Turbinectomy: Partial Versus Mucosal Diathermy

NCT07457606 | Completed DMC

• 1 other identifier: PGMI, Lahore
• Study Type: interventional
• Target: 58
• Locations: 1 country
• Sites: 1

Brief Summary

Objectives: To compare the outcomes of partial turbinectomy versus mucosal diathermy in patients with inferior turbinate hypertrophy. Methodology: The ENT Department at Sheikh Zayed Hospital in Lahore carried out this non-randomized controlled study. Total 60 adults between the ages of 18 and 60 who have been diagnosed with inferior turbinate hypertrophy were included. Septal deviation, or other major sinonasal diseases; uncontrolled allergic rhinitis; prior nasal or turbinate surgery were excluded. In group A patients partial inferior turbinectomy (PIT) was done while in group B, submucosal diathermy (SMD) was done. A 10-point Visual Analogue Scale (VAS) was used to measure nose pain on the first postoperative day and at the one-month follow-up. Nasal obstruction scores (Grades 0-3) were assessed both before and after surgery at one and three months. Using Lund and Kennedy's standardized grading method, nasal crusting was assessed. At three-month follow-up visits, tissue healing quality was evaluated.

Conditions

Inferior Turbinate Hypertrophy

Keywords

turbinectomy; partial; diathermy

Outcome Measures

Primary Outcomes (3)

• Rate of Nasal Obstruction

  one month

• Incidence of Nasal Pain

  one month

• Rate of Nasal Crusting

  one month

Study Arms (2)

partial turbinectomy

ACTIVE COMPARATOR

Procedure: partial turbinectomy

mucosal diathermy

EXPERIMENTAL

Procedure: submucosal diathermy

Interventions

partial turbinectomy PROCEDURE

After achieving adequate anesthesia and decongestion, the inferior turbinate will be visualized using a nasal speculum or endoscope. The medial one-third of the hypertrophied turbinate, including both the mucosal covering and underlying bony structure, will be carefully removed using turbinectomy scissors. The resection will be limited to the anterior two-thirds of the turbinate, avoiding injury to the posterior end. Bleeding points will be controlled using bipolar cautery or nasal packing as needed

partial turbinectomy

submucosal diathermy PROCEDURE

Once the turbinate is exposed, an insulated diathermy needle will be inserted into the submucosal layer at the anterior end of the inferior turbinate. The needle will be advanced along the turbinate's length, staying close to the bone. A low-voltage coagulation current will be applied during withdrawal of the needle, typically in two to three passes to cover the superior, middle, and inferior aspects of the turbinate. This causes shrinkage of the submucosal tissue while keeping the outer mucosa mostly intact. Hemostasis will be ensured before the procedure is completed

mucosal diathermy

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Confirmed diagnosis of inferior turbinate hypertrophy.
• Persistent nasal obstruction symptoms for over 6 months.
• Inadequate response to conservative medical treatments like intranasal corticosteroids and antihistamines for at least 3 months

You may not qualify if:

• Causes of nasal obstruction other than nasal polyps, septal deviation, sinusitis, or other major sinonasal diseases.
• Uncontrolled allergic rhinitis or undergoing immunotherapy.
• Previous nasal or turbinate surgery.
• Systemic diseases affecting nasal mucosa such as Wegener's granulomatosis, sarcoidosis, or cystic fibrosis.
• Pregnancy or breastfeeding.
• Bleeding disorders or use of anticoagulant therapy.
• Inability to adhere to the study protocol or cognitive impairments affecting understanding and compliance

Sponsors & Collaborators

• Shahida Islam Medical Complex: lead

Study Sites (1)

Shaikh Zayed Hospital, Lahore

Lahore, Punjab Province, 60000, Pakistan

Location

MeSH Terms

Conditions

Fever

Condition Hierarchy (Ancestors)

Body Temperature Changes; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• mudassar saeed pansota

  Assistant Professor of Urology, Shahida Islam Teaching Hospital, Lodhran, Pakistan

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: clinical professor

Study Record Dates

• First Submitted: February 26, 2026
• First Posted: March 9, 2026
• Study Start: September 27, 2025
• Primary Completion: November 26, 2025
• Study Completion: December 25, 2025
• Last Updated: March 9, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)