CHRONIC VASOMOTOR RHINITIS: Treatment by Submucous Diathermic Coagulation

Shahinian, Lee

doi:10.1001/archotol.1953.00710030498001

Cited by 15 publications

(14 citation statements)

References 11 publications

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“…None of our patients at any stage complained of nasal crusting. House (1951), Shahinian (1953), Principato (1979) and others who did submucous turbinectomy had reported similar complications of this procedure. Richard (1984) and Davies (1987) have reported the incidence of primary haemorrhage in their cases ofturbinectomy to be 8.6% and 8.8% respectively.…”

Section: S M R Oflnferior Turbinate In Chronic Hypertrophic Rhinitis-mentioning

confidence: 79%

S M R of inferior turbinate in chronic hypertrophic rhinitis

1999

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Section: S M R Oflnferior Turbinate In Chronic Hypertrophic Rhinitis-mentioning

confidence: 79%

S M R of inferior turbinate in chronic hypertrophic rhinitis

1999

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“…Impaired nasal breathing was most consistently responsive to treatment but the subjective annoyance of excess nasal secretions was frequently reduced in varying degrees, and headaches, sneezing and pruritus were sometimes ameliorated. 28 Subsequent studies report that subjective improvements in nasal airflow occur in between 76 per cent and 95 per cent of patients, one to three months after surgery. 22,30,35,37 However, Cook et al 38 argue that there is no significant change in subjective nasal airflow after submucosal diathermy and suggest that the subjective sensation of airflow six weeks postoperatively is actually worse.…”

Section: Efficacy and Safetymentioning

confidence: 98%

“…Williams et al 2 suggest that accurate calculation of the current applied to the tissues by submucosal diathermy is impossible due to the unpredictable variables involved. Shahinian 28 recognised the need for calibration many years ago in experiments on raw beef. He assessed optimal current density and duration of application by judging maximal coagulation in the absence of charring.…”

Section: The Effects Of Submucosal Electrosurgery On Turbinate Tissuementioning

confidence: 99%

“…Early reviews on submucosal diathermy claimed 'relief from nasal obstruction in practically every case' with only a few patients requiring repeated treatment. 6 Shahinian 28 reported on the outcome of 412 patients treated with submucosal diathermy who had relief for between two and 10 years. Impaired nasal breathing was most consistently responsive to treatment but the subjective annoyance of excess nasal secretions was frequently reduced in varying degrees, and headaches, sneezing and pruritus were sometimes ameliorated.…”

Section: Efficacy and Safetymentioning

confidence: 99%

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Understanding submucosal electrosurgery for the treatment of nasal turbinate enlargement

Farmer

Eccles

2006

J. Laryngol. Otol.

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The surgical management of inferior turbinate enlargement is controversial. Submucosal electrosurgical techniques for turbinate reduction include conventional diathermy, radiofrequency tissue reduction and coblation. All electrosurgical techniques use radiofrequency electricity to damage turbinate tissue but differ in the control and delivery of energy. This review will examine the history of submucosal electrosurgery and clarify the various techniques. This review will also examine the evidence for the efficacy and safety of electrosurgery for the treatment of nasal turbinate enlargement, and will make a case that no progress will be made in clinical trials on the safety and efficacy unless there is standardisation of equipment and techniques in nasal electrosurgery.

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“…At first these utilized galvanic current [16] or hot wires [17], The advent of surgical diathermy, first realized by Nagelschmidt [18] in 1909, brought the development of unipolar [19] and bipolar [20] techniques of submucosal diathermy (SMD). Several series followed and demonstrated good results [21][22][23].…”

Section: Introductionmentioning

confidence: 99%

Submucosal Diathermy of the Inferior Turbinate and the Congested Nose

Haacke¹,

Pf²

1985

ORL

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Surgical correction of the congested nose is frequently attempted. In the absence of a septal deformity, engorgement of the inferior turbinate is usually held to be the culprit, and various procedures have been advocated to counter this problem. Submucosal diathermy to the inferior turbinates is widely practised, but relatively little has been published about it. 204 patients who underwent submucosal diathermy of the inferior turbinates between 1977 and 1983 have been studied. 60 patients have been followed up by questionnaire, for periods ranging from 1 to 5 years since surgery. Surgery was of benefit in up to 72% of cases. Surgical technique and the problems of patient selection and assessment are discussed.

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CHRONIC VASOMOTOR RHINITIS: Treatment by Submucous Diathermic Coagulation

Cited by 15 publications

References 11 publications

S M R of inferior turbinate in chronic hypertrophic rhinitis

S M R of inferior turbinate in chronic hypertrophic rhinitis

Understanding submucosal electrosurgery for the treatment of nasal turbinate enlargement

Submucosal Diathermy of the Inferior Turbinate and the Congested Nose

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