Koleli Hakan, Paltura Ceki, Sahin-Yilmaz Asli, Topak Murat, Develioglu Omer Necati, Kulekçi Mehmet
Ann Otol Rhinol Laryngol. 2014 Jul;123(7):457-60. doi: 10.1177/0003489414526694.
Our goals were to investigate (I) the effectiveness of the topical vasoconstrictor test (TVT) and peak nasal inspiratory flow (PNIF) measurement for the selection of patients with inferior turbinate hypertrophy (ITH) who will benefit from radiofrequency ablation (RFA) of the turbinates and (2) the efficacy of the TVT and PNIF in follow-up of treatment outcomes.
Patients with bilateral chronic nasal obstruction due to ITH underwent assessment with a visual analog scale (VAS) and PNIF before and after the TVT. Twenty patients with symptom improvement according to VAS and PNIF results were enrolled in the study. These patients underwent RFA, and PNIF and VAS scores were determined before and I and 6 months after the TVT. These results were compared to evaluate the preoperative prediction of RFA treatment success.
Radiofrequency ablation of the turbinates resulted in significant changes in objective and subjective scores. Preoperative (baseline) subjective and objective responses to decongestant were positively correlated (P = .024 and P < .05, respectively). Preoperative (baseline) objective responses to decongestant were significantly correlated with the objective outcomes of surgery (P = .006 and P < .05, respectively).
The combined use of PNIF and the TVT allows for the preoperative prediction of the success of RFA and the selection of patients who will benefit most from RFA.
我们的目标是研究（1）局部血管收缩试验（TVT）和鼻腔最大吸气流量（PNIF）测量在选择能从下鼻甲肥大（ITH）射频消融术（RFA）中获益的患者方面的有效性，以及（2）TVT和PNIF在治疗效果随访中的功效。
因ITH导致双侧慢性鼻塞的患者在TVT前后接受视觉模拟量表（VAS）和PNIF评估。根据VAS和PNIF结果有症状改善的20例患者纳入研究。这些患者接受RFA，在TVT前、术后1个月和6个月测定PNIF和VAS评分。比较这些结果以评估RFA治疗成功的术前预测情况。
鼻甲射频消融导致客观和主观评分有显著变化。术前（基线）对减充血剂的主观和客观反应呈正相关（分别为P = .024和P < .05）。术前（基线）对减充血剂的客观反应与手术的客观结果显著相关（分别为P = .006和P < .05）。
PNIF和TVT联合使用可对RFA的成功进行术前预测，并选择最能从RFA中获益的患者。
