2008, Number 2
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Otorrinolaringología 2008; 53 (2)
Effect of radiofrequency on the treatment of inferior turbinates’ hypertrophy
Basurto MP, López UAC, Ortega OAI, Cordero CSA
Language: Spanish
References: 11
Page: 70-74
PDF size: 176.33 Kb.
ABSTRACT
Background
Nasal obstruction is one of the most common and antique diseases of human beings. When medical treatment fails in the relief of obstructive symptoms, there are surgical therapies, such as partial resection of inferior turbinates, that correct obstruction. Radiofrequency has been applied several years ago to remove tissue in diverse medical settings, including otorhynolaryngology.
Objective
To reduce the size of inferior turbinates, using radiofrequency in patients with turbinates’ hypertrophy regardless the cause.
Material and methods
A prospective, descriptive and longitudinal study done at the otorhynolaryngology service, Mexican General Hospital, from June, 2004 to June, 2005. Thirty-two patients with turbinates’ hypertrophy without septal deviation were included; they assisted to external consultation. To all of them radiofrequency with Ellmann equipment was applied with local anesthesia; they were followed by 12 weeks. Seven patients were excluded.
Results
All patients who assisted to follow-up had clinical improvement and reduced turbinates’ size.
CONLUSIONS
Resection of inferior turbinate tissue by radiofrequency is a minimally invasive technique.
REFERENCES
Rhee C, Kim D, Won T, Lee HJ, et al. Changes of nasal function after temperature-controlled radiofrequency tissue volume reduction for the turbinate. Laryngoscope 2001;11:153-8.
Seeger J, Zenev E, Gundlach P, Stein T, Müller G. Bipolar radiofrequency-induced thermotherapy of turbinate hypertrophy: pilot study and 20 months’ follow-up. Laryngoscope 2003;113:130-5.
Rhee JS, Book DT, Burzynski M, Smith TL. Quality of life assessment in nasal airway obstruction. Laryngoscope 2003;113:1118-22.
Smith TL, Correa AJ, Kuo T, Reinisch L. Radiofrequency tissue ablation of the inferior turbinates using a thermocouple feedback electrode. Laryngoscope 1999;109(11):1760-5.
Coste A, Yona L, Blumen M, Louis B, et al. Radiofrequency is a safe and effective treatment of turbinate hypertrophy. Laryngoscope 2001;111:894-9.
Friedman M, Tanyeri H, Lim J, Landsberg R, Caldarelli D. A safe, alternative technique for inferior turbinate reduction. Laryngoscope 1999;109:1834-7.
Bäck LJ, Hytönen ML, Malmberg HO, Ylikoski JS. Submucosal bipolar radiofrequency thermal ablation of inferior turbinate: a long-term follow-up with subjective and objective assessment. Laryngoscope 2002;112:1806-12.
Utley S, Goode RL, Hakim I. Radiofrequency energy tissue ablation for the treatment of nasal obstruction secondary to turbinate hypertrophy. Laryngoscope 1999;109:683-6.
Lin HCh, Lin PW, Su ChY, Chang HW. Radiofrequency for the treatment of allergic rhinitis refractory to medical therapy. Laryngoscope 2003;113:673-8.
Powell NB, Zonato AI, Weaver EM, Li K, et al. Radiofrequency treatment of turbinate hypertrophy in subjects using continuous positive airway pressure: a randomized, double: blind, placebo-controlled clinical pilot trail. Laryngoscope 2001;111:1783-90.
Sapçi T, Sahin B, Karavus A, Akbulut UG. Comparison of the effects of radiofrequency tissue ablation, CO2 laser ablation, and partial turbinectomy applications on nasal mucociliary functions. Laryngoscope 2003;113:514-9.