Mehta Nitika, Mehta Satish, Mehta Nandita
1 Ascoms and Hospital, Satish Mehta Clinic & Research Centre Pvt Ltd, Jammu Tawi, India.
2 Satish Mehta Clinic & Research Centre Pvt Ltd, Jammu Tawi, India.
Ear Nose Throat J. 2019 Jul;98(6):E51-E57. doi: 10.1177/0145561319840102. Epub 2019 Apr 11.
Coblation is a novel technology and has a wide application in the field of otorhinolaryngology. We conducted a randomized, noncontrolled study to compare the effectiveness of 2 types of wands used for turbinoplasty for nasal obstruction due to inferior turbinate hypertrophy. Reflex Ultra and Turbinator wands were compared on a total of 150 patients. These patients were divided into a group of 75 patients each in a randomized manner. Results were compared based on the visual analog scale, and objective assessment was done on the basis of endoscopic assessment, that is, Nasal Endoscopic Score (NES). Assessment was done on postoperative day 7, first month, third month, and first year. Both groups demonstrated significant and similar results in long term, but an immediate improvement at 1 week was seen in the Turbinator group. Hence, we conclude that coblation turbinoplasty is an effective technique for turbinate reduction and both wands are equally effective in long term. However, Reflex Ultra has the advantage of mucosal preservation and minimal morbidity, and Turbinator has the advantage of immediate relief in nasal symptoms.
低温等离子消融术是一项新技术，在耳鼻咽喉科领域有广泛应用。我们进行了一项随机、非对照研究，以比较两种用于下鼻甲肥大所致鼻塞的鼻甲成形术用探头的有效性。对150例患者比较了Reflex Ultra探头和Turbinator探头。这些患者被随机分为两组，每组75例。基于视觉模拟量表比较结果，并根据内镜评估即鼻内镜评分（NES）进行客观评估。在术后第7天、第1个月、第3个月和第1年进行评估。两组在长期均显示出显著且相似的结果，但Turbinator组在1周时出现了即刻改善。因此，我们得出结论，低温等离子消融鼻甲成形术是一种有效的鼻甲缩小技术，两种探头长期效果相同。然而，Reflex Ultra探头具有保留黏膜和发病率最低的优势，而Turbinator探头具有能即刻缓解鼻部症状的优势。
