Radiofrequency Inferior Turbinate Reduction

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

doi:10.1177/0194599811423008

Cited by 57 publications

(17 citation statements)

References 23 publications

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“…Reduction of the inferior turbinates can be performed using different surgical techniques including total or partial inferior turbinectomy (PIT), lateral outfracture, microdebrider submucosal resection, laser-assisted turbinate reduction, argon plasma surgery, cryosurgery, treatment with infrared light, vidian neurectomy, chemical or electrical coagulation and radiofrequency volume turbinate reduction (RFVTR) 12 - 14 . The literature 12 - 15 provides considerable evidence for the efficacy of "hot surgery" in adults with symptomatic, inferior turbinate hypertrophy, with a significant increase in use of these techniques in the past decade. Important adverse effects of these techniques are likely the consequence of the heat generated by the power applied.…”

Section: Discussionmentioning

confidence: 99%

“…Porter et al 27 in a small series showed that after two-years of follow-up there was no significant return of symptoms compared to evaluation at 6 months. Garzaro et al 12 evaluated patients at 2 months and 2 years after the surgical procedure using the "Sniffin' Sticks" test battery and the NOSE scale. Long-term evaluation showed that radiofrequency treatment for allergic or non-allergic inferior turbinate hypertrophy appeared to provide improvement in olfaction, decrease in nasal resistance and had subjective benefits that were maintained at 2 years after the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…This conservative procedure also damages sub-mucosal nerve fibres and the receptor nerve leading to denervation and hyporeactivity of turbinate mucosa. We never performed turbinate outfracture in combination with RFVTR 10 - 12 .…”

Section: Methodsmentioning

confidence: 99%

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Riduzione volumetrica dei turbinati inferiori con radiofrequenze: risultati clinici a lungo termine

Corso

Bastanza

DonfranCEsCo

et al. 2016

Acta Otorhinolaryngol Ital

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Lo scopo del nostro studio è stato quello di valutare i risultati a lungo termine della procedura di riduzione volumetrica dei turbinati inferiori mediante radiofrequenze (RVTR). Abbiamo eseguito una valutazione prospettica longitudinale a lungo termine di 305 pazienti affetti da rinite (114 allergici e 191 non allergici) refrattari alla terapia medica e sottoposti a intervento di RVTR (gennaio 2004 - dicembre 2010). I pazienti sono stati seguiti per un Follow-up medio di 39,70±19,41 mesi (minimo-24, massimo-60 mesi) e sono stati valutati mediante la somministrazione del questionario NOSE-scale prima e dopo l’intervento a distanza di un mese e successivamente ogni anno per 5 anni. I pazienti sono stati considerati affetti da recidiva durante il periodo di follow-up in caso di ricomparsa dei sintomi con un aumento del punteggio totale del NOSE scale di almeno il 75% e necessità di riassumere trattamenti medici. La ricorrenza è stata valutata mediante analisi di sopravvivenza con il metodo di Kaplan-Meyer. Complessivamente abbiamo documentato una buona soddisfazione dei pazienti per quanto riguarda la procedura, con un elevato controllo del dolore e poche complicanze. Nel post-operatorio abbiamo avuto un significativo miglioramento di ostruzione nasale e respirazione orale vicariante (p < 0,05). Dopo 36 mesi abbiamo osservato un peggioramento dei sintomi, in particolare, dopo 36 mesi con un progressivo crescente tasso di recidive significativamente più elevato nei pazienti allergici rispetto a quelli non-allergici (p < 0,05). Abbiamo anche osservato una leggera diminuizione della soddisfazione generale dei pazienti. Il nostro studio conferma la buona tollerabilità da parte dei pazienti della procedura di decongestione dei turbinati inferiori con radiofrequenze con un basso rischio di complicanze. I nostri dati confermano inoltre una buona efficacia a lungo termine nella maggior parte dei pazienti per almeno 36 mesi dopo l’intervento con una probabilità di rimanere liberi da recidiva in questo periodo sempre superiore a 0,8. Nei mesi successivi si assiste a una progressiva riduzione del beneficio clinico in particolare nei pazienti allergici, con una differenza statisticamente significativa rispetto ai pazienti non allergici (p < 0,05).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Riduzione volumetrica dei turbinati inferiori con radiofrequenze: risultati clinici a lungo termine

Corso

Bastanza

DonfranCEsCo

et al. 2016

Acta Otorhinolaryngol Ital

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“…Die Anwendung von Laser, Radiofrequenz und Shaver (Mikrodebrider) ermöglicht die Entfernung von submukosalen Geweben, wobei die Nasenschleimhaut intakt bleibt. Diese Methoden sind bei jungen Patienten wirksam und sollten auch bei älteren Patienten, insbesondere bei den antikoagulierten Patienten, vorteilhaft sein, bedürfen aber weiterer Forschung [6,12,16,17]. Unter den sehr alten Probanden sind lediglich 3 Studienteilnehmer mit oralen Antikoagulanzien aus der Gruppe der Vitamin-K-Antagonisten behandelt worden.…”

Section: Perspektiven Der Zukünftigen Forschungunclassified

“…Außerdem führt sie oft zum retrograden Sekretfluss (Postnasal-Drip-Syndrom -PNDS). Sie bewirkt auch eine Verschlechterung des Geruchssinns sowie der Geschmacksfunktion [3][4][5][6]. Wenn die genannten Symptome sich nicht durch therapeutische Maßnahmen wie Nasenduschen oder die Applikation von kortisonhaltigem Nasenspray positiv beeinflussen lassen, ergibt sich die Indikation für eine Nasenmuschelverkleinerung (Muschelplastik) [7,8].…”

Section: Introductionunclassified

Ergebnisse der Nasenmuschelverkleinerung bei alten und sehr alten Patienten mit chronischer Rhinitis

Zagólski

Gorzedowski

Stręk

2020

Laryngorhinootologie

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Zusammenfassung Hintergrund Die Symptomatik der chronischen Rhinitis in der alten und sehr alten Bevölkerung kann aus der isolierten Schleimhauthyperplasie der unteren Nasenmuscheln resultieren. Als eine zielführende Therapie kommt eine Muschelplastik in Betracht. Bedenken bestehen hinsichtlich des oftmals reduzierten Allgemeinzustands, der häufig erhöhten Neigung zur Epistaxis, vor allem bei der Verwendung von Antikoagulanzien, und der Komorbiditäten wie der arteriellen Hypertonie. Hinzu kommt die Problematik der verzögerten Heilung. Ziel In der vorliegenden Studie sollten die Ergebnisse einer Muschelplastik, die in der Gruppe der alten bzw. sehr alten Patienten erzielt wurden, mit den Ergebnissen in der Gruppe der jungen Individuen verglichen werden. Material und Methoden Die Krankenakten von insgesamt 130 Patienten, die in drei Altersgruppen eingeteilt wurden: 82 Patienten 18–59 Jahre (M = 33,8; SD = 10,2); 30 Patienten 60–74 Jahre (M = 66,0; SD = 3,7) und 18 Patienten 75 + Jahre (M = 85,3; SD = 6,5), wurden einer Analyse unterzogen. Die Befragung der Patienten in Bezug auf die Intensität ihrer Symptome erfolgte direkt prä- und einen Monat postoperativ. Zur Beurteilung wurde der Sinonasal Outcome Test (SNOT-20) eingesetzt. Die Dauer der Heilung und die Zufriedenheitswerte der Patienten wurden ebenfalls notiert. Ergebnisse Es zeigte sich eine vergleichbare Verbesserung des Nasendurchflusses, der Rhinorrhoe und des Postnasal-Drip-Syndroms bei den alten und sehr alten Patienten sowie den jungen Probanden. Die Funktion des Geruchssinns verbesserte sich dagegen in einem höheren Maß in der Gruppe der jungen Patienten. Die postoperative Heilung dauerte länger bei den alten und sehr alten Patienten als bei den jungen Probanden. Fazit Einige klinische Ergebnisparameter waren bei den alten und sehr alten Patienten signifikant schlechter als bei den jungen Probanden.

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Long-term Outcomes of Turbinate Surgery in Patients With Allergic Rhinitis

Park

Kim

Jun

et al. 2023

JAMA Otolaryngol Head Neck Surg

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ImportanceTurbinate surgery is an effective treatment for allergic rhinitis (AR) refractory to medical treatment. However, the long-term outcomes of turbinate surgery are still unclear and have not yet been confirmed by a meta-analysis and systematic review of the literature.ObjectiveTo investigate the long-term outcomes and safety of turbinate surgery in AR by performing a meta-analysis.Data SourcesMEDLINE, Embase, the Cochrane Library, and ClinicalTrials.gov were searched through April 2021.Study SelectionStudies that analyzed turbinate surgery alone, had a follow-up period of more than 1 year, examined long-term efficacy of turbinate surgery, used current turbinate surgery methods, and were published in a peer-reviewed journal were included. Full-text reviews were performed by 2 independent reviewers. Conflicts were resolved by a third reviewer.Data Extraction and SynthesisDescriptive and quantitative data were extracted; weighted mean difference (WMD) was synthesized under a random-effects model. Heterogeneity was assessed using the Q statistic and the I2 metric. This study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guidelines.Main Outcomes and MeasuresThe long-term outcomes of turbinate surgery on subjective nasal symptoms and objective parameters.ResultsOf the 3962 citations retrieved, 18 studies comprising 1411 patients were included. Findings showed significantly decreased symptom scores in nasal obstruction (WMD, 4.60, 95% CI, 3.43-5.76), rhinorrhea (WMD, 3.12; 95% CI, 1.97-4.28), sneezing (WMD, 2.64; 95% CI, 1.74-3.54), itching (WMD, 1.75; 95% CI, 1.20-2.30), and nasal resistance (WMD, 0.16; 95% CI, 0.08-0.24) and a significant increased total nasal volume (WMD, 0.96; 95% CI, 0.73-1.19). There was no significant difference in the occurrence of any complication. More than 1 year after surgery, the improvements in nasal obstruction (WMD, 5.18; 95% CI, 3.00-7.37), rhinorrhea (WMD, 3.57; 95% CI, 1.78-5.37), and sneezing (WMD, 2.95; 95% CI, 1.58-4.32) were maintained.Conclusions and RelevanceIn this systematic review and meta-analysis, turbinate surgery was associated with positive outcomes in AR and maintained the association during long-term follow-up. The rate of complications is also low. These findings can guide the preoperative counseling of patients with AR being considered for turbinate surgery.

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Radiofrequency Inferior Turbinate Reduction

Abstract: This long-term evaluation showed that radiofrequency treatment for allergic or nonallergic inferior turbinate hypertrophy appeared to provide improvement in olfaction, decrease nasal resistances, and have subjective benefits, maintained 2 years after the procedure.

Cited by 57 publications

References 23 publications

Riduzione volumetrica dei turbinati inferiori con radiofrequenze: risultati clinici a lungo termine

Riduzione volumetrica dei turbinati inferiori con radiofrequenze: risultati clinici a lungo termine

Ergebnisse der Nasenmuschelverkleinerung bei alten und sehr alten Patienten mit chronischer Rhinitis

Long-term Outcomes of Turbinate Surgery in Patients With Allergic Rhinitis

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