Quantitative measurement of radiofrequency volumetric tissue reduction by multidetector CT in patients with inferior turbinate hypertrophy

Bahadır, Osman; Koşucu, Polat

doi:10.1016/j.anl.2011.11.003

Cited by 10 publications

(13 citation statements)

References 21 publications

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“…Conchae hypertrophy is one of the causes of nasal air passage obstruction and is usually observed in allergic rhinitis, vasomotor rhinitis and septal deviation (compensatory hypertrophy) [4,28]. Clinicians have investigated size and structure of middle nasal conchae (MNC) and inferior nasal conchae (INC) [14,23].…”

Section: Introductionmentioning

confidence: 99%

“…Potential complications of the treatment techniques applied are still on the agenda [20,34]. Acoustic rhinometry, rhinomanometry and computed tomography (CT) may be used for assessing the morphometry of NC and a comparison of pre-and postoperative results in patients with nasal obstruction [4,21,22]. Terheyden et al [39] took CT as gold standard in measuring NC parameters, and many studies [5,38] applied CT in indicating nasal cross-sectional area, volume, and anatomy structures.…”

Section: Introductionmentioning

confidence: 99%

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Age-related changes of nasal cavity and conchae volumes and volume fractions in children: a stereological study

et al. 2016

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Age-related changes of nasal cavity and conchae volumes and volume fractions in children: a stereological study

et al. 2016

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“…Objective measurements including acoustic rhinomanometry, acoustic rhinometry, and mucociliary function testing are usually applied to compare outcomes [3,8,9]. To our knowledge, three radiologically designed studies that used MRI or computed tomography for evaluating outcomes after turbinate surgery have been performed [14][15][16]. However, they evaluated only the efficacy of radiofrequency.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Submucosal Resection and Radiofrequency Turbinate Volume Reduction for Inferior Turbinate Hypertrophy: Evaluation by Magnetic Resonance Imaging

Ercan

İmre

Pınar

et al. 2013

Indian J Otolaryngol Head Neck Surg

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Inferior turbinate hypertrophy is a frequent cause of nasal airway obstruction and drastically impairs patients' quality of life. Surgical reduction of the inferior turbinates can be used for patients who did not respond to medical therapy. A number of studies have been performed to identify the most effective technique. The aim of this study was to compare the effectiveness of submucosal resection (SMR) and radiofrequency turbinate volume reduction (RFTVR) in patients with inferior turbinate hypertrophy. A prospective, randomized case-control study was conducted. Sixty patients with inferior turbinate hypertrophy refractory to medical therapy were prospectively and randomly assigned to two groups: SMR and RFTVR. A visual analog scale (VAS) and the nasal inspiratory peak flow (NPIF) were analyzed pre-and postoperatively at the first week and second month. Magnetic resonance imaging was performed pre-and postoperatively at the second month. The surgical outcomes were compared statistically using subjective and objective measures. Significant turbinate volume reduction was achieved in both the SMR and RFTVR groups. However, turbinate volume reduction was significantly greater in the SMR than in the RFTVR group at the second month postoperatively. NIPF and VAS scores were improved after both procedures at the second month postoperatively. Beside this, surgical outcomes were significantly better after SMR in terms of NIPF and VAS scores. In this study, we demonstrated that both SMR and RFTVR are effective for inferior turbinate hypertrophy. Turbinate volume reduction, improvement of subjective nasal obstruction symptoms, and NIPF after SMR were significantly superior to those after RFTVR.

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“…Hence, RFTVR exhibits favorable complication rates compared with other techniques 25 with no atrophy or synechia development after surgery 1 while the rate of transient minor complications can be as high as 14% including edema (14.2%), crusting (22.8%), and bleeding (28.5%), postprocedural obstruction, mild pain controlled with over-the-counter analgesics (12%), feeling faint (7%), and numbness of the maxillary teeth (20.4–40.9%). 1,2,20,24 …”

Section: Discussionmentioning

confidence: 99%

“…1–3 Although numerous available surgical techniques are in use to address inferior turbinate hypertrophy in patients refractory to medical therapy, such as partial turbinectomy, turbinoplasty, submucosal turbinectomy, microdebrider submucosal resection, cryotherapy, submucous electrosurgery, and laser turbinectomy, the ideal surgical technique still has to be established. 4–7 …”

mentioning

confidence: 99%

Postnasal Drip due to Inferior Turbinate Perforation after Radiofrequency Turbinate Surgery: A Case Report

Aslan

2013

Allergy�Rhinol (Providence)

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Management of inferior turbinate hypertrophy includes surgical options in case of failure with medical treatment and the main goal of turbinate surgery is to relieve the patient's symptoms of chronic nasal congestion while preserving mucosal surfaces with reduction of the submucosal and bony tissue. In this regard, radiofrequency volumetric tissue reduction has been a thermal technique associated with satisfactory results and fewer side effects. Historical detail on onset, timing, duration, and severity of symptoms and aggravating and relieving factors are important in the differential diagnosis of postnasal drip (PND). Here, we report development of intractable PND due to inferior turbinate perforation after radiofrequency turbinate surgery for the first time in the literature and the successful improvement via removal of pathological anatomic structure under nasal endoscopy–directed surgery in a 35-year-old female patient. The patient had a good functional outcome postoperatively with no further complications or signs of recurrence occurring, to date, within a postoperative follow-up period of 1 year.

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Quantitative measurement of radiofrequency volumetric tissue reduction by multidetector CT in patients with inferior turbinate hypertrophy

Cited by 10 publications

References 21 publications

Age-related changes of nasal cavity and conchae volumes and volume fractions in children: a stereological study

Age-related changes of nasal cavity and conchae volumes and volume fractions in children: a stereological study

Comparison of Submucosal Resection and Radiofrequency Turbinate Volume Reduction for Inferior Turbinate Hypertrophy: Evaluation by Magnetic Resonance Imaging

Postnasal Drip due to Inferior Turbinate Perforation after Radiofrequency Turbinate Surgery: A Case Report

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