Prognostic Value of Anterior Rhinomanometry in Diode Laser Turbinoplasty

Volk, Gerd Fabian; Pantel, Mira; Guntinas‐Lichius, Orlando; Wittekindt, Claus

doi:10.1001/archoto.2010.161

Cited by 19 publications

(20 citation statements)

References 13 publications

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“…In our analyses, values of total inspiratory airflow (TIF) and the worse side's unilateral inspiratory airflow before decongestion (WSIF) were used, as these flows might best reflect the patients’ subjective sensation of nasal patency. Nasal inspiratory airflow in adult patients was classified as described in Table …”

Section: Methodsmentioning

confidence: 99%

“…An objective method of measuring nasal patency is active anterior rhinomanometry (AAR). This non‐invasive examination which can be performed rapidly has been used in studies to compare nasal patency before and after nasal surgery or medical treatments—showing improved nasal airflow after interventions . There have been between 32 and 69 publications about rhinomanometry per year since 2000, but so far data on rhinomanometry in CF patients is deficient.…”

Section: Introductionmentioning

confidence: 99%

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Importance to question sinonasal symptoms and to perform rhinoscopy and rhinomanometry in cystic fibrosis patients

Bock

Schien

Fischer

et al. 2016

Pediatric Pulmonology

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Among SNOT-20 scores the PNS subscore is related to rhinoscopically detected polyposis and sinonasal secretion. Therefore, we recommend including short questions regarding PNS into CF-routine care. At the same time our results show that a high inspiratory airflow is not associated with a good sensation of nasal patency. Altogether, rhinomanometry is not required within routine CF-care, but it can be interesting as an outcome parameter within clinical trials. Pediatr Pulmonol. 2017;52:167-174. © 2016 Wiley Periodicals, Inc.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Importance to question sinonasal symptoms and to perform rhinoscopy and rhinomanometry in cystic fibrosis patients

Bock

Schien

Fischer

et al. 2016

Pediatric Pulmonology

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“…Similar study done by Rhee et al 8 in which he compared RFVTR and diode LTR, he found that after 2 months in LTR group, 87.5% of the patients showed improvement in both the severity and frequency of nasal obstruction and statistically significant improvement was observed at 1 month after treatment. Min et al 9 reported that in diode LTR (Laser Turbinate Reduction) group had significant improvement in nasal obstruction and significant decrease in nasal airway resistance 6 months following the surgery which is similar to our results but the followup duration is longer.Similarly, Volk et al 10 reported that diode laser turbinoplasty had a total of 73.2% of patients had improvement of nasal obstruction and only 12.2% experienced deterioration. Unlike our study, Janda et al 11 showed that diode LTR group did not have much improvement in the symptom of nasal obstruction at 1 month follow-up, due to the postoperative edema and crusting but they had statistically significant improvement of the nasal airflow and nasal cavity volume at 6 months and 1 year respectively.…”

Section: Discussionmentioning

confidence: 88%

Diode Laser Reduction of Symptomatic Inferior Turbinate Hypertrophy

2018

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Introduction: Inferior turbinate hypertrophy refractory to medical management is one of the commonest problems encountered by ENT surgeons all over the world. Diode Laser turbinate reduction is a safe, minimally invasive, cost-effective procedure that helps in relieving the symptoms associated with it and can be performed on a day care basis under local anesthesia. The objective of this study is to measure the effectiveness of Diode laser in treatment of symptomatic ITH.Methods: Fifty patients with symptomatic inferior turbinate hypertrophy, age ranging between 15-45 years were enrolled in the study. Symptom assessment was done with the visual analogue scale. Portable Diode laser was used. Patients were followed up after 1 week and 1 month of surgery. During each postoperative visit, symptoms were reassessed using VAS and postoperative morbidity were noted.Results: Out of fifty patients, all the patients had nasal obstruction and 42 had nasal discharge and by the end of 1 month 43 (86%) and 37 (88%) patients had relief of symptoms respectively. Excessive sneezing was found in 45 patients, 39 (86.6%) patients got benefitted. Out of 18 patients, 15 (83.3%) patients had decreased snoring at 1 month post-op. Similarly, 24 patients had headache, 20 (83.3%) patients had decrease in severity. Hyposmia was seen in 19 patients, 10 (52.6%) patients had improvement in olfaction.Conclusions: Diode laser turbinate reduction for symptomatic inferior turbinate hypertrophy is one of the safest procedures that can be done under local anesthesia on OPD basis with significant relief of symptoms and with minimal complications.

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“…A subjective improvement of nasal airflow was described by 86 and 76% of patients after 6 months and 1 year of laser treatment respectively in their study [1]. Volk et al [7] reported that diode laser turbinoplasty led to a mean improvement of nasal airflow of 37.1% eight weeks after the surgery. A total of 73.2% of patients reported improvement of nasal obstruction and only 12.2% experienced deterioration.…”

Section: Discussionmentioning

confidence: 89%