Abstract
Nasal turbinate hypertrophy is a major cause of nasal airway obstruction that affects up to 20% of the European general population. This study aims to determine the efficacy of radiofrequency treatment as perceived by patients during a 2-years period. From 2007 to 2009, an observational study was conducted on 36 patients who consecutively underwent temperature-controlled radiofrequency tissue volume reduction. A questionnaire was administered to each patient in order to collect demographic data, lifestyle habits, health status and visual analogue scale (VAS) score of perceived symptoms. Mean VAS scores of nasal obstruction, headache, rhinorrhoea and anosmia after treatment were significantly lower than that at baseline. Urban residence and allergic rhinitis were significantly associated with lower mean improvement (2.9 vs. 5.6; P = 0.04 and 2.3 vs. 5.3; P = 0.01, respectively). A non significant association with scarce nasal obstruction improvement was present in older aged patients, in patients other than students and in active and passive smokers. Our data enrich the general knowledge on radiofrequency treatment of turbinate hypertrophy identifying the rate of long-term efficacy of radiofrequency treatment as perceived by patients and focusing on several risk factors involved in patient prognosis after treatment.
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References
Cavaliere M, Mottola G, Iemma M (2005) Comparison of the effectiveness and safety of radiofrequency turbinoplasty and traditional surgical technique in treatment of inferior turbinate hypertrophy. Otolaryngol Head Neck Surg 133(6):972–978
Lippert BM, Werner JA (1996) Nd:YAG laser light-induced reduction of nasal turbinates. Laryngorhinootologie 75:523–528
Ottaviani F, Capaccio P, Cesana BM, Manzo R, Peri A (2003) Argon plasma coagulation in the treatment of nonallergic hypertrophic inferior nasal turbinates. Am J Otolaryngol 24:306–310
Friedman M, Tanyeri H, Lim J, Landsberg R, Caldarelli D (2000) A safe, alternative technique for inferior turbinate reduction. Laryngoscope 109:1834–1837
Jackson LE, Koch RJ (1999) Controversies in the management of inferior turbinate hypertrophy: a comprehensive review. Plast Reconstr Surg 103:300–312
Sapci T, Sahin B, Karavus A, Akbulut UG (2003) Comparison of the effects of radiofrequency tissue ablation, CO2 laser ablation, and partial turbinectomy applications on nasal mucociliary functions. Laryngoscope 13(3):514–519
Coste A, Yona L, Blumen M, Louis B, Zerah F, Rugina M et al (2001) Radiofrequency is a safe and effective treatment of turbinate hypertrophy. Laryngoscope 111:894–899
Powell NB, Zonato AI, Weaver EM, Li K, Troell R, Riley RW, Guilleminault C (2001) Radiofrequency treatment of turbinate hypertrophy in subjects using continuous positive airway pressure: a randomized, double-blind, placebo-controlled clinical pilot trial. Laryngoscope 111(10):1783–1790
Harsten G (2005) How we do it: radiofrequency-turbinectomy for nasal obstruction symptoms. Clin Otolaryngol 30(1):64–66
Li KK, Powell NB, Riley RW, Troell R, Guilleminault C (1998) Radiofrequency volumetric tissue reduction for the treatment of turbinate hypertrophy: a pilot study. Otolaryngol Head Neck Surg 119(6):569–573
Rhee CS, Kim DY, Won TB, Lee HJ, Park SW, Kwon TY et al (2001) Changes of nasal function after temperature-controlled radiofrequency tissue volume reduction for the turbinate. Laryngoscope 111:153–158
Utley DS, Goode RL, Hakim I (1999) Radiofrequency energy tissue ablation for the treatment of nasal obstruction secondary to turbinate hypertrophy. Laryngoscope 109:683–686
Kim CS, Moon BK, Jung DH (1998) Correlation between nasal obstruction symptoms and objective parameters of acoustic rhinometry and rhinomanometry. Auris Nasus Larynx 25:45–48
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Incandela, C., Calamusa, G., Massenti, M.F. et al. Long-Term Efficacy of Radiofrequency Treatment of Turbinate Hypertrophy: A Patient Based Point of View. Indian J Otolaryngol Head Neck Surg 65 (Suppl 2), 226–230 (2013). https://doi.org/10.1007/s12070-011-0337-0
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DOI: https://doi.org/10.1007/s12070-011-0337-0