Background: the septal body contains vasoactive tissues that may behave in a manner similar to inferior turbinate; it may undergo changes that alter the nasal anatomy and airflow pattern.
Aim: Evaluation of coblation reduction the septal body swelling on the nasal airway with or without coblation of hypertrophied inferior turbinate.
Patients and methods: the study was carried out on 60 patients complaining from nasal obstruction in Benha university hospitals from Jan 2014 to July 2015, they were divided in two groups, one of them (group A) subjected to coblation reduction of the inferior turbinate while the second group(B) subjected to coblation of both septal body and inferior turbinate , both groups were assisted subjectively through the NOSE scale and objectively through acoustic rhinometry and CT scan .
Results: there was a significant difference between 2 groups as regard nasal congestion (P=0.027), nasal obstruction (P=0.038), and sleeping problems (P=0.033), although there was no significant difference in other NOSE questioner parameters. 3 months postoperatively acoustic rhinometry results revealed significant difference between groups in terms of nasal resistance on the RT side (P=0,043) and LT side (p=0.033) and nasal volume on the RT side (0,031) and the LT side (P=0.042)
Conclusion: combined volume reduction of both inferior turbinate and septal body swelling using submucosal coblation is simple, safe and more effective than coblation of inferior turbinate alone
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