Analysis of various techniques of surgical management of inferior turbinate hypertrophy.

Breathing well is a condition directly related to quality of life. A good breathing demands good permeability of the nasal airways, the physiological entry door of air flow. Chronic nasal obstruction is a symptom responsible for most patients visit to otorhinolaryngologists in their daily practices. The evolution in rhinology currently offers a wide array of options that allows for a better understanding and treatment of pathologies related to nasal obstruction, through new diagnostic and therapeutic weaponry. However, many times, such a task still poses a challenge. Turbinate hypertrophy and nasal septal deviation are main causes of nasal obstruction. The association of septal deviation with inferior turbinate hypertrophy on the opposite side of the septum, in a vicarious way, a frequent finding in daily practices. In the setting of the nasal cycle, with alternating expansion of the inferior turbinates, the patient is able to nasal airflow from one side to the other through the day. However, in the cases of partial anatomically compromised nasal passage or misregulation of the erectile tissue, this delicate balance can be disrupted and result in the complaint of nasal obstruction. CONCLUSION: 1. 93% of the patients had improved airway after surgery 2. In partial inferior turbinectomy, the overall improvement is 93% by both subjective and objective assessment. 3. In submucous resection, the overall improvement is 93% by both subjective and objective assessment. 4. In submucous diathermy, the overall improvement is 87% by both subjective and objective assessment. 5. In powered turbinectomy, the overall improvement is 100% by both subjective and objective assessment. 6. On analyzing these four turbinectomy procedures, the powered turbinectomy procedure is best for relieving nasal obstruction and for reducing turbinate size