Objective

Inferior turbinates are the main structure related to impaired nasal breathing. When medical treatment fails, surgery is the next step, according to clinical guidelines. However, despite the widespread acceptance of this procedure, there is some controversy about performing it in children.

Data sources

Pubmed (Medline), the Cochrane Library, EMBASE, Scopus, Science direct, SciELO and Trip Database.

Review methods

We looked for articles in which the individual outcome of turbinate surgery in pediatric patients was investigated independently of whether it was the main objective of the study or not.

Results

13 papers (1111 patients) met the inclusion criteria. 6 authors performed diverse objective assessment and 11 authors used subjective scales. All of them found improvement after surgery. Due to the heterogeneity of the methods used, they could not be included in a metanalysis. Eleven out of the 13 authors reported 3.12% complication rates, being minor bleeding the most common (1.30%), followed by crust (0.49%) and pain (0.47%).

Conclusions

There is a lack of high quality studies in children. Turbinate surgery in children is a safe technique with low complication rates. The available evidence suggests improvement in subjective outcomes after turbinate surgery in children. We cannot make a formal recommendation of a surgical technique in children given the lack of high quality studies, and since comparison between available papers is not possible. Although the evidence at our disposal is weak, it suggests that the safest techniques are MAIT, radiofrequency, coblation and laser.

中文翻译：

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小儿鼻甲手术后的安全性，主观和客观变化：系统评价。

目的

下鼻甲是与鼻呼吸障碍有关的主要结构。根据临床指南，当药物治疗失败时，下一步就是手术。但是，尽管该程序已被广泛接受，但在儿童中执行该程序仍存在一些争议。

数据源

Pubmed（Medline），Cochrane图书馆，EMBASE，Scopus，Science direct，SciELO和Trip数据库。

审查方法

我们寻找的文章对儿童鼻甲手术的个体结局进行了调查，而不论其是否是研究的主要目的。

结果

符合纳入标准的论文13篇（1111例）。6位作者进行了各种各样的客观评估，11位作者使用了主观量表。他们都在手术后发现好转。由于所用方法的异质性，因此无法将它们包括在元分析中。13位作者中有11位报告并发症发生率3.12％，其中以小出血最为常见（1.30％），其次是结皮（0.49％）和疼痛（0.47％）。

结论

儿童缺乏高质量的研究。儿童鼻甲手术是一种安全的技术，并发症发生率低。现有证据表明，儿童鼻甲手术后主观预后得到改善。鉴于缺乏高质量的研究，我们无法对儿童的手术技术提出正式建议，并且由于无法对现有论文进行比较。尽管我们掌握的证据还很薄弱，但这表明最安全的技术是MAIT，射频，消融和激光。