Yildirim Beyazit, Uysal Ismail Onder, Polat Cahit, Gök Cengiz
Department of Otolaryngology, Imamoğlu State Hospital, Adana, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2008 Mar-Apr;18(2):90-6.
The efficacy of the radiofrequency ablation technique was evaluated in patients with nasal airway obstruction due to inferior turbinate hypertrophy.
The study included 30 patients (20 females, 10 males; mean age 32+/-12 years; range 17 to 18 years) treated with radiofrequency ablation. The patients were evaluated preoperatively and at 3, 7, and 60 days for nasal obstruction, turbinate edema, and other complaints using a visual analog scale (VAS). Nasal ciliary activity was evaluated by the saccharin test at 7 and 60 days, and nasal volume was measured by acoustic rhinometry at 60 days.
Postoperative VAS scores of nasal obstruction, nasal itching, crusting, sneezing, rhinolalia, nasal discharge, and post-nasal drip significantly decreased (p<0.05), while hyposmia score remained unchanged. Postoperative pain was trivial and did not require analgesic use. Nasal passage volume increased significantly (p<0.05). Nasal ciliary activity did not change significantly. No significant episodes of epistaxis were observed postoperatively.
Radiofrequency ablation may be the treatment of choice for turbinate reduction because it is highly effective, minimally invasive with very low complication rates, and can be performed in outpatient clinics without general anesthesia.
评估射频消融技术治疗下鼻甲肥大所致鼻气道阻塞患者的疗效。
本研究纳入30例接受射频消融治疗的患者（20例女性，10例男性；平均年龄32±12岁；年龄范围17至18岁）。术前以及术后3天、7天和60天，采用视觉模拟量表（VAS）对患者的鼻阻塞、鼻甲水肿及其他症状进行评估。在术后7天和60天通过糖精试验评估鼻纤毛活动，术后60天通过鼻声反射测量鼻腔容积。
术后鼻阻塞、鼻痒、结痂、打喷嚏、鼻音、鼻分泌物及鼻后滴漏的VAS评分显著降低（p<0.05），而嗅觉减退评分无变化。术后疼痛轻微，无需使用镇痛药。鼻腔容积显著增加（p<0.05）。鼻纤毛活动无显著变化。术后未观察到明显的鼻出血事件。
射频消融可能是下鼻甲缩小术的首选治疗方法，因为它高效、微创，并发症发生率极低，且可在门诊进行，无需全身麻醉。
