Levine H L
Department of Otolaryngology and Communicative Disorders, Cleveland Clinic Foundation, OH 44195-5034.
Otolaryngol Head Neck Surg. 1991 Feb;104(2):247-51. doi: 10.1177/019459989110400215.
Patients with nasal turbinate dysfunction most often are seen by the physician with such symptoms as watery nasal secretions, nasal obstruction, congestion, facial pressure, or pain. There will often have been multiple attempts to manage the problem medically and symptomatically with antihistamines, decongestants, antibiotics, nasal cromolyn, and topical or systemic steroid therapy. Some patients will have undergone numerous attempts at surgical therapy, most often with cryosurgery or cauterization. The cause of the symptoms of turbinate dysfunction for most of these patients is either vasomotor rhinitis, allergic rhinitis, or polypoid hypertrophic turbinates. A visible-wavelength laser with a wavelength of 532 nm, the potassium-titanyl phosphate laser has been used with nasal endoscopes to perform laser photocoagulation of the nasal turbinates. A description of the technique and early results have been previously reported. This article reports good long-term results with the technique.
鼻甲功能障碍患者最常被医生发现有鼻分泌物增多、鼻塞、充血、面部压迫感或疼痛等症状。通常会多次尝试使用抗组胺药、减充血剂、抗生素、色甘酸钠鼻喷雾剂以及局部或全身类固醇疗法来进行药物治疗和对症处理。一些患者会经历多次手术治疗尝试,最常见的是冷冻手术或烧灼术。这些患者中大多数鼻甲功能障碍症状的原因是血管运动性鼻炎、过敏性鼻炎或息肉样肥大鼻甲。波长为532nm的可见波长激光,即磷酸钛钾激光,已与鼻内镜一起用于对鼻甲进行激光光凝。此前已报道过该技术的描述及早期结果。本文报告了该技术良好的长期效果。