Intra turbinate diathermy cautery V/S high frequency in inferior turbinate hypertrophy

Abstract

Objective To compare the efficacy of intraturbinate monopolar cautery, bipolar cautery, high frequency monopolar and high frequency bipolar cautery in inferior turbinate hypertrophy. Study design Prospective randomized single blinded clinical studyMethod The study comprised of 80 patients divided in 4 groups each of 20 patients who underwent monopolar cautery, Bipolar cautery, high frequency monopolar and bipolar intra-turbinate cautery. Patients were evaluated on the 7th post operative day and 1 year after the surgery & saccharine transit time test also performed and compared.Results Remarkable improvement was recorded in nasal obstruction and quality of life. The Saccharine transit time test showed a comparable frequency and confirmed maintenance of mucociliary mechanism.

Radiofrequency Thermal Ablation versus Bipolar Electrocautery for the Treatment of Inferior Turbinate Hypertrophy: Comparison of Efficacy and Postoperative Morbidity

“…Taneja and Taneja compared monopolar cauterization, bipolar cauterization, and diathermy, evaluating outcomes with the SCT. 12 All three techniques led to significant improvements in the quality of life but, based on the SCT values, none yielded significant long-term results. In addition, the authors found that BEC, when performed over the turbinate mucosa, triggered histologic changes involving the transformation of columnar epithelium into cuboidal or squamous epithelium, due to burn injury.…”

“…The importance of submucosal cauterization while preserving the mucosa was emphasized. 12 Kilavuz et al assessed RFTA and BEC by VAS, inspiratory peak flowmetry, and magnetic resonance imaging. 13 They reported significant improvements in the VAS scores and inspiratory peak flowmetry.…”

Bipolar-assisted tonsil reduction: a simple and inexpensive tonsillotomy technique

“…Identical results have been observed in bipolar and monopolar applications for the reduction of the lower turbinates, where the energy was delivered by a bipolar double-needle electrode and the epithelium would be preserved, whereas monopolar usagealso known as so-called "coblation tunneling" leads to histological changes similar to CO2 laser therapy involving the transformation of columnar epithelium into cuboidal or squamous epithelium due to inevitable burn injury. Taneja et al [10] have demonstrated that intraturbinate bipolar submucosal diathermy prevents mucosal damage, since required intensity of electric current is extremely low compared to monopolar technique, hence the surgical trauma and post-operative pain is less than expected. Thus, bipolar hemostasis is the choice of treatment nowadays for the coagulation of blood vessels in sensitive areas such as the nasal cavity.…”

Kshara application for turbinate hypertrophy

“…Nasal obstruction in chronic nonallergic or hypertrophic rhinitis is usually caused by submucosal or mucosal hypertrophy and bogginess due to increased vascularity as anterior end of the inferior turbinate is erectile tissue. [ 13 ] The inflammatory response or inflammation is an important body response to injury. When bacteria, toxins, burns, or other culprits damage tissue; the injured tissues leak chemicals, including histamine and other substances.…”