Effect of turbinate reduction surgery on allergic rhinitis symptoms in hospitalized patients

Yusuf Kusuma Dewa*  -  Faculty of Medicine, Universitas Islam Sultan Agung, Semarang, Central Java,, Indonesia
Andriana Tjitria Widi Wardani Sardjana  -  Department of Ear, Nose, and Throat (Otolaryngology) - Head and Neck Surgery, Faculty of Medicine, Universitas Islam Sultan Agung – Sultan Agung Islamic Teaching Hospital, Semarang, Central Java, Indonesia
Moch. Agus Suprijono  -  Department of Anatomical Pathology, Faculty of Medicine, Universitas Islam Sultan Agung, Semarang, Central Java, Indonesia

(*) Corresponding Author
DOI: 10.30659/sainsmed.v15i2.35561
Allergic rhinitis is characterized by nasal congestion, rhinorrhea, sneezing, and itching, significantly impacting patients' quality of life. Turbinate reduction surgery is a therapeutic option for allergic rhinitis refractory to pharmacological treatments. This study aimed to evaluate the effectiveness of turbinate reduction surgery in alleviating allergic rhinitis symptoms. An experimental one-group pretest-posttest design was employed, utilizing primary data collected from 19 patients diagnosed with allergic rhinitis (SFAR = 7) who underwent turbinate reduction surgery at the ENT Clinic, Sultan Agung Islamic Teaching Hospital, Semarang, from April to July 2023. Participants aged 18–55 years were included after providing informed consent. Allergic rhinitis was diagnosed using the Score for Allergic Rhinitis (SFAR), and symptom severity was assessed using the Total Nasal Symptom Score (TNSS). Results showed a significant reduction in the mean TNSS score from 7.79 ± 2.070 pre-surgery to 1.00 ± 0.745 post-surgery (p = 0.000). Scores for allergic rhinitis symptoms also decreased significantly (p < 0.05). These findings suggest that turbinate reduction surgery effectively alleviates allergic rhinitis symptoms in hospitalized patients. Future research should consider larger sample sizes, extended study periods, inclusion of comparison groups, and evaluation of potential surgical complications.

Keywords: Turbinate reduction surgery; Total Nasal Symptom Score; Allergic rhinitis

  1. Abdullah, B., & Singh, S. (2021). Surgical interventions for inferior turbinate hypertrophy: A comprehensive review of current techniques and technologies. International Journal of Environmental Research and Public Health, 18(7): 1–15. https://doi.org/10.3390/ijerph18073441
  2. Afriana, A., Syabriansyah, S., & Dita, D. A. A. (2023). Profile of allergic rhinitis and its association with chronic suppurative otitis media. Muhammadiyah Medical Journal, 4(2): 64-71. https://doi.org/10.24853/mmj.4.2.64-71
  3. Alnahas, S., Abouammoh, N., Althagafi, W., & Abd-Ellatif, E. E. (2023). Prevalence, severity, and risk factors of allergic rhinitis among schoolchildren in Saudi Arabia: A national cross-sectional study, 2019. World Allergy Organization Journal, 16(10):1-15. https://doi.org/10.1016/j.waojou.2023.100824
  4. Bonds, R. S., & Midoro-Horiuti, T. (2013). Estrogen effects in allergy and asthma. Current Opinion in Allergy and Clinical Immunology, 13(1), 92–99. https://doi.org/10.1097/ACI.0b013e32835a6dd6
  5. Ciprandi, G., Tosca, M. A., Gallo, F., Passali, G. C., & Ameli, F. (2020). Turbinate hypertrophy in children with allergic rhinitis: Clinical relevance. Acta Biomedica, 91(S1): 43–47. https://doi.org/10.23750/abm.v91i1-S.9254
  6. Dikici, O., & Durgut, O. (2024). Impact of septal deviation and turbinate hypertrophy on nasal airway obstruction: insights from imaging and the NOSE scale: a retrospective study. Egyptian Journal of Otolaryngology, 40(1):1-8. https://doi.org/10.1186/s43163-024-00650-0
  7. Gera, N. M. M. S., Yudanto, D., Sahidu, M. G., & Hunaifi, I. (2021). Korelasi Total Nasal Symptom Score (TNSS) dengan kualitas tidur penderita rhinitis alergi mahasiswa Fakultas Kedokteran Universitas Mataram. 12(1): 83–87. https://doi.org/10.15562/ism.v12i1.877
  8. Hong, S. N., Won, J. Y., Nam, E. C., Kim, T. S., Ryu, Y. J., Kwon, J. W., & Lee, W. H. (2020). Clinical Manifestations of allergic rhinitis by age and gender: A 12-year single-center study. Annals of Otology, Rhinology and Laryngology, 129(9): 910–917. https://doi.org/10.1177/0003489420921197
  9. Husna, S. M. N., Tan, H.-T. T., Shukri, N. M., Ashari, N. S. M., & Wong, K. K. (2022). Allergic rhinitis: a clinical and pathophysiological overview. Frontiers in Medicine, 9(April): 1–10. https://doi.org/10.3389/fmed.2022.874114
  10. Irawati, N., Bashiruddin, J., Rengganis, I., Lisnawati, L., Dharma, R., Harahap, A., & Wardhani, R. S. (2023). The effect of early radiofrequency turbinate reduction, intranasal steroid, and antihistamine H-1 on persistent allergic rhinitis: a randomized clinical trial. Brazilian Journal of Otorhinolaryngology, 89(2): 235–243. https://doi.org/10.1016/j.bjorl.2022.04.001
  11. Janson, C. (2024). Does allergy decrease with age? Revue Francaise d’Allergologie, 64(103789): . https://doi.org/10.1016/j.reval.2024.103789
  12. Kasim, M. (2020). Jurnal Ilmiah Kesehatan Sandi Husada Hubungan Rinosinusitis Kronik Dengan Rinitis Alergi Pendahuluan. 11(1): 271–277. https://doi.org/10.35816/jiskh.v10i2.266
  13. Kim, D. K., Park, S. C., Kim, D. H., Jun, Y. J., Kim, S. W., Yang, H. J., Yang, S. I., & Kim, H. J. (2023). Long-term Outcomes of turbinate surgery in patients with allergic rhinitis: A systematic review and meta-analysis. JAMA Otolaryngology–Head & Neck Surgery, 149(1): 15–23. https://doi.org/10.1001/jamaoto.2022.3567
  14. Klimek, L., Bachert, C., Pfaar, O., Becker, S., Bieber, T., Brehler, R., Buhl, R., Casper, I., Chaker, A., Czech, W., Fischer, J., Fuchs, T., Gerstlauer, M., Hörmann, K., Jakob, T., Jung, K., Kopp, M. V., Mahler, V., Merk, H., … Bousquet, J. (2019). ARIA Guideline 2019: Treatment of Allergic Rhinitis in the German Health System. Allergologie Select, 3(01): 22–50. https://doi.org/10.5414/alx02120e
  15. Maniaci, A., Di Luca, M., La Mantia, I., Grillo, C., Grillo, C. M., Privitera, E., Vicini, C., Iannella, G., Renna, C., Bannò, V., Migliore, F., & Cocuzza, S. (2021). Surgical treatment for the refractory allergic rhinitis: State of the Art. Allergies, 1(1): 48–62. https://doi.org/10.3390/allergies1010005
  16. Neri, G., Cazzato, F., Vestrini, E., Torre, P. La, Quaternato, G., & Neri, L. (2019). Turbinate Surgery in chronic rhinosinusitis : Techniques and ultrastructural outcomes. Rhinosinusitis, 1–20. https://doi.org/10.5772/intechopen.84506
  17. Nuhi, A., Jintu, A., Amresh, K., & Harinderjit, S. (2024). Allergic rhinitis: Impact on Qquality of life. Annals of Pulmonary & Respiratory Medicine Allergic Rhinitis : Impact on Quality of Life. 2(1), 2–5. https://www.remedypublications.com/open-access/allergic-rhinitis-impact-on-quality-of-life-10136.pdf
  18. Nurhutami, A. D., Marliyawati, D., & Dewi, A. M. K. (2020). Faktor Risiko rinitis alergi pada anak usia 13-14 tahun di Semarang. Diponegoro Medical Journal, 9(2): 154-160. https://doi.org/10.14710/dmj.v9i2.27096
  19. Scadding, G. K., Smith, P. K., Blaiss, M., Roberts, G., Hellings, P. W., Gevaert, P., Mc Donald, M., Sih, T., Halken, S., Zieglmayer, P. U., Schmid-Grendelmeier, P., Valovirta, E., Pawankar, R., & Wahn, U. (2021). Allergic Rhinitis in childhood and the New EUFOREA Algorithm. Frontiers in Allergy, 2(July): 1–12. https://doi.org/10.3389/falgy.2021.706589
  20. Wibowo, E. B., Dermawan, A., & Sudiro, M. (2022). Clinical signs in allergic rhinitis patients at Dr. Hasan Sadikin General Hospital Bandung 2017-2021. Althea Medical Journal, 9(3): 168–173. https://doi.org/10.15850/amj.v9n3.2682

Open Access Copyright (c) 2024 Sains Medika : Jurnal Kedokteran dan Kesehatan
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Sains Medika: Jurnal Kedokteran dan Kesehatan
is published by Faculty of Medicine Universitas Islam Sultan Agung, Indonesia in association with FOKI (FORUM KEDOKTERAN ISLAM INDONESIA).

Contact: Jl. Raya Kaligawe Km.4, PO BOX 1054/SM Semarang 50112, Indonesia
Phone: +62 8122-9933-369
Website: https://fkunissula.ac.id
Email: sainsmedika@unissula.ac.id

ISSN: 2339-093X (Online) | 2085-1545 (Print)
DOI : 10.30659/sainsmed

This work is licensed under a Creative Commons Attribution 4.0 International License

Get a feed by atom here, RRS2 here and OAI Links here

apps