Rhinoplasty surgery is performed by both plastic and otorhinolaryngology surgeons using varying approaches and methods for both functional and cosmetic reasons. This plastic surgery article identified that inferior turbinate hypertrophy is often encountered during rhinoplasty surgery and a New York team undertook a systematic review looking at the techniques for inferior turbinate reduction in patients undergoing rhinoplasty. The aim was to systematically review the outcomes of techniques used and provide guidance about the management, acknowledging that many patients presenting for cosmetic rhinoplasty have symptoms of nasal obstruction. From 1929 articles identified in the MEDLINE search, 58 were found to be relevant and included in the study. The treatments identified were: total turbinectomy, partial turbinectomy, submucosal resection, laser surgery, cryotherapy, electrocautery, radiofrequency ablation and turbinate out-fracture. Each technique was assessed for both objective and subjective outcomes and complication rates. The authors concluded that the aim of treating inferior turbinate hypertrophy in rhinoplasty patients is to provide long-lasting results, have low complication rates and preserve function. The review findings identified that submucosal resection and radiofrequency ablation were the two best methods that fulfil the aforementioned criteria.
Turbinate reduction in rhinoplasty patients
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