الفهرس 
A study of tunneling technique as a method for inferior turbinoplasty
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Abstract
Objective :To evaluate the Tunneling technique and assess its efficacy as a method of power-assisted inferior turbinoplasty .Methods: A total of 50 patients with hypertrophied inferior turbinateswere included in the study and underwent tunneling technique as a method for inferior turbinoplasty. Theyweresubjectedtodetailedassessmentprotocolpreoperativelyincluding visual analogue scale (VAS), anterior rhinomanometry,CT scan and saccharin test. Follow up assessment was done at second week postoperative including anterior rhinoscopy and nasal endoscopy then one month postoperative including VASand saccharin test and three months postoperative including VAS and anterior rhinomanometry. Conclusion:Tunneling technique has enabled accurate approach for management of chronic nasal obstruction due to inferior turbinates hypertrophy.The technique also offers a significant reduction of the nasal symptoms postoperatively with marked improvement of the nasal resistance and quality of life as it gathers the benefits of submucosal resection of inferior turbinate with microdebrider (SMRM) which is directed mainly to the bony component of the turbinate and the classic power assisted turbinoplasty (PAT) which is directed mainly to the submucosal soft tissue of the inferior turbinate .The technique has some drawbacks which are summarized as follows: (1) the high cost of microdebrider blades, (2) the device is less common in surgical centers, (3) it requires special training on the technique and operating the device, (4) it needs visualization of the inferior turbinate by nasal endoscopy.The accidental adhesions experienced by some patients postoperative must be put in concern otherwise no major complication isdetected