Diode laser treatment of hyperplastic inferior nasal turbinates

Abstract

Diode laser treatment of hyperplastic inferior nasal turbinates is a useful procedure, which can be performed as an outpatient surgery under local anesthesia, resulting in a controlled coagulation and ablation of the soft tissue. The short operation time and the good results provide an excellent patient acceptance.

Diode Laser Turbinate Reduction in the Treatment of Symptomatic Inferior Turbinate Hypertrophy

“…This finding is similar to Sapci et al [12]. A study by Janda et al [1] and Min et al [6] found that there was no significant variation in comparison to the preoperative measurements 1 year after laser treatment. This is in accordance with the present study which showed that the saccharin transit times normalized by 6 months post-operatively.…”

“…Min et al [6] reported that in diode LTR group had significant improvement in nasal obstruction and significant decrease in nasal airway resistance 6 months following the surgery. Janda et al [1] showed that diode LTR group did not have much improvement in the symptom of nasal obstruction during the first 2-4 weeks owing to the postoperative edema and crusting but they had statistically significant improvement of the nasal airflow and nasal cavity volume 6 months and 1 year after laser surgery respectively. A subjective improvement of nasal airflow was described by 86 and 76% of patients after 6 months and 1 year of laser treatment respectively in their study [1].…”

“…Janda et al [1] showed that diode LTR group did not have much improvement in the symptom of nasal obstruction during the first 2-4 weeks owing to the postoperative edema and crusting but they had statistically significant improvement of the nasal airflow and nasal cavity volume 6 months and 1 year after laser surgery respectively. A subjective improvement of nasal airflow was described by 86 and 76% of patients after 6 months and 1 year of laser treatment respectively in their study [1]. Volk et al [7] reported that diode laser turbinoplasty led to a mean improvement of nasal airflow of 37.1% eight weeks after the surgery.…”

“…Surgical reduction of inferior turbinate to relieve the symptoms is usually done for the cases refractory to medical treatment [1,2]. There are a wide variety of techniques available for the surgical reduction of inferior turbinate like total or partial turbinectomy, turbinoplasty, chemical cautery, diathermy, radiofrequency volumetric tissue reduction (RFVTR), laser turbinate reduction (LTR) and cryotherapy [1,2]. Most of these techniques provide satisfactory results for a variable period and they are associated with various adverse effects like post operative bleeding, crusting, pain and synechiae formation.…”

Comparison of laser induced effects on hyperplastic inferior nasal turbinates by means of scanning electron microscopy

“…Therefore, SEM revealed that diode laser treatment of turbinates also goes along with a large destruction of the turbinate surface (respiratory epithelium), holding an advanced risk of prolonged wound healing (nasal dryness and crusting for the ®rst 2± 4 weeks) and deep coagulation (edema of the tissue and initial worsening of the nasal air¯ow), just as Nd:YAG laser treatment [24±26,32]. However, in comparison to the Nd:YAG laser these risks seem to be somewhat smaller, as SEM proves that the diode laser provides for slightly less tissue coagulation and carbonization [24] (Table 1). In vitro Nd:YAG-laser irradiation of the turbinates has shown the formation of macroscopically visible carbonization zones of a lesser extent than after Argon-laser treatment.…”