Yu Myeong Sang, Kang Sung-Ho, Kim Bo-Hyung, Lim Dae Jun, Kim Jong-Yeup
Department of Otorhinolaryngology, Konkuk University School of Medicine, Chungju, South Korea.
Am J Rhinol Allergy. 2015 Sep-Oct;29(5):e134-7. doi: 10.2500/ajra.2015.29.4217.
Radiofrequency (RF) turbinoplasty may be effective in treating nonallergic rhinitis in elderly patients. The present study evaluated the efficacy of nasal turbinate surgery with RF for the treatment of nonallergic rhinitis in elderly patients refractory to medical therapy.
A total of 35 consecutive patients older than 65 years of age (mean subject age, 75.5 ± 9.6 [standard deviation] years) with nonallergic rhinitis refractory to medical therapy who underwent RF turbinate surgery were enrolled in this study. The efficacy of RF turbinoplasty in treating nonallergic rhinitis in elderly patients was evaluated by using rhinoscopy and a visual analog scale score of nasal symptoms.
The response rate of primary RF turbinate surgery for nonallergic rhinitis refractory to medical therapy was 68.6%. Postoperative symptom scores for rhinorrhea and nasal obstruction were significantly improved. Persistent crust formation developed in seven patients (20.0%). No patient experienced major complications (e.g., septal hematoma, abscess, septal perforation), but partial bone necrosis was observed in one patient.
RF turbinoplasty appeared to be effective for treating some nonallergic rhinitis symptoms in elderly patients, including rhinorrhea and nasal obstruction. These preliminary results are encouraging and warrant further investigation.
射频鼻甲成形术可能对治疗老年患者的非过敏性鼻炎有效。本研究评估了采用射频进行鼻甲手术治疗药物治疗无效的老年非过敏性鼻炎患者的疗效。
本研究纳入了35例连续的65岁以上（平均年龄75.5±9.6[标准差]岁）药物治疗无效的非过敏性鼻炎患者，这些患者接受了射频鼻甲手术。通过鼻内镜检查和鼻症状视觉模拟量表评分评估射频鼻甲成形术治疗老年患者非过敏性鼻炎的疗效。
药物治疗无效的非过敏性鼻炎患者接受初次射频鼻甲手术的有效率为68.6%。术后流涕和鼻塞症状评分显著改善。7例患者（20.0%）出现持续性结痂。无患者发生严重并发症（如鼻中隔血肿、脓肿、鼻中隔穿孔），但1例患者观察到部分骨质坏死。
射频鼻甲成形术似乎对治疗老年患者的一些非过敏性鼻炎症状有效，包括流涕和鼻塞。这些初步结果令人鼓舞，值得进一步研究。
