الفهرس 
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Abstract
SUMMARY
Chronic nasal obstruction is one of the oldest and most common human complaints. It can result either from mucosal disease associated with turbinate hypertrophy or from nasal and septal deformities. Turbinate hypertrophy is observed in various conditions, including allergic rhinitis, vasomotor rhinitis, or chronic hypertrophic rhinitis.
If there is inadequate response to conservative medical management of inferior turbinate hypertrophy, the inferior turbinates should be reduced. The choice of treatment is mainly influenced by whether the nasal airway obstruction is due to hypertrophic mucosa or to an enlarged turbinate bone.
Recently temperature controlled radiofrequency tissue reduction has been used for the treatment of the hypertrophied inferior turbinates. It uses heat generated from radiofrequency energy which induces submucosal necrosis. Wound contraction by fibrosis results in submucosal tissue volume reduction and relief of nasal obstruction without causing damage to the overlying mucosa.
Submucosal microdebrider turbinate reduction is also a safe alternative procedure and provides rapid healing with low complication rates, especially postoperative crusting. It also has a shorter operative time than conventional turbinate surgery and improvment of surgical outcome.
This systematic review was conducted to compare between radiofrequency and microdebrider inferior turbinoplasty in alleviating nasal obstruction due to inferior turbinate hypertrophy.
Databases searches revealed over 981 articles, only 5 articles met our criteria on which meta-analysis could be done. The results were as follows:
Data pooled from studies comparing RF versus MD as regards the nasal obstruction VAS score at one, three and six months showed no statistically significant difference between both groups.
However nasal obstruction measured by VAS score improved significantly better using MD than the RF at twelve months post-operatively
Nasal epithelial function measured by saccharin transport time compared between MD and RF postoperatively
and there was no statistically significantly different between both groups.
Operative time compared between MD and RF showed statistically significantly less operating time in RF group