Long-term effect of radiofrequency turbinoplasty in nasal obstruction

Akdağ, Mehmet; Daşdağ, Süleyman; Özkurt, Fazıl Emre; Çeli̇k, Mehmet; Degirmenci, Aydin; Demir, Hüseyin; Meriç, Faruk

doi:10.1080/13102818.2014.909083

Cited by 18 publications

(22 citation statements)

References 22 publications

(18 reference statements)

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“…14 Akdag et al, investigating the long-term effects of radiofrequency on reduction of volume, reported a maximum decrease in the first 3 months, in which the efficacy continued for 20 months. 15 We believe that, given the aim of surgery in a patient with nasal obstruction symptoms is to overcome the obstruction, compensatory lower conchal hypertrophy must be treated simultaneously.…”

Section: Discussionmentioning

confidence: 99%

A retrospective analysis with quality of life assessment of nasal surgery for nasal obstruction

Karakuş

Karakurt

Çolak

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Nasal obstruction is a common health problem that disrupts a person’s quality of life (QoL). The Nasal Obstruction Symptom Evaluation scale (NOSE) is a QoL scale with questions specific to nasal obstruction symptoms. This study aimed to evaluate surgical success in patients who underwent nasal septal deviation surgery by using a NOSE assessment, thus determining the importance and efficacy of surgery in this group of patients.Methods: This study was conducted in between January 2016 and June 2017, including a total of 60 patients. The age range of the patients was 18–57 (mean, 34.4±9.9 years). The preoperative and postoperative scoring and surgeries were performed by the same investigator. The surgeries were septoplasty and radiofrequency applied to the inferior concha to overcome conchal hypertrophy. Preoperative mean scores were compared with postoperative second-month values. The importance of difference was evaluated with the Wilcoxon signed-rank test. Results: Preoperative minimum, maximum and mean scores were 65.0, 100.0 and 83.4 (83.41±8.15), respectively. Postoperative minimum, maximum and mean scores were 10.0, 35.0 and 21.6 (21.66±8.06), respectively. The difference in mean scores was significant (Z=−6.778; p<0.001).Conclusions: The difficulty in evaluating patient satisfaction and postoperative success stems from differences in each surgeon’s approach and the comparison of preoperative and postoperative findings. This study, which was carried out by the same researcher for all steps, differs it from similar studies.

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Section: Discussionmentioning

confidence: 99%

A retrospective analysis with quality of life assessment of nasal surgery for nasal obstruction

Karakuş

Karakurt

Çolak

2018

Int J Otorhinolaryngol Head Neck Surg

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“…Failure of medical treatment will route to various surgical techniques like partial or total turbinectomy, turbinoplasty, sub mucosal electrocautery, radiofrequency ablation, laser assisted resection / ablation and cryosurgeryetc. (1,2,3) Radiofrequency ablation and microdebrider assisted turbinoplasty are functional procedures which conserves mucosal tissue. Goal of inferior turbinate surgery should aims to maximize volumetric reduction of turbinate with improvement in nasal obstruction and maintain nasal function with minimal complications.…”

Section: Introductionmentioning

confidence: 99%

“…Goal of inferior turbinate surgery should aims to maximize volumetric reduction of turbinate with improvement in nasal obstruction and maintain nasal function with minimal complications. (1) Radiofrequency is a method which uses high frequency radio waves that heat the cells of turbinate and consequently causes coagulation necrosis. When thin needle terminals of bipolar probe are inserted into the sub-mucosal tissue which reduces vascular nervous tissue and consequently scar retracts resulting in reduction of volume of turbinate.…”

Section: Introductionmentioning

confidence: 99%

Role of Radio Frequency in the Management of Inferior Turbinate Hypertrophy

Amarnath¹,

Aloor²

2014

jemds

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BACKGROUND: Surgery of inferior turbinates is a divisive subject. Surgical management includes functional and invasive procedures. Radiofrequency ablation-A Minimally invasive welldesigned daycare nasal surgery which also preserves mucosal function of the inferior turbinate. OBJECTIVE: To appraise the efficacy of radiofrequency in the management of inferior turbinate hypertrophy. MATERIALS AND METHODS: current study is a prospective cram conducted in the Department of ENT from August 2013 to August 2014 with 100 patients who had nasal obstruction due to Inferior turbinate hypertrophy and obstinate to medical therapy. Patients were excluded if they had history or physical examination that indicate other causes of nasal obstruction like nasal polyp, nasal tumors, previous nasal surgeries, diabetes mellitus, severe nasal deformities, coagulopathy disorders, severe systemic diseases, radiotherapy to nose. The study was based on history of diagnosis, clinical examination, diagnostic nasal endoscopy and imaging. We used radio frequency generator BM-780II unit with power of 70watt radio wave emission in bipolar mode for 5-9seconds, stopped the emission once visual blanching of mucous membrane occurred. Postoperative follow up scheduled as follows: 1 st month, 3 rd month, 6 th month, 12 th month. RESULTS: Among 100 patients 92 patients completely relieved of symptoms, 8 patients showed no improvement based on both subjective and objective parameters. CONCLUSIONS: Simple, harmless, minimally invasive, daycare procedure advantages made the Radiofrequency tissue ablation procedure as one amongst the best apt surgical option for management of inferior turbinate hypertrophy and the current study added credit to its efficiency once again.

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“…11,12 The RF that ranges from 300 to 3,000 kHz has been defined as a medium frequency. 13 The target site is stably formed with tissue-reduced volume approximately 3 weeks postoperatively. 13 The studies on the use of RF in cases of rhinitis medicamentosa are very little.…”

Section: Introductionmentioning

confidence: 99%

“…13 The target site is stably formed with tissue-reduced volume approximately 3 weeks postoperatively. 13 The studies on the use of RF in cases of rhinitis medicamentosa are very little. Evidence was available only indirectly, in studies of inferior turbinate hypertrophy.…”

Section: Introductionmentioning

confidence: 99%

Radiofrequency Turbinoplasty in Imidazoline-induced Rhinitis Medicamentosa

Rao¹

2009

An International Journal Clinical Rhinology

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Aim To evaluate the efficacy and results of radiofrequency turbinoplasty in patients with rhinitis medicamentosa due to imidazolines like oxymetazoline and xylometazoline. Study design This is a prospective, single-blinded, randomized controlled study. Materials and methods Study was conducted on 20 patients in a tertiary level center from January 2010 to February 2016. Patients with symptoms and signs of nasal obstruction due to rhinitis medicamentosa were selected. Patients were aged from 16 to 43 years (mean age is 24 years). Twelve were males and eight were females. The duration of use of nasal decongestant drops varied from 3 months to 5 years. The turbinoplasty was performed using the radiofrequency method. Nasal obstruction symptom evaluation (NOSE) questionnaires are used for subjective assessment and nasal endoscopy view score (NES) was used for objective assessment pre- and postoperatively. Follow-up was done at the end of 15 days and 3 months after surgery. The results were statistically analyzed by paired t-test. Results The mean NOSE score before procedure was 92. At the 15th postoperative day, mean NOSE score reduced to 1.3 and it further reduced at the 3rd month to 0.5 (p < 0.001), with 99.5% reduction in subjective symptoms. The mean NES before procedure was 3.95. On the 15th day, it was 0.35 and at the end of 3rd month, it was 0 with 91.1% reduction in objective evaluation (p < 0.001). Results were same on left and right side of nose. No major postoperative complication was observed in patients. Conclusion Radiofrequency turbinoplasty technique can be recommended as an effective method in imidazoline-induced rhinitis medicamentosa. It is simple, comfortable, fast relief giving, no repeated steroids, and cost-effective, single-session treatment. Good compliance and cooperation from patients can be obtained with no major complications of the treatment. It allows patients to be managed in the office environment. How to cite this article Rao SVM. Radiofrequency Turbinoplasty in Imidazoline-induced Rhinitis Medicamentosa. Clin Rhinol An Int J 2017;10(2):53-57.

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Long-term effect of radiofrequency turbinoplasty in nasal obstruction

Cited by 18 publications

References 22 publications

A retrospective analysis with quality of life assessment of nasal surgery for nasal obstruction

A retrospective analysis with quality of life assessment of nasal surgery for nasal obstruction

Role of Radio Frequency in the Management of Inferior Turbinate Hypertrophy

Radiofrequency Turbinoplasty in Imidazoline-induced Rhinitis Medicamentosa

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