Radiofrequency inferior turbinate reduction: An evaluation of olfactory and respiratory function

Garzaro, Massimiliano; Pezzoli, M; Pecorari, Giancarlo; Landolfo, Vincenzo; Defilippi, Simona; Giordano, Carlo

doi:10.1016/j.otohns.2010.06.908

Cited by 33 publications

(35 citation statements)

References 22 publications

(48 reference statements)

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“…During the 3 rd and 6 th month follow up, no patient was found to have crusting in RFVTR group. Garzaro et al [20] observed mild edema and crusting after 1 week in patients who underwent RFVTR and all the nasal crusting had settled by 3 months. No crusting following RFVTR was reported by many studies.…”

Section: Post-operative Complicationsmentioning

confidence: 97%

“…[9,14,18,20] SST and ciliary beat frequency are preserved after RFVTR. [18] STT was significantly prolonged at 1 week post-operatively in our series.…”

Section: Saccharin Transit Timementioning

confidence: 97%

“…This finding is similar to other reported series. [14,20] Radiofrequency treatment for allergic or non-allergic ITH has been found to provide long-term improvement in olfaction and the improvement appeared to be maintained 2 years after procedure. [16] One study reported improvement in olfaction in 55.6% of patients with hyposmia after 8 weeks of RFVTR treatment.…”

Section: Sneezingmentioning

confidence: 99%

“…This is contradictory to the other reported INDIAN JOURNAL OF MEDICAL SCIENCES series. [9,18,20] The possible explanations for initial impairment in ciliary activities are; use of topical and local anesthesia for surgery and post-operative topical use of nasal decongestants.…”

Section: Saccharin Transit Timementioning

confidence: 99%

See 3 more Smart Citations

The efficacy of radiofrequency volumetric tissue reduction of hypertrophied inferior turbinate in allergic rhinitis

Parida¹,

Santhosh²,

Ganesan³

et al. 2011

Indian J Med Sci

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Section: Post-operative Complicationsmentioning

confidence: 97%

“…[9,14,18,20] SST and ciliary beat frequency are preserved after RFVTR. [18] STT was significantly prolonged at 1 week post-operatively in our series.…”

Section: Saccharin Transit Timementioning

confidence: 97%

Section: Sneezingmentioning

confidence: 99%

Section: Saccharin Transit Timementioning

confidence: 99%

See 2 more Smart Citations

The efficacy of radiofrequency volumetric tissue reduction of hypertrophied inferior turbinate in allergic rhinitis

Parida¹,

Santhosh²,

Ganesan³

et al. 2011

Indian J Med Sci

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“…Recently, Garzaro and colleagues 15 studied smell ability of 40 patients with nasal obstruction caused by ITH before and after RFITR. Anosmia, hyposmia, and normosmia were observed in 2, 33, and 5 patients, respectively, before surgery in contrast with 1, 5, and 34 patients, respectively, after surgery.…”

mentioning

confidence: 99%

Radiofrequency Inferior Turbinate Reduction Improves Smell Ability of Patients with Chronic Rhinitis and Inferior Turbinate Hypertrophy

Assanasen

Choochurn

Banhiran

et al. 2014

Allergy�Rhinol (Providence)

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Radiofrequency inferior turbinate reduction (RFITR) of inferior turbinate hypertrophy (ITH) is an effective way to treat patients with intractable nasal mucosal obstruction. The objective of this study was to assess smell ability, nasal symptoms, inferior turbinate grading (ITG), peak nasal inspiratory flow (PNIF) of patients with chronic rhinitis (CR), and ITH before and after RFITR. Patients with CR and ITH, aged 18–60 years, who underwent RFITR, were prospectively recruited. Smell ability (measured by smell detection threshold [SDT]), visual analog scale (VAS) of nasal symptoms, ITG, and PNIF before and 6–10 weeks after RFITR were compared. Forty-eight subjects were included. All nasal symptoms were significantly decreased after RFITR. After surgery, SDT (tested by phenyl ethyl alcohol) was worsened in 7 patients (14.6%), improved in 8 patients (16.7%), and did not change in 33 patients (68.7%). SDT after RFITR of six patients in the worsened SDT group were still within normal range (> −6.5). There was only one patient whose SDT changed from normosmia to mild hyposmia (−7.25 to −5.38). In the improved SDT group, two of eight patients had obviously better SDT after RFITR, which changed from moderate hyposmia to normosmia (−3.65 to −10; −3.73 to −10), whereas six of eight patients had little better SDT after RFITR. RFITR also significantly reduced ITG and improved PNIF. In conclusion, the treatment of patients with CR and ITH with RFITR significantly improved PNIF, ITG, and nasal symptoms assessed by VAS, although SDT after RFITR could be the same or improved or worsened.

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A Systematic Review of Patient-Reported Nasal Obstruction Scores

Rhee

Sullivan

Frank

et al. 2014

JAMA Facial Plast Surg

175

101

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Importance-A gold standard objective measure of nasal airway obstruction (NAO) does not currently exist, so patient-reported measures are commonly used, particularly the Nasal Obstruction Symptom Evaluation (NOSE) and the visual analog scale (VAS). However, questions remain regarding how best to utilize these instruments.Objectives-The goal of this study is to systematically review studies on NOSE and VAS scores in NAO patients and compile and standardize the data to (1) define symptomatic and normative values for (a) pre and post-surgical NAO patients, (b) asymptomatic individuals, and (c) the general population, (2) determine if post-surgery scores are comparable to asymptomatic scores, and (3) determine if there is a clinically useful pre-operative and post-operative score change.Evidence Review-A systematic review of the literature was performed through PubMed for studies assessing NOSE and VAS scores in patients with chronic NAO. Strict inclusion criteria were applied to focus on anatomic obstruction only. For statistical analysis, the patients were divided into asymptomatic, pre-and post-surgery NAO, and the general population.Findings-The average NOSE and VAS scores for a patient with NAO were 65 ± 22 and 6.9 ± 2.3 respectively. The average post-surgery NOSE score was 23 ± 20 and VAS score was 2.1 ± 2.2. The average asymptomatic individual NOSE score was 15 ± 17, and VAS score was 2.1 ± 1.6.

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Radiofrequency inferior turbinate reduction: An evaluation of olfactory and respiratory function

Abstract: RITR may provide excellent outcomes in terms of improvement in olfactory function and nasal flow in patients affected by turbinate hypertrophy refractory to medical therapy.

Cited by 33 publications

References 22 publications

The efficacy of radiofrequency volumetric tissue reduction of hypertrophied inferior turbinate in allergic rhinitis

The efficacy of radiofrequency volumetric tissue reduction of hypertrophied inferior turbinate in allergic rhinitis

Radiofrequency Inferior Turbinate Reduction Improves Smell Ability of Patients with Chronic Rhinitis and Inferior Turbinate Hypertrophy

A Systematic Review of Patient-Reported Nasal Obstruction Scores

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