A review of outcomes following inferior turbinate reduction surgery in children for chronic nasal obstruction
Link to abstract here.
Bottom-line conclusion: There is currently little evidence to support turbinate reduction surgery in children. The role of surgery, if any, has not been properly examined. Furthermore, the long-term effects on nasal airflow dynamics, nasal physiology and long-term complications remain to be studied.
Method: A structured review of the PubMed, EMBASE and the Cochrane Collaboration databases (Cochrane Central Register of Controlled Trials, Cochrane Database of Systemic Reviews) was undertaken, using the MeSH terms: nasal obstruction, turbinates, surgery and children. Only articles focusing on turbinate surgery with an exclusively paediatric cohort were included.
Results: Eleven studies fulfilled the inclusion criteria. The ages of the children ranged from 1 to 17 years at the time of surgery and were followed-up for a period of 3 months to 14 years. Surgical indication for all studies was chronic nasal congestion, resistant to a trial of medical treatment for 2-3 months preceding surgery. Of the 730 cases reviewed, 79.1% had turbinate surgery as the standalone procedure. The remaining 21.9% had other concurrent procedures performed, the most common being adeno-tonsillectomy. Although all studies generally supported the effectiveness of turbinate reduction surgery for inferior turbinate hypertrophy, the outcome measures used were varied and did not allow comparison across studies.
| Specialist Collection Quality Assessment: |
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This review has met initial inclusion criteria for the ENT and audiology specialist collection, and this provisional record will be accompanied by a more detailed appraisal summary as soon as possible.
The quality of systematic reviews can vary, and NHS Evidence - ENT and audiology does not accept responsibility or liability for the content of any cited review. For further information on appraising systematic reviews visit the Evidence Based Practice Resources section of the specialist collection. |
Citation: Leong SC, Kubba H, White PS. A review of outcomes following inferior turbinate reduction surgery in children for chronic nasal obstruction. International Journal of Pediatric Otorhinolaryngology 2009;Oct 7. [Epub ahead of print]
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