Impact of Adenoidectomy with or without Bilateral Endoscopic Inferior Turbinoplasty on Children with Bilateral Nasal Obstruction

Background: Some research shows that compared to adenoidectomy alone, nasal obstruction symptoms are much improved with concurrent inferior turbinate surgery. Aim and objectives: To investigate the role of bilateral endoscopic inferior turbinoplasty as an adjuvant procedure for patients undergoing adenoidectomy for relief of nasal obstruction and sleep-disordered breathing. Patients and methods: This Quasi-experimental study was done on 100 pediatric cases in the age group of 3-18 years who attended the ENT clinics in health insurance hospitals in Alexandria, Egypt. Cases were subdivided into two groups: Group A (50 patients) experienced routine adenoidectomy, and Group B (50 patients) experienced routine adenoidectomy combined with bilateral endoscopic turbinoplasty. All patients were indicated for adenoidectomy with symptoms of nasal obstruction despite three months of medical treatment. The outcome was evaluated by nasal endoscopy during the visits and by utilizing the Glasgow Children’s Benefit Inventory (GCBI) questionnaire. Results: There was a highly statistically significant difference (p-value < 0.001) amongst studied groups (group A and group B) concerning catching colds and infections, absence time, sleeping at night, being lively throughout the day, and overall life. Conclusion: The adjuvant use of bilateral endoscopic inferior turbinoplasty in patients undergoing adenoidectomy to relieve nasal obstruction added statistically significant better results compared to adenoidectomy alone regarding catching colds and infections, absence time, self-consciousness, improvement of sleep, lively during the day as well as overall life. Impact of Adenoidectomy with or without Bilateral Endoscopic Inferior Turbinoplasty on Children with Bilateral Nasal Obstruction