INTRODUCTION: 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).
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.
DISCUSSION AND 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.