Microdebrider-Assisted Turbinoplasty Vs Endoscopic Partial Turbinectomy Pak Armed Forces Med J 2021; 71 (Suppl-3): S598 COMPARISON OF MICRODEBRIDER - ASSISTED TURBINOPLASTY VERSUS ENDOSCOPIC PARTIAL TURBINECTOMY IN CASES OF INFERIOR TURBINATE HYPERTROPHY IN ALLERGIC RHINITIS PATIENTS Muhammad Ahmed Khan, Faiz Ul Hassan Nawaz*, Muhammad Tahir*, Hina Mazhar*, Muhammad Dawood**, Ejaz Rahim*** Combined Military Hospital Mardan/National University of Medical Sciences (NUMS) Pakistan, *Combined Military Hospital Malir/National University of Medical Sciences (NUMS) Pakistan, **Combined Military Hospital Khuzdar/National University of Medical Sciences (NUMS) Pakistan, ***Combined Military Hospital Multan/National University of Medical Sciences (NUMS) Pakistan ABSTRACT Objective: To compare microdebrider-assisted turbinoplasty versus endoscopic partial turbinectomy in cases of inferior tur- binate hypertrophy in allergic rhinitis patients in terms of relief/improvement of nasal obstruction, post operative bleeding, crusting and synechie formation. Study Design; Quasi experimental study. Place and Duration of Study: Combined Military Hospital Mardan and Combined Military Hospital Malir, from Jan 2019 to Jan 2020. Methodology: A total of 90 patients of allergic rhinitis with severe nasal obstruction due to bilateral inferior turbinate hypertrophy fulfilling the inclusion exclusion criteria were selected. Cases were randomly divided into two groups of 45 each. Group A cases underwent microdebrider assisted turbinoplasty and Group B cases underwent partial turbinectomy via endo- scpic approach. They were comparedin terms of post op bleeding, relief of nasal obstruction, post op crusting & synechie/ adhesions. All the data was entered on SPSS-17 and analyzed. Results: Out of 90 cases, there were 43 (47.8%) females and 47 (52.2%) males with age range from 15-65, mean age 37.68 ± 11.56 Years. There was only 1 case of post op bleeding after microdebrider assisted turbinoplasty requiring nasal packing in contrast to 6 cases of post op bleeding after endoscopic partial turbinectomy. On one month post op visit, there was no case of nasal crusting in turbinoplasty group in contrast to 7 of mild and 1 of moderate crusting & 3 synechie/adhesions in endoscopic partial turbinectomy group. Conclusion: Microdebrider-assisted turbinoplasty is associated with less post operative bleeding and synechie formation as compared to endoscopic turbinectomy. Keywords: Allergic rhinitis, Microdebrider-assisted turbinoplasty, Endoscopic partial turbinectomy, Inferior turbinate hypertrophy. How to Cite This Article: Khan MA, Nawaz FUH, Tahir M, Mazhar H, Dawood M, Rahim E. Comparison of Microdebrider-Assisted Turbinoplasty Versus Endoscopic Partial Turbinectomy in Cases of Inferior Turbinate Hypertrophy in Allergic Rhinitis Patients. Pak Armed Forces Med J 2021; 71 (Suppl-3): S598-602. Doi: https://doi.org/10.51253/pafmj.v1i1.4121 INTRODUCTION Allergic rhinitis has been classified into perennial and seasonal types. Perennial allergic rhinitis persists throughout the year in contrast to seasonal variety in which symptoms occur during specific seasons. 1 How- ever, all the patients do not fit into this classification scheme. Therefore, allergic rhinitis is now also classi- fied according to duration of symptoms (intermittent or persistent) and severity (mild, moderate or severe). 2 Rhinitis is called intermittent rhinitis when the durat- ion of the episode of inflammation is less than 6 weeks, and is considered persistent when symptoms continue throughout the year. Prevalence of allergic rhinitis has been reported as 24.62% in Pakistan. 3 However much higher prevalence has been reported in USA and Europe, as high as 40%. 4 Symptoms are classified as mild when patients are generally able to sleep normal- ly and perform normal activities of daily life including work or school. Symptoms are categorized as mode- rate to severe if they significantly affect sleep and acti- vities of daily routine. Severe allergic rhinitis has been associated with change in quality of life and decreased performance at work. 5 A thorough history and physi- cal examination constitute the basis of diagnosing alle- rgic rhinitis. Nasal obstruction in allergic rhinitis pati- ents is a source of constant discomfort and worry for the individuals. Nasal obstruction is due to inferior turbinate hypertrophy in majority of such cases and is persistant. 6 Inferior turbinate is targeted to amplify and enhance space for airway with medical and sur- gical options. 7 Alpha agonist including oxymetazoline, xylometazoline etc are prescribed to decongest nasal This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Correspondence: Dr Faiz Ul Hassan Nawaz, Classified ENT Specialist, Combined Military Hospital Malir-Pakistan mzahid689@gmail.com Original Article Open Access