Argon Plasma Surgery for the Inferior Turbinate of Patients With Perennial Nasal Allergy

Fukazawa, Keijiro; Ogasawara, Hiroshi; Tomofuji, Seiichi; Fujii, Megumi; Sakagami, Masafumi

doi:10.1097/00005537-200101000-00025

Cited by 17 publications

(12 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This produces tissue desiccation but preserves the mucosa and has shown promising 1-year results. 533 Radiofrequency ablation (RFVTR), a relatively new technique conducted under local anesthesia, creates ionic agitation in the tissue, inducing submucosal necrosis and fibrosis and reduced blood flow to the turbinate. Resultant wound contraction causes volume reduction of the inferior turbinate without damage to the overlying mucosa and preserves mucociliary clearance.…”

mentioning

confidence: 99%

The diagnosis and management of rhinitis: An updated practice parameter

Wallace¹,

Dykewicz²,

Bernstein³

et al. 2008

Journal of Allergy and Clinical Immunology

941

953

View full text Add to dashboard Cite

mentioning

confidence: 99%

The diagnosis and management of rhinitis: An updated practice parameter

Wallace¹,

Dykewicz²,

Bernstein³

et al. 2008

Journal of Allergy and Clinical Immunology

941

953

View full text Add to dashboard Cite

“…Concerning the effects of APC on the physiology of the nasal mucosa, regeneration of epithelial cells occurred within 3 months and mucociliary clearance did not change significantly in APC-treated areas [29].…”

Section: Discussionmentioning

confidence: 90%

Argon Plasma Surgery for Treatment of Inferior Turbinate Hypertrophy: A Long-Term Follow-Up in 157 Patients

Ferri¹,

Armato²,

Cavaleri³

et al. 2003

ORL

View full text Add to dashboard Cite

Chronic nasal obstruction is a common disorder, mostly caused by hypertrophic inferior turbinates. In cases of nonresponse to conservative medical management, the surgical reduction of the inferior turbinates is often required. Surgical techniques for the reduction of hyperplastic nasal turbinates include monopolar or bipolar coagulation, partial or total reduction of the turbinates with a conchotome or scissors and laser surgery with Nd:YAG, CO₂ or KTP. Argon plasma coagulation (APC) is a new, innovative technique in otorhinolaryngology which is based on high-frequency electrocoagulation with an argon gas source. The fast and short surgery times, the absence of hemorrhagic complications and, in rhinosurgery, the complete abstention from any kind of nasal packing are remarkable. Between March and November 2000, a group of 157 patients with symptoms of nasal obstruction due to hypertrophic inferior turbinates were treated using APC, at the Otorhinolaryngology Surgery Department of the Hospital of Dolo (Venice). The follow-up period was 24 months. Rhinomanometry was performed to objectively measure the nasal obstruction and to verify the postoperative improvement. The Student t test was used for statistical data. After 24 months, 87% (p < 0.001) of the patients reported to have a better nasal airflow than before the operation. None of the patients needed a nasal packing after APC surgery. The indication, advantages, complications, controversies and long-term results of the treatment with APC in rhinosurgery are reviewed and discussed.

show abstract

“…Fukazawa et al 4 investigated histological changes in the mucosa of inferior tur· binate after surgery, and they observed that the mucosal surface was covered with non-ciliated cuboidal epithelium at postoperative month 3, showing fibrosis of the lamina propria mucosae and a decrease in nasal glands. By contrast, it was reported that the mucosal epithelium returned to the same ciliated epithelium as that seen before surgery at 3 months after surgery, and no differences were observed between pre-and post-operative results of mucus ciliary function test.…”

Section: Discussionmentioning

confidence: 99%

Argon Plasma Coagulation for Intractable Nasal Obstruction Occurring in Patients With Allergic Rhinitis

Ogino-Nishimura

Okamura

Takiguchi

2003

FJMS

View full text Add to dashboard Cite

New surgical treatment for the intractable nasal obstruction in patients with nasal allergy by using Argon Plasma Coagula tor (APC) was introduced. Of patients with allergic rhinitis treated at our institute, 28 patients complaining nasal obstruction were treated APC surgery. Epithelization of the mucosa of inferior turbinate was almost completely accomplished at 4 weeks after surgery, at which time mucosal swelling was reduced, and nasal obstruction was ameliorated in all cases, though a crust and fibrin membrane adhered to the mucosa between 2 to 4 weeks after surgery, resulting in temporary exacerbation of nasal obstruction. Nasal obstruction was again aggravated in only one patient about 6 months after surgery, but such symptom could be ameliorated by re-coagulation. No bleeding and no smoke occurred in the operation. No morbidity was also noticed after operation. APC is easy to perform safely and effectively compared with another laser surgeries, and is useful for intractable nasal obstruction occurring in patients with allergic rhinitis.

show abstract

Argon Plasma Surgery for the Inferior Turbinate of Patients With Perennial Nasal Allergy

Abstract: This is the first report on the clinical effects of turbinate surgery for nasal allergy using APC. APC was useful fer turbinate surgery of nasal allergy, especially for nasal stuffiness and congestion of the turbinate.

Cited by 17 publications

References 10 publications

The diagnosis and management of rhinitis: An updated practice parameter

The diagnosis and management of rhinitis: An updated practice parameter

Argon Plasma Surgery for Treatment of Inferior Turbinate Hypertrophy: A Long-Term Follow-Up in 157 Patients

Argon Plasma Coagulation for Intractable Nasal Obstruction Occurring in Patients With Allergic Rhinitis

Contact Info

Product

Resources

About