Head and Neck Surgery, Otorhinolaryngology, Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Othman Bin Affan St., Zagazig, Sharkia Governorate, Egypt.
Otorhinolaryngology, Head and Neck Surgery at the Medical Administration for Students' Affairs, Zagazig University, Zagazig, Egypt.
Lasers Med Sci. 2022 Feb;37(1):251-258. doi: 10.1007/s10103-020-03228-3. Epub 2021 Jan 3.
This study was designed to assess the surgical outcomes of two commonly used techniques for turbinate reduction (diode laser and bipolar diathermy) in selected group of patients with chronic nasal obstruction which resulted from inferior turbinate hypertrophy. The current study was conducted on adult patients with a diagnosis of inferior turbinate hypertrophy. 42 patients (21 in each group) with an age range of 21-38 years (mean = 26.0 ± 4.1) were included in this work and were randomly distributed in 2 groups: one group was scheduled for diode laser turbinectomy (DLT) while the other group was managed by bipolar diathermy (BDT). In DLT, the machine was on a continuous mode with intermittent loading, with laser energy level set to 6 W (0.3-s pulse, 0.1-s break). Pre- and postoperative assessments were statistically compared via tests from SPSS 19.0 (IBM, Chicago, Illinois; USA). Percentage of categorical variables were compared using the Chi-square (χ) test. P < 0.05 was considered significant, P˃0.05 was considered non-significant, and P < 0.001 was considered highly significant. At 6 months postoperatively, in cases of DLT, there was high significant improvement as regards nasal obstruction and headache (χ = 64.78 and 39 respectively; P < 0.0001). There was insignificant difference as regards rhinorrhea (χ = 5.524; P = 0.137). In comparison to the postoperative data of both groups, significant difference was reported as regards nasal obstruction and headache (P < 0.001) and rhinorrhea (P < 0.05). This study demonstrated that both laser and bipolar cautery are effective in improving nasal obstruction and rhinorrhea. Preservation of the nasal mucociliary function was better in the diode laser group.
这项研究旨在评估两种常用于鼻甲缩小的技术（二极管激光和双极电凝）在因下鼻甲肥大导致慢性鼻塞的选定患者中的手术效果。本研究针对诊断为下鼻甲肥大的成年患者进行。共有 42 名患者（每组 21 名）纳入本研究，年龄在 21-38 岁之间（平均 26.0±4.1 岁），随机分为两组：一组接受二极管激光鼻甲切除术（DLT），另一组接受双极电凝术（BDT）。在 DLT 中，机器以连续模式间歇加载，激光能量水平设置为 6W（0.3 秒脉冲，0.1 秒间隔）。通过 SPSS 19.0（IBM，美国伊利诺伊州芝加哥）的测试对术前和术后评估进行了统计学比较。使用卡方（χ）检验比较分类变量的百分比。P<0.05 为差异有统计学意义，P>0.05 为差异无统计学意义，P<0.001 为差异有高度统计学意义。术后 6 个月，DLT 组鼻塞和头痛均有显著改善（χ=64.78 和 39，P<0.0001）。鼻漏无显著差异（χ=5.524；P=0.137）。与两组术后数据相比，鼻塞和头痛（P<0.001）和鼻漏（P<0.05）差异有统计学意义。本研究表明，激光和双极电凝均可有效改善鼻塞和鼻漏。二极管激光组对鼻黏膜纤毛功能的保护更好。
