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Inferior Turbinate Reduction during Rhinoplasty: Is There Any Effect on Rhinitis Symptoms?
Abstract Introduction Inferior turbinate surgery is often performed concomitantly with rhinoseptoplasty. As inferior turbinates play a major role in allergic rhinitis, it seems reasonable to suggest that inferior turbinate surgery reduces allergy. Objective To assess the impact of nasal turbinate...
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| Published in: | International Archives of Otorhinolaryngology 2022-01, Vol.26 (1), p.e111-e118 |
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| creator | Garcia, João Pedro T. Moura, Bianca H. de Rodrigues, Vinícius H. Vivan, Manoela A. Azevedo, Simone M. de Dolci, José Eduardo L. Migliavacca, Raphaella Lavinsky-Wolff, Michelle |
| description | Abstract
Introduction
Inferior turbinate surgery is often performed concomitantly with rhinoseptoplasty. As inferior turbinates play a major role in allergic rhinitis, it seems reasonable to suggest that inferior turbinate surgery reduces allergy.
Objective
To assess the impact of nasal turbinate surgery on non-obstructive allergic symptoms (nasal discharge, sneezing, pruritus, and allergic conjunctivitis) and on the use of allergic medication in patients with allergic rhinitis undergoing rhinoseptoplasty.
Methods
Secondary analysis of aggregated data from two randomized controlled trials. Participants with allergic rhinitis aged ≥ 16 years were recruited. Data from two groups were analyzed: patients with rhinoseptoplasty and concomitant turbinate reduction (intervention group) and patients with rhinoseptoplasty only (control group). The 90-day postoperative frequency of non-obstructive allergic symptoms and of nasal steroid and oral antihistamine use were analyzed.
Results
A total of 100 patients were studied. The groups were similar in terms of allergic symptom intensity and mean age. The frequency of non-obstructive allergic symptoms decreased 90 days postoperative in both groups (
p
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| doi_str_mv | 10.1055/s-0041-1726046 |
| format | article |
| fullrecord | <record><control><sourceid>scielo_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_23100357c3194b96808b00770a59f1c6</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><scielo_id>S1809_48642022000100111</scielo_id><doaj_id>oai_doaj_org_article_23100357c3194b96808b00770a59f1c6</doaj_id><sourcerecordid>S1809_48642022000100111</sourcerecordid><originalsourceid>FETCH-LOGICAL-c533t-81179633eb8c51b74a8b6db7494415aff52189c0898f3cfd76ad8dab8d196b8f3</originalsourceid><addsrcrecordid>eNp1UU1r3DAUNKWlCWmuPesPOH3PkvXRQ0sIabsQKCTbSy9ClqVdLba1SNrC_vvY3aVtDgXBE08zo2Gmqt4j3CC07YdcAzCsUTQcGH9VXaIEVTPJ2evzXQkhLqrrnHcAgJQBU_C2uqAtKI5cXFY_V5N3KcRE1ofUhckURx5df7AlxIn0hxSmDXnchinuB5PL8SNZZbLeuuTI7XQk9947W8gMXTChhEyejuO-xDF_fle98WbI7vo8r6ofX-7Xd9_qh-9fV3e3D7VtKS21RBSKU-o6aVvsBDOy4_08FWPYGu_bBqWyIJX01PpecNPL3nSyR8W7eXdVrU66fTQ7vU9hNOmoown69yKmjTapBDs43VAEoK2wFBXrFJcgOwAhwLTKo-Wz1s1JK9vghqh38ZCm2bx-WuLUS7QNNM0S5nwQZ8KnE2F_6EbXWzeVZIYXLl6-TGGrN_GXlkIqpv750aaYc3L-DxdBLy3rrJeW9bnlmVCfCGUb3Oj-WvwP_hlZlKPk</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Inferior Turbinate Reduction during Rhinoplasty: Is There Any Effect on Rhinitis Symptoms?</title><source>SciELO</source><source>PubMed Central</source><source>Thieme Connect Journals Open Access</source><creator>Garcia, João Pedro T. ; Moura, Bianca H. de ; Rodrigues, Vinícius H. ; Vivan, Manoela A. ; Azevedo, Simone M. de ; Dolci, José Eduardo L. ; Migliavacca, Raphaella ; Lavinsky-Wolff, Michelle</creator><creatorcontrib>Garcia, João Pedro T. ; Moura, Bianca H. de ; Rodrigues, Vinícius H. ; Vivan, Manoela A. ; Azevedo, Simone M. de ; Dolci, José Eduardo L. ; Migliavacca, Raphaella ; Lavinsky-Wolff, Michelle</creatorcontrib><description>Abstract
Introduction
Inferior turbinate surgery is often performed concomitantly with rhinoseptoplasty. As inferior turbinates play a major role in allergic rhinitis, it seems reasonable to suggest that inferior turbinate surgery reduces allergy.
Objective
To assess the impact of nasal turbinate surgery on non-obstructive allergic symptoms (nasal discharge, sneezing, pruritus, and allergic conjunctivitis) and on the use of allergic medication in patients with allergic rhinitis undergoing rhinoseptoplasty.
Methods
Secondary analysis of aggregated data from two randomized controlled trials. Participants with allergic rhinitis aged ≥ 16 years were recruited. Data from two groups were analyzed: patients with rhinoseptoplasty and concomitant turbinate reduction (intervention group) and patients with rhinoseptoplasty only (control group). The 90-day postoperative frequency of non-obstructive allergic symptoms and of nasal steroid and oral antihistamine use were analyzed.
Results
A total of 100 patients were studied. The groups were similar in terms of allergic symptom intensity and mean age. The frequency of non-obstructive allergic symptoms decreased 90 days postoperative in both groups (
p
< 0.01). There was no difference between the groups in the frequency of non-obstructive allergic symptoms at 90 days (
p
= 0.835). Topical nasal steroid and oral histamine antagonist use decreased in the intervention group at 90 days (
p
< 0.05).
Conclusions
Ninety days after the surgery, turbinate reduction performed in association with rhinoseptoplasty did not reduce the frequency of non-obstructive allergic symptoms more than rhinoplasty alone. However, the observed decrease in nasal steroid and oral antihistamine use suggests an impact of turbinate reduction on medication use in patients with allergic rhinitis undergoing rhinoseptoplasty.
Trial Registration
ClinicalTrials.gov database (NCT01457638 and NCT02231216).</description><identifier>ISSN: 1809-9777</identifier><identifier>ISSN: 1809-4864</identifier><identifier>EISSN: 1809-4864</identifier><identifier>DOI: 10.1055/s-0041-1726046</identifier><identifier>PMID: 35096167</identifier><language>eng</language><publisher>Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil: Thieme Revinter Publicações Ltda</publisher><subject>allergic ; Original Research ; OTORHINOLARYNGOLOGY ; randomized controlled trial ; rhinitis ; rhinoplasty ; steroids ; turbinates</subject><ispartof>International Archives of Otorhinolaryngology, 2022-01, Vol.26 (1), p.e111-e118</ispartof><rights>Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon.</rights><rights>Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( ) 2021 Fundação Otorrinolaringologia.</rights><rights>This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c533t-81179633eb8c51b74a8b6db7494415aff52189c0898f3cfd76ad8dab8d196b8f3</citedby><cites>FETCH-LOGICAL-c533t-81179633eb8c51b74a8b6db7494415aff52189c0898f3cfd76ad8dab8d196b8f3</cites><orcidid>0000-0003-0581-7063 ; 0000-0001-5535-1914 ; 0000-0001-7649-0729 ; 0000-0001-7791-0019 ; 0000-0002-5402-2390 ; 0000-0003-1861-1312 ; 0000-0003-0261-9993 ; 0000-0002-5099-7115</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8789496/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8789496/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,20872,24131,27903,27904,53769,53771,54565,54593</link.rule.ids></links><search><creatorcontrib>Garcia, João Pedro T.</creatorcontrib><creatorcontrib>Moura, Bianca H. de</creatorcontrib><creatorcontrib>Rodrigues, Vinícius H.</creatorcontrib><creatorcontrib>Vivan, Manoela A.</creatorcontrib><creatorcontrib>Azevedo, Simone M. de</creatorcontrib><creatorcontrib>Dolci, José Eduardo L.</creatorcontrib><creatorcontrib>Migliavacca, Raphaella</creatorcontrib><creatorcontrib>Lavinsky-Wolff, Michelle</creatorcontrib><title>Inferior Turbinate Reduction during Rhinoplasty: Is There Any Effect on Rhinitis Symptoms?</title><title>International Archives of Otorhinolaryngology</title><addtitle>Int Arch Otorhinolaryngol</addtitle><description>Abstract
Introduction
Inferior turbinate surgery is often performed concomitantly with rhinoseptoplasty. As inferior turbinates play a major role in allergic rhinitis, it seems reasonable to suggest that inferior turbinate surgery reduces allergy.
Objective
To assess the impact of nasal turbinate surgery on non-obstructive allergic symptoms (nasal discharge, sneezing, pruritus, and allergic conjunctivitis) and on the use of allergic medication in patients with allergic rhinitis undergoing rhinoseptoplasty.
Methods
Secondary analysis of aggregated data from two randomized controlled trials. Participants with allergic rhinitis aged ≥ 16 years were recruited. Data from two groups were analyzed: patients with rhinoseptoplasty and concomitant turbinate reduction (intervention group) and patients with rhinoseptoplasty only (control group). The 90-day postoperative frequency of non-obstructive allergic symptoms and of nasal steroid and oral antihistamine use were analyzed.
Results
A total of 100 patients were studied. The groups were similar in terms of allergic symptom intensity and mean age. The frequency of non-obstructive allergic symptoms decreased 90 days postoperative in both groups (
p
< 0.01). There was no difference between the groups in the frequency of non-obstructive allergic symptoms at 90 days (
p
= 0.835). Topical nasal steroid and oral histamine antagonist use decreased in the intervention group at 90 days (
p
< 0.05).
Conclusions
Ninety days after the surgery, turbinate reduction performed in association with rhinoseptoplasty did not reduce the frequency of non-obstructive allergic symptoms more than rhinoplasty alone. However, the observed decrease in nasal steroid and oral antihistamine use suggests an impact of turbinate reduction on medication use in patients with allergic rhinitis undergoing rhinoseptoplasty.
Trial Registration
ClinicalTrials.gov database (NCT01457638 and NCT02231216).</description><subject>allergic</subject><subject>Original Research</subject><subject>OTORHINOLARYNGOLOGY</subject><subject>randomized controlled trial</subject><subject>rhinitis</subject><subject>rhinoplasty</subject><subject>steroids</subject><subject>turbinates</subject><issn>1809-9777</issn><issn>1809-4864</issn><issn>1809-4864</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>0U6</sourceid><sourceid>DOA</sourceid><recordid>eNp1UU1r3DAUNKWlCWmuPesPOH3PkvXRQ0sIabsQKCTbSy9ClqVdLba1SNrC_vvY3aVtDgXBE08zo2Gmqt4j3CC07YdcAzCsUTQcGH9VXaIEVTPJ2evzXQkhLqrrnHcAgJQBU_C2uqAtKI5cXFY_V5N3KcRE1ofUhckURx5df7AlxIn0hxSmDXnchinuB5PL8SNZZbLeuuTI7XQk9947W8gMXTChhEyejuO-xDF_fle98WbI7vo8r6ofX-7Xd9_qh-9fV3e3D7VtKS21RBSKU-o6aVvsBDOy4_08FWPYGu_bBqWyIJX01PpecNPL3nSyR8W7eXdVrU66fTQ7vU9hNOmoown69yKmjTapBDs43VAEoK2wFBXrFJcgOwAhwLTKo-Wz1s1JK9vghqh38ZCm2bx-WuLUS7QNNM0S5nwQZ8KnE2F_6EbXWzeVZIYXLl6-TGGrN_GXlkIqpv750aaYc3L-DxdBLy3rrJeW9bnlmVCfCGUb3Oj-WvwP_hlZlKPk</recordid><startdate>20220101</startdate><enddate>20220101</enddate><creator>Garcia, João Pedro T.</creator><creator>Moura, Bianca H. de</creator><creator>Rodrigues, Vinícius H.</creator><creator>Vivan, Manoela A.</creator><creator>Azevedo, Simone M. de</creator><creator>Dolci, José Eduardo L.</creator><creator>Migliavacca, Raphaella</creator><creator>Lavinsky-Wolff, Michelle</creator><general>Thieme Revinter Publicações Ltda</general><general>Fundação Otorrinolaringologia</general><scope>0U6</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><scope>GPN</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-0581-7063</orcidid><orcidid>https://orcid.org/0000-0001-5535-1914</orcidid><orcidid>https://orcid.org/0000-0001-7649-0729</orcidid><orcidid>https://orcid.org/0000-0001-7791-0019</orcidid><orcidid>https://orcid.org/0000-0002-5402-2390</orcidid><orcidid>https://orcid.org/0000-0003-1861-1312</orcidid><orcidid>https://orcid.org/0000-0003-0261-9993</orcidid><orcidid>https://orcid.org/0000-0002-5099-7115</orcidid></search><sort><creationdate>20220101</creationdate><title>Inferior Turbinate Reduction during Rhinoplasty: Is There Any Effect on Rhinitis Symptoms?</title><author>Garcia, João Pedro T. ; Moura, Bianca H. de ; Rodrigues, Vinícius H. ; Vivan, Manoela A. ; Azevedo, Simone M. de ; Dolci, José Eduardo L. ; Migliavacca, Raphaella ; Lavinsky-Wolff, Michelle</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c533t-81179633eb8c51b74a8b6db7494415aff52189c0898f3cfd76ad8dab8d196b8f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>allergic</topic><topic>Original Research</topic><topic>OTORHINOLARYNGOLOGY</topic><topic>randomized controlled trial</topic><topic>rhinitis</topic><topic>rhinoplasty</topic><topic>steroids</topic><topic>turbinates</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Garcia, João Pedro T.</creatorcontrib><creatorcontrib>Moura, Bianca H. de</creatorcontrib><creatorcontrib>Rodrigues, Vinícius H.</creatorcontrib><creatorcontrib>Vivan, Manoela A.</creatorcontrib><creatorcontrib>Azevedo, Simone M. de</creatorcontrib><creatorcontrib>Dolci, José Eduardo L.</creatorcontrib><creatorcontrib>Migliavacca, Raphaella</creatorcontrib><creatorcontrib>Lavinsky-Wolff, Michelle</creatorcontrib><collection>Thieme Connect Journals Open Access</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SciELO</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>International Archives of Otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Garcia, João Pedro T.</au><au>Moura, Bianca H. de</au><au>Rodrigues, Vinícius H.</au><au>Vivan, Manoela A.</au><au>Azevedo, Simone M. de</au><au>Dolci, José Eduardo L.</au><au>Migliavacca, Raphaella</au><au>Lavinsky-Wolff, Michelle</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inferior Turbinate Reduction during Rhinoplasty: Is There Any Effect on Rhinitis Symptoms?</atitle><jtitle>International Archives of Otorhinolaryngology</jtitle><addtitle>Int Arch Otorhinolaryngol</addtitle><date>2022-01-01</date><risdate>2022</risdate><volume>26</volume><issue>1</issue><spage>e111</spage><epage>e118</epage><pages>e111-e118</pages><issn>1809-9777</issn><issn>1809-4864</issn><eissn>1809-4864</eissn><abstract>Abstract
Introduction
Inferior turbinate surgery is often performed concomitantly with rhinoseptoplasty. As inferior turbinates play a major role in allergic rhinitis, it seems reasonable to suggest that inferior turbinate surgery reduces allergy.
Objective
To assess the impact of nasal turbinate surgery on non-obstructive allergic symptoms (nasal discharge, sneezing, pruritus, and allergic conjunctivitis) and on the use of allergic medication in patients with allergic rhinitis undergoing rhinoseptoplasty.
Methods
Secondary analysis of aggregated data from two randomized controlled trials. Participants with allergic rhinitis aged ≥ 16 years were recruited. Data from two groups were analyzed: patients with rhinoseptoplasty and concomitant turbinate reduction (intervention group) and patients with rhinoseptoplasty only (control group). The 90-day postoperative frequency of non-obstructive allergic symptoms and of nasal steroid and oral antihistamine use were analyzed.
Results
A total of 100 patients were studied. The groups were similar in terms of allergic symptom intensity and mean age. The frequency of non-obstructive allergic symptoms decreased 90 days postoperative in both groups (
p
< 0.01). There was no difference between the groups in the frequency of non-obstructive allergic symptoms at 90 days (
p
= 0.835). Topical nasal steroid and oral histamine antagonist use decreased in the intervention group at 90 days (
p
< 0.05).
Conclusions
Ninety days after the surgery, turbinate reduction performed in association with rhinoseptoplasty did not reduce the frequency of non-obstructive allergic symptoms more than rhinoplasty alone. However, the observed decrease in nasal steroid and oral antihistamine use suggests an impact of turbinate reduction on medication use in patients with allergic rhinitis undergoing rhinoseptoplasty.
Trial Registration
ClinicalTrials.gov database (NCT01457638 and NCT02231216).</abstract><cop>Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil</cop><pub>Thieme Revinter Publicações Ltda</pub><pmid>35096167</pmid><doi>10.1055/s-0041-1726046</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-0581-7063</orcidid><orcidid>https://orcid.org/0000-0001-5535-1914</orcidid><orcidid>https://orcid.org/0000-0001-7649-0729</orcidid><orcidid>https://orcid.org/0000-0001-7791-0019</orcidid><orcidid>https://orcid.org/0000-0002-5402-2390</orcidid><orcidid>https://orcid.org/0000-0003-1861-1312</orcidid><orcidid>https://orcid.org/0000-0003-0261-9993</orcidid><orcidid>https://orcid.org/0000-0002-5099-7115</orcidid><oa>free_for_read</oa></addata></record> |
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| source | SciELO; PubMed Central; Thieme Connect Journals Open Access |
| subjects | allergic Original Research OTORHINOLARYNGOLOGY randomized controlled trial rhinitis rhinoplasty steroids turbinates |
| title | Inferior Turbinate Reduction during Rhinoplasty: Is There Any Effect on Rhinitis Symptoms? |
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