Microdebrider-assisted inferior turbinoplasty versus other surgical techniques

This meta-analysis was conducted to evaluate the effects of microdebrider-assisted inferior turbinoplasty (MAIT) versus other techniques in treating inferior turbinate hypertrophy. The protocol was registered in PROSPERO (CRD 42019126157). Cochrane Register of Controlled Trials CENTRAL, which includes MEDLINE, was searched from inception until December 2021. One hundred twenty-four records were retrieved from the search of the electronic database and other sources. Thirteen articles were selected and analysed quantitatively. There was a significant reduction of nasal obstruction in microdebrider compared to radiofrequency by visual analogue scale, but not by objective evaluations. Microdebrider has similar effect in reducing nasal obstruction to submucosal resection and laser. There was a higher incidence of postoperative bleeding with a microdebrider compared to radiofrequency, but shorter operative time and less intraoperative blood loss compared to submucosal resection. In conclusion, the effect of MAIT is comparable to submucosal resection, laser and radiofrequency in reducing nasal obstruction. While microdebrider has a shorter operative time and less intraoperative blood loss than submucosal resection, postoperative bleeding is greater than with radiofrequency.