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Inferior turbinate reduction: comparing post-operative bleeding between different surgical techniques

Published online by Cambridge University Press:  27 October 2021

E Levy ,
O Ronen ,
E Sela ,
E Layos ,
N Eisenbach ,
N Ibrahim ,
AA Dror ,
A Daoud  and
T Marshak
E Levy*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Galilee Medical Center, Nahariya, and Azrieli Faculty of Medicine, Bar-Ilan University, Ramat Gan, Israel
O Ronen
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Galilee Medical Center, Nahariya, and Azrieli Faculty of Medicine, Bar-Ilan University, Ramat Gan, Israel
E Sela
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Galilee Medical Center, Nahariya, and Azrieli Faculty of Medicine, Bar-Ilan University, Ramat Gan, Israel
E Layos
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Galilee Medical Center, Nahariya, and Azrieli Faculty of Medicine, Bar-Ilan University, Ramat Gan, Israel
N Eisenbach
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Galilee Medical Center, Nahariya, and Azrieli Faculty of Medicine, Bar-Ilan University, Ramat Gan, Israel
N Ibrahim
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Galilee Medical Center, Nahariya, and Azrieli Faculty of Medicine, Bar-Ilan University, Ramat Gan, Israel
AA Dror
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Galilee Medical Center, Nahariya, and Azrieli Faculty of Medicine, Bar-Ilan University, Ramat Gan, Israel
A Daoud
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Galilee Medical Center, Nahariya, and Azrieli Faculty of Medicine, Bar-Ilan University, Ramat Gan, Israel
T Marshak
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Galilee Medical Center, Nahariya, and Azrieli Faculty of Medicine, Bar-Ilan University, Ramat Gan, Israel
*
Author for correspondence: Dr Einat Levy, Department of Otolaryngology – Head and Neck Surgery, Galilee Medical Center, POB 21, Nahariya2210001, Israel E-mail: einatyeh@gmail.com
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Abstract

Objective

Post-operative bleeding is one of the most common and severe complications of turbinate surgery. This study compared post-operative bleeding following partial turbinectomy, submucosal turbinate reduction and endoscopic turbinoplasty.

Methods

Post-operative bleeding was assessed in patients who underwent inferior turbinate intervention by partial turbinectomy, submucosal turbinate reduction or endoscopic turbinoplasty between January 2016 and November 2017 and had completed at least one month of follow up.

Results

Of 1035 patients who underwent inferior turbinate surgery during the study period, 751 were included. Of these, 56 (7.5 per cent) presented to the emergency room with post-operative bleeding; 31 (8.4 per cent) had undergone partial turbinectomy, 19 (10.7 per cent) had undergone submucosal turbinate reduction and 6 (3.0 per cent) had undergone endoscopic turbinoplasty. The odds ratio of requiring an intervention to control bleeding was significantly lower in the endoscopic turbinoplasty group than in the submucosal turbinate reduction group (odds ratio = 3.26, 95 per cent confidence interval = 1.02–10.43).

Conclusion

Endoscopic turbinoplasty had the lowest rate of post-operative bleeding and the lowest rate of patients requiring intervention.

Keywords

TurbinatesNasal Surgical ProceduresEpistaxisPostoperative Hemorrhage
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 5 , May 2022 , pp. 427 - 432
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr E Levy takes responsibility for the integrity of the content of the paper

Preliminary data from this project were presented at the 27th Congress of the European Rhinology Society, 22–26 April 2018, London, UK, and at the Annual Meeting of the Israeli Otolaryngology – Head and Neck Surgery Society, 7–10 March 2018, Eilat, Israel.

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