Maskell S, Eze N, Patel P, Hosni A
Department of Otolaryngology, Frimley Park Hospital, Camberley, UK.
J Laryngol Otol. 2007 Oct;121(10):957-61. doi: 10.1017/S0022215107005919. Epub 2007 Feb 26.
The suitability of performing laser inferior turbinectomy under local anaesthesia in an out-patient setting was assessed, regarding its effectiveness and patients' toleration of the procedure. Prospective data collection was undertaken from 129 patients undergoing laser inferior turbinectomy over four years. Patients were assessed, pre-operatively, operatively and at two weeks and three months post-operatively, for pain, complications and symptoms, using the sino-nasal assessment questionnaire. All patients had hypertrophied inferior turbinates. Ninety-eight patients complained of nasal obstruction and 67 had the procedure as part of treatment for snoring. One hundred and twenty-one of the patients had treatment to both inferior turbinates. There were no cases of intra-operative haemorrhage. The average pre-operative sino-nasal assessment questionnaire score was 18.22, which improved to 10.68 at the three month post-operative assessment (p<0.001). Five patients had significant intra-operative pain. This study shows that laser inferior turbinectomy under local anaesthesia is well tolerated and that good results can be achieved when performing the procedure in the out-patient department.
评估了在门诊局部麻醉下进行激光下鼻甲切除术的适用性，包括其有效性和患者对该手术的耐受性。对四年内接受激光下鼻甲切除术的129例患者进行了前瞻性数据收集。使用鼻窦评估问卷，在术前、术中以及术后两周和三个月对患者的疼痛、并发症和症状进行评估。所有患者均有下鼻甲肥大。98例患者主诉鼻塞，67例患者将该手术作为打鼾治疗的一部分。121例患者双侧下鼻甲均接受了治疗。无术中出血病例。术前鼻窦评估问卷平均得分为18.22，术后三个月评估时提高到10.68（p<0.001）。5例患者术中疼痛明显。本研究表明，局部麻醉下的激光下鼻甲切除术耐受性良好，在门诊进行该手术可取得良好效果。
