Efficacy of Bilateral Inferior Turbinoplasty in Non-Obstructive Allergic Rhinitis: AQuasi-Experimental Study at Tertiary Care Hospital, Kohat

Abstract

Objective: To compare the efficacy of surgical treatment, i.e., bilateral inferior turbinoplasty, versus medical treatment in cases of non-obstructive allergic rhinitis.
Study Design: Quasi-experimental study.
Place and Duration of Study: The study was conducted at the ENT Department, Combined Military Hospital (CMH), Kohat, Pakistan, from January 2022 to December 2022.
Methods: Ninety patients, either male or female, aged 16 to 60 years, diagnosed with non-obstructive allergic rhinitis, were divided into two equal groups. In Group M, patients received standard medical treatment, which included antihistamines and a corticosteroid nasal spray, whereas bilateral inferior turbinoplasty was performed under general anesthesia in Group S patients. A four-parameter symptom score card was devised to evaluate all patients before the commencement of treatment and 6 months after the treatment. These four symptoms included nasal itching, runny nose, sneezing, and loss of smell. Each symptom was measured with a four-point scale, i.e., 0 score for no symptoms, 1 score for mild symptoms, 2 score for moderate symptoms, and
3 score for severe symptoms.
Results: Both groups were comparable in demographic characteristics. In group M (medical treatment), the duration of symptoms was 4.15±1.93 years, whereas for group S (surgical treatment, it was 3.84+1.35 years. An insignificant difference was observed between the two groups with respect to duration of symptoms, with a P value of 0.378. In terms of pre-treatment severity of symptoms, both groups had an insignificant difference (P value of 0.15). Both groups showed comparable treatment efficacy (P-value of 0.123). In group M, the posttreatment score was reduced to 3.22±0.9, and for group S, it was 3.6±0.65.
Conclusion: It was demonstrated in our study that surgical treatment, i.e., bilateral inferior turbinoplasty, is as effective as medical treatment in cases of non-obstructive allergic rhinitis.

How to cite this: Akram CMB, Hussain A, Wazir M, Ullah S, Saeed U, Khan MZ. Efficacy of Bilateral Inferior Turbinoplasty in Non-
Obstructive Allergic Rhinitis: A Quasi-Experimental Study at Tertiary Care Hospital, Kohat. Life and Science. 2026; 7(2): 151-155. doi:
http://doi.org/10.37185/LnS.1.1.778