Izvorni znanstveni članak
Efficacy and Safety of Inferior Turbinate Coblation-Channeling in the Treatment of Nasal Obstructions
Željka Roje
Goran Račić
Goran Kardum
Sažetak
The aim of this study was to evaluate the safety and effectiveness of coblation-channeling in the treatment of inferior
turbinate hypertrophy. The study was conducted in the Department of ENT, Head and Neck Surgery, Split University
Hospital Center, Split, Croatia. Fifty-two patients with inferior turbinate hypertrophy who were refractory to medical therapy
were evaluated for coblation. The procedures were performed under local anesthesia using an ArthroCare ReFlexUltra
45 wand; three submucosal channels were made per turbinate. Clinical examinations, a questionnaire on individual nasal
symptoms (hyposmia, nasal drainage and post-nasal drip), a 10-cm visual analog scale (VAS) grading general nasal
obstructions, and rhinomanometry before and 8 weeks after the treatment were administered to assess treatment outcomes.
No adverse effects were encountered. Nasal breathing was significantly improved in all patients, decreasing the
VAS from a median of 7 (range 2–9) to 1 (range 0–3) (p<0.001). Total nasal resistance decreased from 0.44 Pa±0.50 to
0.24 Pa±0.11 (p=0.005). Improvement was statistically significant for all three symptoms (hyposmia [p=0.005], nasal
drainage [p=0.003] and post-nasal drip [p<0.001]). In this paper, we demonstrate that coblation-channeling of the hypertrophic
inferior turbinate is an effective and safe way to reduce nasal obstruction symptoms.
Ključne riječi
nasal obstruction; turbinates; surgery; rhinomanometry; treatment outcome
Hrčak ID:
64765
URI
Datum izdavanja:
7.3.2011.
Posjeta: 1.214 *