Clinical efficacy of combined treatment with trichloroacetic acid chemical cautery and steroid spray in allergic rhinitis with inferior turbinate hypertrophy

Abstract

Objectives: 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 . Patients and 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. 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.