行鼻甲成形术, 对于AR和腺扁桃体肥大的患者, 尤为如此。

Keywords:

• Tonsillectomy
• adenoidectomy
• allergic rhinitis
• children
• turbinoplasty

Author contributions

Ji-Hun Mo, MD: Conceptualization; In Kwon Mun; Data acquisition; In Kwon Mun, Shin Hyuk Yoo: Formal analysis; In Kwon Mun, Shin Hyuk Yoo, Ji-Hun Mo: Methodology; Shin Hyuk Yoo, Ji-Hun Mo: Project administration; In Kwon Mun, Shin Hyuk Yoo: Visualization; In Kwon Mun, Shin Hyuk Yoo: Writing - original draft; Shin Hyuk Yoo, Ji-Hun Mo: Writing - review & editing.

Acknowledgement

The present research was conducted by the research fund of Dankook University in 2020.

Disclosure statement

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