Research Article

Efficacy of submucosal diathermy in allergic rhinitis

Abstract

Background: Allergic rhinitis most commonly managed medically like nasal corticosteroid application, but with limited compliance, while, surgical techniques as submucosal diathermy may reduce both the duration and the need for long time in those conservative therapy. Objective: To assess the results of submucosal diathermy in allergic rhinitis patients of perennial type. Patients and method: A prospective observational study enrolled on 140 participants, whom diagnosed with medical refractory perennial allergic rhinitis based upon Allergic Rhinitis and its Impact on Asthma (ARIA) criteria, underwent to bilateral submucosal diathermy of inferior turbinate, the degree of symptoms severity was assessed using a Rhino-conjunctivitis Quality of Life Questionnaire (RQLQ) scoring system, and Nasal Obstruction Symptoms Evaluation (NOSE) scale, and nasal endoscopy gradings were analyzed and compared pre and post-operatively to detect their improvement. Results: Mean age 34.37± 1,47 SD, males (57%), females (43%), positive allergy family history (85%), Nasal obstruction was the main presenting symptom (86.24%), RQLQ improvement scoring of symptomologies at 6 months follow-up; nasal obstruction (88.5%), sneezing (77.1%), need to frequently blow nose (82.8%), sleep disturbance (62.8%), and watering of eyes (57.15%). NOSE scale score (78.34± 5.87 SD), pre-operatively to became (1.67 ± 1.35 SD), at 6 months post-operatively, and nasal endoscopic inferior turbinate grading; from (>50%) before surgery to (<25), at 6 months after. Overall success rate (96.42%), with statically significant results, as P values were <0.05. Conclusion: Submucosal diathermy results in significant improvement in symptomology, excellent overall success rate, also, no complications were detected at 6 months follow-up.