Department of ENT, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India.
Department of Community Medicine, USM-KLE International Medical College, Nehru Nagar, Belagavi, Karnataka, India.
Ear Nose Throat J. 2021 Feb;100(2):NP125-NP130. doi: 10.1177/0145561319839795. Epub 2019 Aug 7.
Hypertrophy of inferior nasal turbinate is one of the most common causes for nasal obstruction (NO). As diode laser has proven to be as effective as any other lasers, our objective was to study various primary outcomes of its use of diode laser like improvement in NO, intraoperative bleeding, postoperative pain, and rapidity of healing. The study was undertaken to compare the various outcomes by diode laser turbinate reduction (LTR) and conventional partial inferior turbinectomy (PIT). A nonrandomized controlled trial was conducted on 2 groups: One group (30 cases) underwent LTR and PIT was performed in the other group (30 cases). The improvement in NO was measured postoperatively up to 6 months. Intraoperative bleeding was measured and postoperative pain scores were assessed each day up to fifth postoperative day. Lastly, rapidity of healing was evaluated until 6 months. Subjective relief of NO was 90.8% in LTR group, whereas it was 65% in PIT group at 6-month follow-up, which was statistically significant ( < .05). Pain scores were higher until 5 days in PIT group compared to LTR group ( = .0001). Intraoperative bleeding mean scores (milliliters) were 8.03 in LTR group compared to 23.29 in PIT group ( = .00001). Rapidity of healing was faster in LTR group with mean scores of 3.03 weeks in comparison to PIT group where it was 6.33 weeks ( = .00001). Compared to the conventional technique, the outcomes were better with diode laser and caused less morbidity.
下鼻甲肥大是引起鼻塞（NO）的最常见原因之一。二极管激光已被证明与其他任何激光一样有效，因此我们的目的是研究其使用的各种主要结果，如改善 NO、术中出血、术后疼痛和愈合速度。这项研究旨在比较二极管激光鼻甲减少术（LTR）和传统部分下鼻甲切除术（PIT）的各种结果。对两组进行了非随机对照试验：一组（30 例）接受 LTR，另一组（30 例）进行 PIT。术后最多 6 个月测量 NO 的改善情况。术中出血量和术后疼痛评分每天评估至术后第 5 天。最后，直到 6 个月评估愈合速度。在 6 个月的随访中，LTR 组的 NO 主观缓解率为 90.8%，而 PIT 组为 65%，差异具有统计学意义（<0.05）。与 LTR 组相比，PIT 组的疼痛评分在第 5 天更高（=0.0001）。LTR 组的术中平均出血量（毫升）为 8.03，而 PIT 组为 23.29（=0.00001）。LTR 组的愈合速度更快，平均评分为 3.03 周，而 PIT 组为 6.33 周（=0.00001）。与传统技术相比，二极管激光的效果更好，且发病率更低。
