Prokopakis Emmanuel P, Koudounarakis Eleftherios I, Velegrakis George A
Department of Otorhinolaryngology, University of Crete School of Medicine, Heraklion, Crete, Greece.
Am J Rhinol Allergy. 2014 May-Jun;28(3):269-72. doi: 10.2500/ajra.2014.28.4044.
Inferior turbinate surgery is one of the most commonly performed methods for the treatment of rhinitis symptoms, especially nasal obstruction. This is a comparative study of CO2 laser, electrocautery, and radiofrequency turbinoplasty in the treatment of rhinitis symptoms.
From 1994 to 2011, 3219 patients were enrolled in the study. Two hundred eighty-three patients were lost during follow-.up. Of the remaining 2936 patients, 1066 were managed using the CO2 laser, whereas 664 and 1206 were managed with the use of radiofrequency and electrocautery, respectively. All procedures were performed under local anesthesia. Patients were asked to evaluate their symptoms with the visual analog scale (VAS) preoperatively, as well as 1 month and 1 year postoperatively. Rhinomanometry was used to objectively evaluate the effect on nasal obstruction.
Mean VAS values preoperatively, regarding nasal obstruction, were 7.43 ± 0.96, 7.33 ± 0.87, and 7.64 ± 0.95 in the CO2 laser, radiofrequency, and electrocautery group, respectively. One month postoperatively, the score was significantly improved in all groups (CO2 laser, 3.44 ± 0.99; radiofrequency, 3.26 ± 0.76; electrocautery, 3.19 ± 0.79), which was almost stable in the 1st year of follow-up. Similar results were also observed in the evaluation of sneezing and rhinorrhea. Outcome did not statistically differ between the three methods.
The CO2 laser, radiofrequency and electrocautery offer excellent postoperative results in turbinoplasty cases under local anesthesia.
下鼻甲手术是治疗鼻炎症状尤其是鼻塞最常用的方法之一。这是一项关于二氧化碳激光、电灼和射频鼻甲成形术治疗鼻炎症状的对比研究。
1994年至2011年，3219例患者纳入本研究。283例患者在随访期间失访。在其余2936例患者中，1066例采用二氧化碳激光治疗，664例和1206例分别采用射频和电灼治疗。所有手术均在局部麻醉下进行。要求患者在术前、术后1个月和1年使用视觉模拟量表（VAS）评估其症状。采用鼻阻力测量法客观评估对鼻塞的影响。
术前，二氧化碳激光组、射频组和电灼组关于鼻塞的平均VAS值分别为7.43±0.96、7.33±0.87和7.64±0.95。术后1个月，所有组的评分均显著改善（二氧化碳激光组，3.44±0.99；射频组，3.26±0.76；电灼组，3.19±0.79），在随访的第1年几乎稳定。在打喷嚏和流涕的评估中也观察到类似结果。三种方法的结果在统计学上无差异。
在局部麻醉下进行的鼻甲成形术病例中，二氧化碳激光、射频和电灼术后效果良好。
