{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:54:20Z","timestamp":1790934860093,"version":"4.1.0"},"reference-count":73,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the treatment outcomes of various turbinate surgeries in patients with chronic rhinitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and Setting<\/jats:title>\n                    <jats:p>A systematic review and meta\u2010analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>A systematic search was conducted using six databases. Treatment conditions included six surgical interventions\u2014coblator\u2010assisted turbinoplasty (CAT), laser ablation, microdebrider\u2010assisted turbinoplasty (MAT), radiofrequency tissue volume reduction (RFVTR), submucosal diathermy (SMD) and partial inferior turbinectomy (PIT)\u2014and a reference intervention (submucosal resection). Outcomes included symptom scores, turbinate size, operative time and surgery\u2010related adverse effects such as atrophic changes, crusting, nasal dryness, mucosal tearing, revision rate and postoperative bleeding. Both pairwise and network meta\u2010analyses were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>MAT was associated with better outcomes across most parameters but showed a higher risk of mucosal tearing. SMD was associated with lower effectiveness in alleviating nasal obstruction at 6\u201312\u2009months and laser ablation was associated with reduced effectiveness in decreasing turbinate size. RFVTR exhibited the shortest operative time and was associated with advantages in minimising nasal dryness and preserving the mucosa. Regarding adverse effects, laser ablation was associated with an increased risk of atrophic rhinitis, PIT with a higher incidence of crusting and dryness and SMD with a greater likelihood of requiring revision surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MAT was associated with relatively favourable outcomes across most parameters; however, it also showed a higher risk of mucosal tearing. RFVTR was associated with advantages in minimising nasal dryness and preserving mucosal integrity. Both SMD and laser ablation were associated with comparatively limited efficacy and relatively higher rates of adverse effects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.70159","type":"journal-article","created":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T01:55:37Z","timestamp":1786758937000},"page":"831-848","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Efficacy and Safety of Turbinate Surgery for Chronic Rhinitis: A Systematic Review and Network Meta\u2010Analysis"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9248-5572","authenticated-orcid":false,"given":"Do Hyun","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4200-7174","authenticated-orcid":false,"given":"David W.","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery &amp; Communication Sciences Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2838-7820","authenticated-orcid":false,"given":"Se Hwan","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22073"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2019.06.049"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.4193\/Rhin09.017"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2011.03.007"},{"key":"e_1_2_12_6_1","first-page":"29","article-title":"Update on Surgical Management of Adult Inferior Turbinate Hypertrophy","volume":"23","author":"Ye T.","year":"2015","journal-title":"Current Opinion in Otolaryngology & Head and Neck Surgery"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00020840-200402000-00015"},{"key":"e_1_2_12_8_1","first-page":"117","article-title":"Turbinoplasty Using Submucosal Microdebrider, Radiofrequency and Conventional Surgical, What Is the Best?","volume":"4","author":"Abdel\u2010Fattah A.","year":"2014","journal-title":"Otolaryngology Online Journal"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e328334d974"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11739-016-1583-7"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.21053\/ceo.2025-00252"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.18787\/jr.2024.00015"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100112290"},{"key":"e_1_2_12_14_1","first-page":"1596","article-title":"Hypertrophic Rhinitis \u2013 Comparative Study of Submucosal Electric Cauterization Versus Turbinate Reduction Surgery","volume":"12","author":"Farrukh Mehmood J. I.","year":"2018","journal-title":"Pakistan Journal of Medical Sciences"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949910800608"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940010901109"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200303000-00022"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.08.006"},{"key":"e_1_2_12_19_1","first-page":"541","article-title":"Microdebrider\u2010Assisted Versus Laser\u2010Assisted Turbinate Reduction: Comparison of Improvement in Nasal Airway According to Type of Turbinate Hypertrophy","volume":"89","author":"Lee D. H.","year":"2010","journal-title":"Ear, Nose, & Throat Journal"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2007.03.002"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31816d728e"},{"key":"e_1_2_12_22_1","first-page":"630","article-title":"Inferior Turbinate Surgery for Chronic Hypertrophic Rhinitis: Comparison of Three Techniques","volume":"51","author":"Choi S. C.","year":"2008","journal-title":"Korean Journal of Otorhinolaryngology\u2010Head and Neck Surgery"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.10.035"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000227999.76713.d3"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000205140.44181.45"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20088"},{"key":"e_1_2_12_27_1","first-page":"138","article-title":"Microdebrider\u2010Assisted Versus Radiofrequency\u2010Assisted Inferior Turbinoplasty: A Prospective Study With Objective and Subjective Outcome Measures","volume":"30","author":"Cingi C.","year":"2010","journal-title":"Acta Otorhinolaryngologica Italica"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-010-1260-9"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1159\/000327607"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1809-48722011000400004"},{"key":"e_1_2_12_31_1","first-page":"201","article-title":"Comparison of the Outcomes of Partial Turbinectomy and Radiofrequency Tissue Ablation of Inferior Turbinates","volume":"33","author":"Yusubov S.","year":"2011","journal-title":"Cumhuriyet Medical Journal"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.4193\/Rhino13.183"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2014.28.4044"},{"key":"e_1_2_12_34_1","unstructured":"A.Yasir \u201cComparison and Evaluation Effect Between Microdebrider Assisted Turbinoplasty and Submucosal Diathermy of the Inferior Turbinates Techniques \u201d2015."},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.5152\/tao.2016.1747"},{"key":"e_1_2_12_36_1","unstructured":"E.Fathy \u201cComparative Study of Micro Debrider\u2010Assisted Versus Radio Frequency\u2010Assisted Inferior Turbinoplasty \u201d2016."},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3759-6"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.5606\/kbbihtisas.2016.26964"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1551553"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2017.1294764"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27103"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.21608\/ejnso.2019.57901"},{"key":"e_1_2_12_43_1","unstructured":"S.Shrivastava \u201cA Comparative Study of Partial Inferior Turbinectomy Versus Radio Frequency Ablation in the Patients With DNS with Hypertrophied Turbinate \u201d2020."},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.4103\/SJOH.SJOH_39_20"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102778"},{"issue":"1","key":"e_1_2_12_46_1","first-page":"28","article-title":"Post\u2010Operative Clinical and Radiological Assessment After Submucosal Resection of Inferior Turbinate and Partial Inferior Turbinectomy","volume":"2021","author":"Mansour T. M. M.","year":"2021","journal-title":"Al\u2010Azhar International Medical Journal"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.47210\/bjohns.2021.v29i2.435"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.53350\/pjmhs20221611696"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894211049573"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.18203\/issn.2454-5929.ijohns20222443"},{"issue":"1","key":"e_1_2_12_51_1","first-page":"74","article-title":"A Comparative Study Between Turbinoplasty and Submucosal Cautery for Surgical Management of Inferior Turbinate Hypertrophy and Correlation With Improvement in Nasal Obstruction","volume":"16","author":"Patil V.","year":"2023","journal-title":"Al Ameen Journal of Medical Sciences"},{"key":"e_1_2_12_52_1","article-title":"A Comparative Study of Outcomes of Submucosal Diathermy Versus Inferior Turbinoplasty in Patients With Deviated Nasal Septum With Inferior Turbinate Hypertrophy","volume":"16","author":"Shinde V.","year":"2024","journal-title":"Cureus"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-025-05353-3"},{"key":"e_1_2_12_54_1","first-page":"179","article-title":"Comparison Between Powered Turbinoplasty and Submucosal Resection of Turbinates in Treatment of Inferior Turbinate Hypertrophy","volume":"4","author":"Rindu Raveendran G. K. G.","year":"2021","journal-title":"International Journal of Medical Science and Public Health"},{"key":"e_1_2_12_55_1","first-page":"1398","article-title":"A Study to Compare Efficiency of Different Surgical Techniques for Inferior Turbinate Reduction","volume":"5","author":"Ahmad Abdul Khabeer C. B. P. C.","year":"2023","journal-title":"International Journal of Academic Medicine and Pharmacy"},{"key":"e_1_2_12_56_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21574"},{"key":"e_1_2_12_57_1","first-page":"1","article-title":"Comparative Study Between Diathermy and Microdebrider for Inferior Turbinate Reduction Surgeries","volume":"3","author":"Shrinivas S.","year":"2020","journal-title":"Rhinology Online"},{"key":"e_1_2_12_58_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215112002320"},{"key":"e_1_2_12_59_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"key":"e_1_2_12_60_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"key":"e_1_2_12_61_1","doi-asserted-by":"publisher","DOI":"10.4178\/epih.e2017047"},{"key":"e_1_2_12_62_1","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.1044"},{"key":"e_1_2_12_63_1","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.1167"},{"key":"e_1_2_12_64_1","first-page":"339","article-title":"An Audit of the Early Complications of Turbinectomy","volume":"76","author":"Oluwole M.","year":"1994","journal-title":"Annals of the Royal College of Surgeons of England"},{"key":"e_1_2_12_65_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940311200806"},{"key":"e_1_2_12_66_1","doi-asserted-by":"publisher","DOI":"10.14639\/0392-100X-964"},{"key":"e_1_2_12_67_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2023.103808"},{"key":"e_1_2_12_68_1","doi-asserted-by":"publisher","DOI":"10.21053\/ceo.2023.00038"},{"key":"e_1_2_12_69_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.929"},{"key":"e_1_2_12_70_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28586"},{"key":"e_1_2_12_71_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.31757"},{"key":"e_1_2_12_72_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25830"},{"key":"e_1_2_12_73_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0197-2456(97)00024-X"},{"key":"e_1_2_12_74_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199708213370810"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.70159","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/coa.70159","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.70159","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:08:45Z","timestamp":1790932125000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.70159"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,14]]},"references-count":73,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1111\/coa.70159"],"URL":"https:\/\/doi.org\/10.1111\/coa.70159","archive":["Portico"],"relation":{},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,14]]},"assertion":[{"value":"2026-02-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}