Although inferior turbinectomy with submucosal resection effectively reduces the volume of the inferior turbinate, there is room for improvement in surgical procedures. Techniques have been developed to reduce crusting and bleeding while efficiently achieving volume reduction. State-of-the-art procedures pertaining to the local injection site, incision line, exposure of the periosteum, submucosal outfracture of the turbinate bone, trimming of redundant mucosa, and incision line suturing are described. Pre and postoperative Nasal Obstruction Symptom Evaluation (NOSE) scores and postoperative inferior turbinate bleeding and crusting were evaluated. For the 18 consecutive patients analyzed, the pre and postoperative NOSE scores were 67.8 ± 14.8 and 16.1 ± 13.0, respectively (P = .0002). Postoperatively, bleeding was absent, and only minor suture thread crusting was observed in 13 patients. In conclusion, our novel technique improves the effectiveness of surgery as well as the postoperative quality of the inferior turbinate.

1. Sinno, S, Mehta, K, Lee, ZH, et al. Inferior turbinate hypertrophy in rhinoplasty: systematic review of surgical techniques. Plast Reconstr Surg. 2016;138:419e–429e.
Google Scholar | Crossref | Medline2. Liu, CM, Tan, CD, Lee, FP, et al. Microdebrider-assisted versus radiofrequency-assisted inferior turbinoplasty. Laryngoscope. 2009;119:414–418.
Google Scholar | Crossref | Medline3. Stewart, MG, Witsell, DL, Smith, TL, et al. Development and validation of the nasal obstruction symptom evaluation (NOSE) scale. Otolaryngol Head Neck Surg. 2004;130:157–163.
Google Scholar | SAGE Journals4. O’Brien, DC, Utainrat, W, Setabutr, D. Surgical management of inferior turbinate hypertrophy. Oper Tech Otolaryngol Head Neck Surg. 2018;29:83–88.
Google Scholar | Crossref5. Scott, JR, Psaltis, AJ, Wormald, PJ. Vascular anatomy of the inferior turbinate and its clinical implications. Am J Rhinol Allergy. 2020;34:604–609.
Google Scholar | SAGE Journals6. Higgins, TS, Hwang, PH, Kingdom, TT, et al. Systematic review of topical vasoconstrictors in endoscopic sinus surgery. Laryngoscope. 2011;121:422–432.
Google Scholar | Crossref | Medline7. Passàli, D, Passàli, FM, Damiani, V, et al. Treatment of inferior turbinate hypertrophy: a randomized clinical trial. Ann Otol Rhinol Laryngol. 2003;112:683–688.
Google Scholar | SAGE Journals8. Kim, SL, Kim, SD, Na, HS, et al. The efficacy of cotton ball packing after endoscopic sinus surgery: a prospective, randomized, controlled trial. Auris Nasus Larynx. 2019;46:742–747.
Google Scholar | Crossref | Medline9. Lipan, MJ, Most, SP. Development of a severity classification system for subjective nasal obstruction. JAMA Facial Plast Surg. 2013;15:358–361.
Google Scholar | Crossref | Medline10. Rhee, JS, Sullivan, CD, Frank, DO, et al. A systematic review of patient-reported nasal obstruction scores: defining normative and symptomatic ranges in surgical patients. JAMA Facial Plast Surg. 2014;16:219–222.
Google Scholar | Crossref | Medline