Laser surgery for allergic rhinitis

Fukutake, Tomoshige; Kumazawa, Tadami; Nakamura, Akiyo

doi:10.1016/s0001-2092(07)66507-7

Cited by 33 publications

(49 citation statements)

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“…Although a variety of surgical procedures exist to alleviate nasal obstruction and nasal allergic symptoms, several authors have reported the particularly successful use of lasers in the management of allergic or hypertrophic rhinitis (1)(2)(3)(4)(5)(6). The nasal mucosa of patients with nasal allergy is characterized by hyper-reactivity to various forms of stimulation.…”

Section: Discussionmentioning

confidence: 99%

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Changes in Nasal Responsiveness to Histamine and to Specific Antigen after Laser Surgery

Terada

Hamano²,

Terada³

et al. 1998

Acta Oto-Laryngologica

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A. Changes in nasal responsi6eness to histamine and to specific antigen after laser surgery. Acta Otolaryngol (Stockh) 1998; Suppl 537: 38 -42.An initial treatment with several kinds of anti-allergic medicines is useful for reducing nasal allergy symptoms in patients suffering from Japanese cedar pollinosis during the pollen season. Since laser surgery before the pollen season seems to have a preventive effect as well, it would be of interest to know the time course of changes in the nasal reactivity to specific and non-specific stimuli after laser surgery. In this study, we investigated the changes in the nasal reactivities to specific antigen and histamine after CO 2 laser surgery. The nasal reactivities to both specific antigen and histamine were enhanced 2 weeks after the laser surgery. On the other hand, they were significantly reduced after 4 weeks. Our data strongly suggest, therefore, that laser surgery must be done more than 4 weeks before the start of the pollen season to avoid temporary enhancement of nasal allergy symptoms.

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Section: Discussionmentioning

confidence: 99%

“…Laser surgery was performed according to the method reported by Fukutake et al (1). Briefly, for local anesthesia of the nasal mucosa we inserted a small piece of gauze containing 4% lidocaine and epinephrine into the nasal cavities for about 15 min.…”

Section: Laser Surgerymentioning

confidence: 99%

Changes in Nasal Responsiveness to Histamine and to Specific Antigen after Laser Surgery

Terada

Hamano²,

Terada³

et al. 1998

Acta Oto-Laryngologica

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“…Other authors describe an aggressive technique where the whole mucosa in the front third of the turbinate is vaporised [128], [129]. …”

Section: Therapy Of the Inferior Turbinatementioning

confidence: 99%

“…Fukutake was able to demonstrate that scarring takes up to one year and is even more pronounced, the more laser power is applied [129]. The single-spot method recommended by Lippert and Werner produces smaller, non-confluent wounds which heal after 3–6 weeks [131], [132].…”

Section: Therapy Of the Inferior Turbinatementioning

confidence: 99%

Surgery of the turbinates and “empty nose” syndrome

Scheithauer

2010

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 9:Doc03; ISSN 1865-1011

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“…[11][12][13][14][15][16] Laser vaporization of the inferior turbinate is becoming a common surgical treatment for allergic rhinitis. Recently, vaporizations using various types of laser have obtained good results as treatment for severe nasal obstruction caused by allergic rhinitis.…”

Section: Introductionmentioning

confidence: 99%

Carbon Dioxide Laser Vaporization of the Inferior Turbinate for Allergic Rhinitis: Short-Term Results

Imamura¹,

Honda²

2003

Ann Otol Rhinol Laryngol

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Carbon dioxide laser vaporization of the turbinate has recently become accepted as a common treatment for allergic rhinitis. Usually, only a single procedure is applied to minimize trauma. However, repeated procedures on separate days are often required to achieve an adequate effect. Therefore, we attempted a new method of vaporization and evaluated the outcome, and also tried to determine which patients have good indications for laser treatment. To widely and deeply vaporize the inferior turbinate, we repeated the procedure 3 times in 1 session after removing the carbon coating from the previous vaporization under nasal endoscopic observation. After the procedure, most patients experienced complete nasal obstruction for 2 or 3 days, but there was no intraoperative or postoperative bleeding or severe pain. All patients obtained improvement of their chief complaints and were satisfied 2 months after the operation. In particular, 60% of the patients were completely relieved of refractory nasal obstruction. Most patients were more satisfied with the effects than are those treated by the usual methods. Completely successful cases (improvement in all symptoms and complete satisfaction obtained) were selected and were compared with other cases. Favorable prognostic factors are more severe complaints, longer symptomatic periods, stronger allergic reactions, and worse nasal resistance and its greater improvement with administration of decongestant nasal drops. This method may be especially accepted by patients with severe complaints, in particular nasal obstruction, who do not experience enough relief with conservative therapies or have enough time to make frequent visits to an outpatient clinic over a period of several weeks.

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Laser surgery for allergic rhinitis

Cited by 33 publications

References 1 publication

Changes in Nasal Responsiveness to Histamine and to Specific Antigen after Laser Surgery

Changes in Nasal Responsiveness to Histamine and to Specific Antigen after Laser Surgery

Surgery of the turbinates and “empty nose” syndrome

Carbon Dioxide Laser Vaporization of the Inferior Turbinate for Allergic Rhinitis: Short-Term Results

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