Turbinoplasty of hypertrophied inferior turbinate by diode laser
Keywords:Diode Laser, Hypertrophied Inferior Turbinate, Turbinoplasty
AbstractBackground: Different laser types have been used for the treatment of hypertrophied inferior
nasal turbinates. The clinical experiences of its treatment by means of a diode laser are presented.
Methods: A total of 45 patients suffering from nasal obstruction due to hypertrophied inferior
turbinates (HIT) were treated with a continuous diode laser (14 W- 940 nm) in "contact" mode
and under local anesthesia. Thirty patients (16 with allergic rhinitis and 14 with vasomotor
rhinitis) were included into this clinical trial with a follow-up of 6 months. The study was
conducted by a questionnaire, photo documentation, conventional radiology of the paranasal
sinuses, and histology.
Results: The mean operation time took 8 min/turbinate, no nasal packing was necessary and
no immediate complications (e.g., bleeding) were observed. Statistical analysis revealed
significant subjective improvement (86%) of the nasal airflow and nasal cavity volume (photo
documentation) 6 months after laser surgery. In addition, complete relief of headache was
achieved in 32%. The remission rates of persistent rhinorrhoea and post-nasal dripping were,
at about 88% and 64%, respectively. Atrophic change and synechiae had not been observed.
Conclusions: Diode laser treatment of HIT is a useful procedure, which can be performed as an
outpatient surgery under local anesthesia, resulting in a controlled coagulation and ablation of the
soft tissue. The short operation time and the good results provide an excellent patient acceptance.
Key words: Diode Laser; Hypertrophied Inferior Turbinate; Turbinoplasty.
Bangladesh J Otorhinolaryngol 2010; 16(1): 29-34
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