Inferior Turbinate Reduction: Diode LASER or Conventional Partial Turbinectomy?

Doreyawar, Venkatesh; Gadag, Raveendra P.; Dandinarasaiah, Manjunath; Javali, Shivalingappa B; Maradi, Nagaraj; Shetty, Deekshith

doi:10.1177/0145561319839795

Cited by 10 publications

(5 citation statements)

References 21 publications

(31 reference statements)

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“…6,27,28,30 On the other hand, Niharika et al 31 Reported postoperative synechia in 2% of their patients and rhinolalia aperta in 1%. Doreyawar et al 32 Observed synechia in 6 out of 30 patients (20%) who underwent conventional partial turbinectomy of patients. In our study, synechia was not reported in any patient due to precise surgical technique and preservation of the medial turbinate mucosa.…”

Section: Discussionmentioning

confidence: 96%

Medial Flap Coblation Turbinoplasty Versus Submucous Resection: Outcomes

Etman

Ebada

El-Sisi

2023

Am J Rhinol�Allergy

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Background Variable surgical options are available for turbinate reduction. These options include total turbinectomy, partial turbinectomy, submucosal resection, laser surgery, cryosurgery, electrocautery, radiofrequency ablation, and turbinate out-fracture. However, there remains a lack of consensus for the preferred technique. Objectives The aim of this study was to describe the use of coblation for medial flap turbinoplasty procedure. Furthermore, the outcomes of this technique were compared to submucous resection in terms of improvement of patients’ symptoms, postoperative bleeding, crusting, and pain scores. Methods This prospective, randomized, comparative surgical trial was conducted on 90 patients. Patients were randomly allocated into 2 groups: medial flap coblation turbinoplasty group ( n = 45), and submucous resection group ( n = 45). The outcomes of both techniques were analyzed and compared. Results Both techniques were equally in alleviating patients’ symptoms of nasal obstruction. However, postoperative healing was significantly better in medial flap coblation turbinoplasty group. Additionally medial flap turbinoplasty showed a statistically significant better outcome in terms of postoperative bleeding, crusting and pain scores. Conclusion Both submucous resection and medial flap coblation turbinoplasty are effective in relieving nasal obstruction and enabling optimal volume reduction with preservation of function of the inferior turbinate. Coblation turbinoplasty has superior outcomes in terms of better healing and less postoperative pain and crusting.

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Section: Discussionmentioning

confidence: 96%

Medial Flap Coblation Turbinoplasty Versus Submucous Resection: Outcomes

Etman

Ebada

El-Sisi

2023

Am J Rhinol�Allergy

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“…8 Doreyawar et al found that diode laser being as good as any other laser for turbinate reduction is an effective choice for deserving cases. 26 Although not as cost-effective as conventional methods, better quality of life with laser definitely makes it an important tool to replace the era of cold knife in turbinate surgeries in the modern day world.…”

Section: Laser Cauterymentioning

confidence: 99%

Surgical management for inferior turbinate hypertrophy: a narrative review

Divya

Rajasekaran

2021

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">Inferior turbinate hypertrophy can lead to bothersome symptoms of the nose. Inferior turbinate reduction has to be treated surgically for cases, which are refractory to medical treatment. Plethora of surgical techniques have evolved over the recent years to surgically treat inferior turbinate hypertrophy. Yet, there remains a lack of consensus on optimal surgical technique or a cumulative study on the merits and demerits of the surgical procedures performed. The aim of the study was to review 26 articles from time period of January 2000 to January 2021 studied on surgical techniques of turbinate reduction. On reviewing the studies, it was noted that conventional turbinectomy techniques were not preferred by surgeons to avoid chances of severe complications and hence more studies on newer advanced techniques were noted. Among the newer techniques to find an adequate balance between nasal physiology and tissue preservation RFTVR is preferred and is the optimal technique owing to its minimal invasion, performance ease and reduced complications. Most recent studies represent the benefits of RFTVR. </p>

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“…Both subjective and objective evaluations showed significant improvement with improved VAS scores and acoustic rhinometry measurements increased significantly 1 year after surgery. More recently, Doreyawar et al 24 compared outcomes by diode laser turbinate reduction and conventional partial inferior turbinectomy and showed that compared to the conventional technique, the outcomes were better with diode laser and caused less morbidity.…”

Section: Rhinological Conditions Appropriate For Laser Applicationsmentioning

confidence: 99%

Lasers in Rhinology—An Update

2020

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Objectives: A wide and evolving range of lasers and their applications often makes it difficult for a busy surgeon to choose the ideal laser for a specific indication. With this in mind, this article aims to summarize the most recent literature concerning laser application in rhinology. Methods: A literature search from 2000 to 2020 using the PubMed database was employed. Keywords used included “laser,” “rhinology,” “endonasal endoscopic surgery,” “hereditary haemorrhagic telangiectasia,” “rhinitis,” “refractory rhinitis,” “Inferior turbinate hypertrophy,” “dacryocystorhinostomy,” “septoplasty,” “cartilage reshaping” and “choanal atresia.” The most up to date studies published for each rhinology condition that could potentially be treated with laser surgery was included. Results: Rhinological conditions appropriate for laser applications are discussed. We identified articles related to a number of applications including hereditary hemorrhagic telangiectasia, rhinitis, turbinate surgery, dacryocystorhinostomy, septoplasty, choanal atresia, and sphenopalatine artery ligation, paying attention to the outcomes of the studies and their limitations. Conclusions: There is currently no one-size-fits-all laser and therefore being up to date on the latest clinical application results can help the clinician decide which are the best treatments to offer their patients.

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Inferior Turbinate Reduction: Diode LASER or Conventional Partial Turbinectomy?

Cited by 10 publications

References 21 publications

Medial Flap Coblation Turbinoplasty Versus Submucous Resection: Outcomes

Medial Flap Coblation Turbinoplasty Versus Submucous Resection: Outcomes

Surgical management for inferior turbinate hypertrophy: a narrative review

Lasers in Rhinology—An Update

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