Tatar Arzu, Altas Enver
Department of Otorhinolaryngology-Head and Neck Surgery, Regional Training and Research Hospital, Erzurum, Turkey
Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
Ann Otol Rhinol Laryngol. 2014 Nov;123(11):771-7. doi: 10.1177/0003489414538763. Epub 2014 Jun 18.
This study was designed to research the effects of radiofrequency thermal ablation (RFTA) surgery on the nasal cycle, with anterior rhinomanometry being used for assessment.
Thirty patients with inferior concha hypertrophy and 13 healthy volunteers were included in this study. An anterior rhinomanometry was performed on each of the patients before surgery and at 1 month and 6 months after surgery, and on the volunteers in the control group, simultaneously.
Nineteen of the 30 patients and 8 of the 13 healthy participants showed a distinct type of nasal cycle at different periods of measurement. The mean of the total nasal airflow of the patients was lower before RFTA surgery but increased at a rate of 71.07%, closer to the value of the control group, after RFTA surgery. After RFTA, the unilateral nasal airflow (fmin and fmax) values increased at ratios of 22.36% and 94.44%, respectively. The amplitude (fmax-fmin) showed a statistically significant decrease in the postoperative period (108.43 ± 54.37), when compared with that of the preoperative period (202.80 ± 81.24) (P < .01).
We conclude that the RFTA is a useful method for treating inferior concha hypertrophy, because it positively affects the nasal physiology, increasing the total nasal airflow without changing the nasal cycle time.
本研究旨在探讨射频热消融（RFTA）手术对鼻周期的影响，并采用前鼻测压法进行评估。
本研究纳入了30例下鼻甲肥大患者和13名健康志愿者。对每位患者在手术前、术后1个月和6个月进行前鼻测压，同时对对照组的志愿者进行前鼻测压。
30例患者中的19例和13名健康参与者中的8例在不同测量时期表现出不同类型的鼻周期。患者术前总鼻气流平均值较低，但在RFTA手术后以71.07%的速率增加，更接近对照组的值。RFTA术后，单侧鼻气流（fmin和fmax）值分别以22.36%和94.44%的比例增加。与术前时期（202.80±81.24）相比，术后时期的振幅（fmax - fmin）显示出统计学上的显著下降（108.43±54.37）（P <.01）。
我们得出结论，RFTA是治疗下鼻甲肥大的一种有效方法，因为它对鼻生理有积极影响，增加了总鼻气流，而不改变鼻周期时间。
