Inferior turbinate (lining of nose) surgery is a commonly performed procedure in ENT as shrinking the lining may reduce some of the symptoms of allergic rhinitis, particularly nose blockage. This procedure is carried out using a multitude of techniques including cautery, laser and plasma knife. Although unusual, there is the potential for complications such as excessive bleeding and dry nose from these procedures.
We set out to identify randomised controlled trials (RCTs) of inferior turbinate surgery compared to continued medical treatment in allergic rhinitis patients in whom medical treatment had failed to relieve symptoms. We also looked for RCTs comparing one technique of turbinate surgery with another. Although our search was extensive, we were not able to find any RCTs which met our inclusion criteria.
Research, in the form of properly conducted trials comparing various techniques and assessing long-term results and complications, has not yet been done in this field. We therefore conclude that the evidence in the literature is not robust enough about the usefulness of surgery using any technique for this condition.