Long-term histological examination of inferior concha after radiofrequency thermal ablation

Abstract

Radiofrequency thermal ablation does not cause carbonisation or osteitis in the inferior concha. The resultant fibrosis causes contraction of the concha and only minor tissue destruction (as shown by the persistence of submucosal glands).

Excision of Rhinophyma with Radiofrequency Surgery.

“…Voltaj döngüsü açıp kapatılarak protein ve diğer makromoleküllerin denatürasyonu başlar. Hücreler homojen kitle oluşturacak şekilde birleşirler ve trombüs oluşması sonucu koagülasyon etkisi ortaya çıkmış olur (13,14) . Bu işlemler sırasında oluşan ısı yalnızca 40-70°C aralığındadır ve bu ısının düşük olması dokuları da korumaktadır.…”

Long-term clinical results of radiofrequency tissue volume reduction for inferior turbinate hypertrophy

“…Histologically, there is formation of scar tissue in the submucosa, ablation of minor vessels in the treatment area, and reduction in the number of glands. 9,10 The clinical effectiveness of radiofrequency tissue volume reduction has been evaluated previously. Bhattacharyya and Kepnes treated patients presenting with inferior turbinate hypertrophy (due to chronic rhinitis), and concluded that the clinical benefits of the procedure persisted for at least six months.…”

“…Radiofrequency-based turbinate reduction is associated with fewer symptoms of allergic rhinitis following treatment. Histologically, there is formation of scar tissue in the submucosa, ablation of minor vessels in the treatment area, and reduction in the number of glands 9 , 10 …”

Use of codeine and NSAID combination in rhinogenic headache

“…The diagnostic criteria for sinus or rhinogenic headache are shown in Table 2 according to IHSG 2005 16 . Some rhinologic and anatomic disorders (deviation of nasal septum, inferior turbinate hypertrophy, pneumatised turbinate, mucosal contact points and sinus mucosal atrophy) are thought to induce rhinogenic headache; however, there is not any evidence to support these theories [17][18][19] . Additionally, inflammation in exudates due to allergens and infections leads to blockage or decrease in sinus drainage, which causes trigeminal nerve fibres stimulations.…”

“…The inflammation process due to extrinsic factors and neurogenic oedema starts the synthesis of prostanoids, whose role in the local sensation of pain is very well known. These reflexes and local processes are blamed to be the triggers of migraine headaches 17,21 . The trigeminal nerve branches innervating the meningeal blood vessels release substance P and calcitonin gene-related peptide (CGRP) 22,23 .…”