Laser treatment of hyperplastic inferior nasal turbinates: A review

Janda, Philip; Sroka, Ronald; Baumgartner, Reinhold; Grevers, Gerhard; Leunig, Andreas

doi:10.1002/lsm.1068

Cited by 92 publications

(88 citation statements)

References 71 publications

(63 reference statements)

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“…With regard to adverse effects and patient discomfort, laser surgery has clear advantages over other surgical procedures [2]. It is easy to perform in children and as an outpatient procedure, offering a cost-effective and timesaving method for perennial allergic rhinitis.…”

Section: Discussionmentioning

confidence: 99%

“…Most patients are treated with antiallergic drugs or allergic desensitization; however, a Furukawa/Kakimoto/Himeno/Yamashita considerable number are refractory to such treatments [2]. Various surgical techniques have been described such as inferior turbinectomy [3,4], cryotherapy [5,6], chemical cauterization [7,8], electrocautery [9,10] and vidian neurectomy [11,12].…”

Section: Introductionmentioning

confidence: 99%

“…Various surgical techniques have been described such as inferior turbinectomy [3,4], cryotherapy [5,6], chemical cauterization [7,8], electrocautery [9,10] and vidian neurectomy [11,12]. Because most of these procedures are associated with a risk of bleeding, uncontrolled damage of the mucosa, pain and atrophic rhinitis, a more comfortable and effective method is required [2]. We performed a combined treatment of laser surgery to the inferior turbinate and transnasal cryodegeneration of the vidian nerve using endoscopy, offering a less traumatic operation, less bleeding and a high patient acceptance treated on an outpatient basis.…”

Section: Introductionmentioning

confidence: 99%

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The Efficacy of Cryosurgery Combined with Laser Surgery in the Treatment of Perennial Allergic Rhinitis

Furukawa

Kakimoto²,

Himeno³

et al. 2002

Otorhinolaryngol Nova

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A combined treatment of laser surgery to the inferior turbinate and transnasal cryodegeneration of the vidian nerve using endoscopy were evaluated. The study consisted of 79 patients with perennial allergic rhinitis caused by house dust. All were refractory to conservative treatment, including allergic desensitization. The CO₂ laser surgery was repeated once a week for 3 weeks. After the third laser surgery, the area that was endoscopically estimated to be the sphenopalatine foramen was frozen over the mucous membrane by an extrafine pointed cryoprobe. The subjective results 6 months after the operation are promising, and no major complications were noted. The combined treatment of laser and cryosurgery using endoscopy is a minor surgical procedure with high efficacy and minimal postoperative morbidity. More cases and a longer follow-up are necessary to provide long-term results.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Efficacy of Cryosurgery Combined with Laser Surgery in the Treatment of Perennial Allergic Rhinitis

Furukawa

Kakimoto²,

Himeno³

et al. 2002

Otorhinolaryngol Nova

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“…15 The major limitation of our study is small number of patients. However, this study is one of few that have considered evaluating the effectiveness of 1940-nm diode laser in tonsillectomy.…”

Section: Discussionmentioning

confidence: 99%

The Feasibility of 1940-nm Diode Laser in Tonsillectomy

Kang

Kim

et al. 2016

Medical Lasers

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Background and ObjectivesTonsillectomy is a painful procedure that often results in severe pain, postoperative hemorrhage, and swallowing difficulties, jeopardizing the quality of life in patients. We aimed to investigate the effectiveness of the 1940-nm diode laser method compared with the more commonly used electro-cauterization method for tonsillectomy. Materials and MethodsTwenty-two patients, who underwent tonsillectomy for chronic tonsillitis, were prospectively analyzed. Tonsillectomy was performed using either a 1940-nm laser with 12 W of power or the conventional electro-cauterization. Patients were randomly assigned to one of the two groups. A 5-point scale (1-5) was used to measure the intraoperative score via the cutting capacity of the device, and a 3-point scale (0-2) to measure intraoperative bleeding (3-point scale, 0-2). Patients' surveys on pain and the surgeon's reports on postoperative changes in the surgical field, such as edema and scarring, were also analyzed (11-point scale, 0-10) on postoperative one day, one week, and two weeks, respectively. ResultsThe mean operative time was 22.6 minutes. Operation time, cutting capacity, and intraoperative bleeding were not significantly different between the two groups. Pain scores of patients for the laser group were significantly reduced compared with that of electro-cautery group at one week, even if the surgeon's assessments of scar contraction and swelling were not different between the two groups. Moreover, there was less destruction of tonsil tissues in the laser group according to the histological evaluation. ConclusionA 1940-nm diode laser demonstrates excellent intraoperative performance that is similar to the conventional device. Postoperatively, a notable reduction in pain score on postoperative one week was elicited in patients using 1940-nm diode laser. Key words

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“…The ablation induced by Continuous Wave (CW) and long pulsed (a typical pulse duration is longer than tens of microseconds) lasers falls into this category. Many medical applications of lasers (such as laser surgery in dermatology, orthopedics, dentistry, otorhinolaryngology, and urology) are based on the thermally induced ablation of soft and hard tissues [6][7][8][9][10][11][12].…”

Section: Photo-thermally Induced Tissue Ablationmentioning

confidence: 99%

The Advent of Laser Therapies in Dermatology and Urology: Underlying Mechanisms, Recent Trends and Future Directions

Lee

Jeong

Chan³

2009

Journal of the Optical Society of Korea

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Following their applications in cardiology, ophthalmology and dentistry among others, the advent of lasers in dermatology and urology had become the success story of the past decade. Laser-assisted treatments in dermatology and urology are mainly based on the laser-induced tissue injury/coagulation and/or ablation, depending upon the desirable clinical endpoint. In this review, we discussed the underlying mechanisms of the laser induced tissue ablation. In any medical laser application, the controlled thermal injury and coagulation, and the extent of ablation, if required, are critical. The laser thermal mechanism of injury is intricately related to the selective absorption of light and its exposure duration, similarly to the laser induced ablation. The laser ablation mechanisms were categorized into four different categories (the photo-thermally induced ablation, the photo-mechanically induced ablation, the plasma induced ablation and the photoablation) and their fundamentals are herein described. The brief history of laser treatment modality in dermatology and urology are summarized.

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Laser treatment of hyperplastic inferior nasal turbinates: A review

Cited by 92 publications

References 71 publications

The Efficacy of Cryosurgery Combined with Laser Surgery in the Treatment of Perennial Allergic Rhinitis

The Efficacy of Cryosurgery Combined with Laser Surgery in the Treatment of Perennial Allergic Rhinitis

The Feasibility of 1940-nm Diode Laser in Tonsillectomy

The Advent of Laser Therapies in Dermatology and Urology: Underlying Mechanisms, Recent Trends and Future Directions

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