Kim So Jeong, Kim Hee Tae, Park Yun Hwi, Kim Ju Yeon, Bae Jung Ho
Department of Otolaryngology-Head and Neck Surgery, Ewha Womans University School of Medicine, 911-1 Mok-Dong, Yang Cheon-Ku, Seoul, 158-710, Korea.
Eur Arch Otorhinolaryngol. 2016 Sep;273(9):2575-8. doi: 10.1007/s00405-016-3946-0. Epub 2016 Feb 24.
In this paper, we present the results of coblation nasal septal swell body (NSB) reduction for the treatment of nasal obstruction in patients with abnormally thickened NSB. The study design was a retrospective clinical series conducted at a single tertiary medical center. Eight patients underwent coblation NSB reduction. Pre-operative and post-operative nasal functions were evaluated by acoustic rhinometry and subjective symptom scales. We also analyzed pre-operative CT scan images and nasal endoscopic findings. The mean maximal NSB width was 16.4 ± 2.2 mm on pre-operative coronal CT scan images. The mean visual analog scale score for nasal obstruction was decreased from preoperative 7.63 ± 0.99 points to 3.88 ± 0.92 points (postoperative 3 months), 4.16 ± 0.78 points (postoperative 6 months), and 4.63 ± 0.69 points (postoperative 1 year). Six out of the eight patients were satisfied with the clinical outcome at 1 year after the procedure. To the best of our knowledge, coblation NSB reduction has not yet been reported in the medical literature. Our results show that it can be an effective treatment modality for nasal valve narrowing in patients with abnormally thickened NSB.
在本文中，我们介绍了使用低温等离子体消融术减少鼻中隔肿胀体（NSB）以治疗NSB异常增厚患者鼻塞的结果。该研究设计为在一家三级医疗中心进行的回顾性临床系列研究。8例患者接受了低温等离子体消融术减少NSB治疗。术前和术后的鼻腔功能通过鼻声反射和主观症状量表进行评估。我们还分析了术前CT扫描图像和鼻内镜检查结果。术前冠状位CT扫描图像上NSB的平均最大宽度为16.4±2.2毫米。鼻塞的平均视觉模拟量表评分从术前的7.63±0.99分降至术后3个月的3.88±0.92分、术后6个月的4.16±0.78分和术后1年的4.63±0.69分。8例患者中有6例在术后1年对临床结果满意。据我们所知，医学文献中尚未报道过低温等离子体消融术减少NSB。我们的结果表明，对于NSB异常增厚的患者，它可以成为治疗鼻瓣膜狭窄的一种有效治疗方式。
