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Efficacy and safety of inferior turbinates coblation in children

Published online by Cambridge University Press:  26 February 2014

M A Bitar ,
A A Kanaan  and
S Sinno
M A Bitar*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine and Medical Center, American University of Beirut, Lebanon Department of Pediatrics and Adolescent Medicine, Faculty of Medicine and Medical Center, American University of Beirut, Lebanon Department of ENT Surgery, Children's Hospital at Westmead, Sydney Children's Hospitals Network, New South Wales, Australia Sydney Medical School, University of Sydney, New South Wales, Australia
A A Kanaan
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine and Medical Center, American University of Beirut, Lebanon Department of Otolaryngology Head and Neck Surgery, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada
S Sinno
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine and Medical Center, American University of Beirut, Lebanon
*
Address for correspondence: Mr Mohamad A Bitar, Department of ENT Surgery, Children's Hospital at Westmead, Locked Bag 4001, Westmead, NSW, Australia2145 Fax: +61 2 9845 2078 E-mail: Michael.bitar@health.nsw.gov.au
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Abstract

Objective:

To assess the effectiveness and safety of coblation in relieving inferior turbinate hypertrophy in children.

Methods:

An observational cohort study was undertaken. The severity of allergic rhinitis and the severity and degree of nasal obstruction were assessed using subjective and clinical symptom grading tools, a visual analogue scale, and endoscopy. Any post-operative complications were noted at 1 week, and at 1, 3, 6 and 12 months post-operatively. Data from extended follow-up periods were included when available. The statistical significance of changes in parameter values was assessed using the Wilcoxon signed-rank test.

Results:

Thirty-two patients were recruited (mean age, 11.28 years; range, 6–17 years). Significant post-operative improvement (p < 0.001) was noted in the severity and degree of nasal obstruction. This improvement was maintained after a mean follow-up period of 10.5 months (range, 1 month to 4 years). No mucosal ulceration or adhesion was encountered. Minimal crusting was noted in 8.57 per cent of patients at 1-week follow up. Allergic rhinitis symptoms improved significantly.

Conclusion:

Inferior turbinate reduction by coblation is an effective and safe procedure in children aged six years and older. The positive outcomes seem to be long-lasting.

Keywords

TurbinatesAblation TechniquesNasal ObstructionPediatrics
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue S2 , July 2014 , pp. S48 - S54
Copyright
Copyright © JLO (1984) Limited 2014 

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Footnotes

Presented orally at the 12th Asia-Oceania ORL-HNS Congress, 1–4 March 2011, Auckland, New Zealand.

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