Lee Keun-Cheol, Cho Jeong-Min, Kim Seok-Kwun, Lim Kwang-Ryeol, Lee Sang-Yun, Park Su-Seong
Department of Plastic and Reconstructive Surgery, Dong-A University School of Medicine, Busan, Korea.
I&Co Aesthetic Plastic Surgery Clinic, Busan, Korea.
Arch Craniofac Surg. 2017 Jun;18(2):82-88. doi: 10.7181/acfs.2017.18.2.82. Epub 2017 Jun 26.
Turbinate hypertrophy is one of the common causes of chronic nasal obstruction. In principle, therapeutic guidelines recommend medical treatment. Failure to treat turbinate thickening despite drug therapy may indicate the need for surgery. The main aim of this study was to determine the effect of radiofrequency surgery, among various other surgical procedures, on people with both nasal septal deviation and turbinate hypertrophy.
Among people with nasal deviation who visited the subject hospital between July 2008 to July 2014, 21 people with nasal septal deviation and severe turbinate hypertrophy before their surgery had undergone septoplasty with turbinoplasty using radiofrequency combined with septoplasty. The degree of the turbinate's hypertrophy was appraised in all the patients before and after the surgery using the rhinoscopy, and acoustic rhinometry was objectively carried out. The subjective effect of the turbinoplasty using radiofrequency was explored through the visual analog scale (VAS) score.
The degree of contraction of the nasal mucosa after the rhinoscopy changed from Grades 3 and 4 (100%) to Grades 1 and 2 (95.2%) and Grades 3 (4.8%). The minimal cross-sectional area significantly increased from 0.44±0.07 to 0.70±0.07 cm (<0.05). The nasal cavity volume increased from 4.79±0.49 to 6.76±0.55 cm (<0.05). The subjective symptoms evaluated with VAS score a year after the surgery significantly improved (<0.05).
Turbinoplasty using Coblator with septoplasty is an effective treatment method because it expands nasal cavity, has a low incidence of complications, subjectively improves symptoms, and has short treatment duration.
鼻甲肥大是慢性鼻塞的常见原因之一。原则上，治疗指南推荐药物治疗。尽管进行了药物治疗，但鼻甲增厚仍未得到治疗，可能表明需要进行手术。本研究的主要目的是确定在各种其他外科手术中，射频手术对鼻中隔偏曲和鼻甲肥大患者的效果。
在2008年7月至2014年7月期间到该主题医院就诊的鼻中隔偏曲患者中，21例术前有鼻中隔偏曲和严重鼻甲肥大的患者接受了鼻中隔成形术联合射频鼻甲成形术。在所有患者手术前后使用鼻内镜评估鼻甲肥大程度，并客观地进行鼻声反射测量。通过视觉模拟量表（VAS）评分探索射频鼻甲成形术的主观效果。
鼻内镜检查后鼻黏膜收缩程度从3级和4级（100%）变为1级和2级（95.2%）和3级（4.8%）。最小横截面积从0.44±0.07显著增加到0.70±0.07 cm（<0.05）。鼻腔容积从4.79±0.49增加到6.76±0.55 cm（<0.05）。术后一年用VAS评分评估的主观症状显著改善（<0.05）。
使用Coblator进行鼻甲成形术联合鼻中隔成形术是一种有效的治疗方法，因为它能扩大鼻腔，并发症发生率低，主观上改善症状，且治疗时间短。
