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Long-term clinical results of radiofrequency tissue volume reduction for inferior turbinate hypertrophy

Published online by Cambridge University Press:  26 August 2011

I Cukurova ,
E Demirhan ,
E A Cetinkaya  and
O G Yigitbasi
I Cukurova
Affiliation:
Department of ENT and Head and Neck Surgery, İzmir Tepecik Training and Research Hospital, İzmir, Turkey
E Demirhan*
Affiliation:
Department of ENT and Head and Neck Surgery, Ministry of Health İzmir Seferihisar Hospital, İzmir, Turkey
E A Cetinkaya
Affiliation:
Department of ENT and Head and Neck Surgery, Ministry of Health Antalya Ataturk Hospital, Antalya, Turkey
O G Yigitbasi
Affiliation:
Department of ENT and Head and Neck Surgery, İzmir Tepecik Training and Research Hospital, İzmir, Turkey
*
Address for correspondence: Dr Erhan Demirhan, Mansuroglu mah 286/9 sk No 12 D:16, Bornova, İzmir, Turkey Fax: +90 232 4643626 E-mail: [email protected]
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Abstract

Objective:

To investigate the long-term clinical results of radiofrequency tissue volume reduction for symptomatic inferior turbinate hypertrophy.

Study design:

Patients who were unresponsive to medical treatment (n = 197) received turbinate reduction using radiofrequency energy. Subjective symptoms were assessed using a 10 cm visual analogue scale, and all patients underwent acoustic rhinometry before the procedure and six, 24, 48 and 60 months afterwards.

Results:

Of the 197 treated patients, 148 completed the protocol. No significant peri-operative complications were observed. Thirty-two patients required follow-up treatment. Significant improvements were seen in nasal obstruction and discharge scores and in acoustic rhinometry values, at six, 24, 48 and 60 months post-operatively, compared with pre-operative values (p < 0.001 and p < 0.05, respectively).

Conclusion:

Radiofrequency tissue volume reduction is an effective procedure for inferior turbinate hypertrophy. The clinical benefit of this procedure persisted 60 months after the procedure.

Keywords

TurbinatesSurgical Procedures, OperativeRhinometry, Acoustic
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 11 , November 2011 , pp. 1148 - 1151
Copyright
Copyright © JLO (1984) Limited 2011

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References

1Anadolu, Y, Ozgursoy, OB, Tatlipinar, AU. Radiofrequency tissue reduction of the inferior turbinates [inTurkish]. KBB ve Bas-Boyun Cerrahisi Dergisi 2001;9:129–33Google Scholar
2Hol, MK, Huizing, EH. Treatment of inferior turbinate pathology: a review and critical evaluation of the different techniques. Rhinology 2000;38:157–66Google Scholar
3Passali, D, Passali, FM, Damiani, V, Passali, GC, Bellussi, L. Treatment of inferior turbinate hypertrophy: a randomized clinical trial. Ann Otol Rhinol Laryngol 2003;112:683–8CrossRefGoogle ScholarPubMed
4Jackson, LE, Koch, RJ. Controversies in the management of inferior turbinate hypertrophy: a comprehensive review. Plast Reconstr Surg 1999;103:300–12CrossRefGoogle ScholarPubMed
5Lee, KC, Hwang, PH, Kingdom, TT. Surgical management of inferior turbinate hypertrophy in the office: three mucosal sparing techniques. Oper Tech Otolaryngol Head Neck Surg 2001;12:107–11CrossRefGoogle Scholar
6Kizilkaya, Z, Ceylan, K, Emir, H, Yavanoglu, A, Unlu, I, Samim, E. Comparison of radiofrequency tissue volume reduction and submucosal resection in inferior turbinate hypertrophy. Otolaryngol Head Neck Surg 2008;138:176–81CrossRefGoogle ScholarPubMed
7Sapci, 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;113:514–19CrossRefGoogle ScholarPubMed
8Back, LJ, Hytonen, ML, Malmberg, HO, Ylikoski, JS. Submucosal bipolar radiofrequency thermal ablation of inferiorturbinates: a long-term follow-up with subjective and objective assessment. Laryngoscope. 2002;112:1806–12CrossRefGoogle ScholarPubMed
9Coste, A, Yona, L, Blumen, M, Louis, B, Zerah, F, Rugina, M et al. Radiofrequency is a safe and effective treatment of turbinate hypertrophy. Laryngoscope 2001;111:894–9CrossRefGoogle ScholarPubMed
10Cukurova, I, Cetinkaya, EA, Demirhan, E, Avci, A. Long-term histological examination of inferior concha after radiofrequency thermal ablation. J Laryngol Otol 2010;23:1–4Google Scholar
11Bhattacharyya, N, Kepnes, LJ. Clinical effectiveness of coblation inferior turbinate reduction. Otolaryngol Head Neck Surg 2003;129:365–71CrossRefGoogle ScholarPubMed
12Atef, A, Mosleh, M, El Bosraty, H, Abd El Fatah, G, Fathi, A. Bipolar radiofrequency volumetric tissue reduction of inferior turbinate: does the number of treatment sessions influence the final outcome? Am J Rhinol 2006;20:25–31CrossRefGoogle ScholarPubMed
13Li, KK, Powell, NB, Riley, RW, Troell, R, Guilleminault, C. Radiofrequency volumetric tissue reduction for treatment of turbinate hypertrophy: a pilot study. Otolaryngol Head Neck Surg 1998;119:569–73CrossRefGoogle ScholarPubMed