Clinical efficacy of combined treatment with trichloroacetic acid chemical cautery and steroid spray in allergic rhinitis with inferior turbinate hypertrophy

Year 2018, Volume: 28 Issue: 2, 85 - 92, 15.06.2018

Sanjana Nemade Pratibha Sampate Kiran Shinde

Abstract

Objectives: Comparison between efficacy of combined treatment with trichloroacetic acid TCA chemical cautery and steroid nasal spray in the treatment of allergic rhinitis AR with inferior turbinate hypertrophy ITH . Patients and Methods: A total of 132 patients with ITH due to AR were included in the study. Forty-four patients each were treated with TCA chemical cauterization of inferior turbinate Group A , steroid nasal spray Group B , or combined treatment with TCA cautery and steroid nasal spray Group C . The Symptom Severity Grade SSG 1-5 based on a validated Questionnaire Sheet QS as well as Visual Analog Scale were documented before and after treatment. Results: Before treatment, the SSG was 3-5 in 37 84% , 36 81.8% , and 40 90.9% patients in groups A, B, and C, respectively. At six months post-treatment, SSG 1-2 was achieved in 20 patients 45.4% in Group A, 18 patients 40.9% in group B and 31 patients 70.4% in Group C. Statistically significant improvement was found in patients who received the combined treatment. Conclusion: Combined treatment with TCA chemical cauterization of inferior turbinate and steroid nasal spray can be effective therapy for amelioration of symptoms of AR and ITH.

Keywords

Inferior turbinate hypertrophy, questionnaire, steroid nasal spray, symptom severity grade, trichloroacetic acid chemical cautery

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