Haydarpasa Numune Education and Research Hospital, Ear Nose Throat Head and Neck Surgery Clinic, Istanbul.
Yildirim Beyazit University, Ear Nose Throat Head and Neck Surgery Clinic, Ankara.
J Craniofac Surg. 2022 Sep 1;33(6):1775-1781. doi: 10.1097/SCS.0000000000008361. Epub 2021 Nov 5.
The aim of this study was to evaluate the effectiveness of septoplasty and septoplasty + bilateral radio frequency ablation of inferior turbinate (b-RFAIT) according to the type of operation, age groups, gender of patients, and the duration of control period by using Nasal Obstruction Symptom Evaluation (NOSE) Scale.
Prospective observational study was undertaken in the otolaryngology department of a training hospital. Using the NOSE scale, the study prospectively compared the results of septoplasty only and septoplasty with b-RFAIT in the treatment of nasal obstruction caused by the combination of septal deviation and turbinate hypertrophy. Patients were divided into 2 groups. The first group had only septoplasty and the second group had septoplasty with b-RFAIT. General and local anesthesia were applied in both groups. To review clinical success, all patients were controlled at the 1st week, 1st month, and 3rd month.
One hundred seventy-eight adult patients (male/female: 127/51) with chronic nasal obstruction complaint were enrolled in this prospective study. Our data demonstrated significant improvement from baseline after 24 months for the NOSE scores in both the septoplasty and septoplasty + b-RFAIT groups. No statistical difference was noted in the amount of postoperative improvement between the 2 treatment groups ( P = 0.306). No significant difference was observed between general and local anesthesia with respect to patients' preop and postop mean scores ( P > 0.05). There was a significant difference between the age of patients' postoperative mean ( P < 0.001). There were 4 postoperative means with respect to control time. There was an 82.29% decrease in the complaints of patients at 0 to 6 months, 80.51% decrease at 7 to 12 months, 76.1% decrease at 13 to 18 months, and 59.67% decrease at 19 to 24 months. Only the last group had a significant difference regarding mean change in scores ( P < 0.001).
This study shows that septoplasty + bilateral turbinate radiofrequency should be applied to patients who suffer from septum deviation with concha hypertrophy. Postoperative NOSE scale shows that the success of operation does not depend on the gender of patients and operation types (general or local anesthesia). We conclude that younger patients (18-40 age) who have obstruction with septal deviation and septum deviation with concha hypertrophy benefit more from operation than older patients do.
本研究旨在通过使用鼻腔阻塞症状评估量表（NOSE 量表）评估鼻中隔成形术和鼻中隔成形术+双侧下鼻甲射频消融术（b-RFAIT）的有效性，根据手术类型、患者年龄组、性别以及控制期的持续时间。
这是一项在培训医院耳鼻喉科进行的前瞻性观察性研究。使用 NOSE 量表，该研究前瞻性比较了单纯鼻中隔成形术和鼻中隔成形术+b-RFAIT 治疗鼻中隔偏曲合并鼻甲肥大引起的鼻腔阻塞的结果。患者分为 2 组。第一组仅行鼻中隔成形术，第二组行鼻中隔成形术+b-RFAIT。两组均采用全身麻醉和局部麻醉。为了评估临床疗效，所有患者均在第 1 周、第 1 个月和第 3 个月进行了随访。
本前瞻性研究纳入了 178 例（男/女：127/51）有慢性鼻阻塞症状的成年患者。我们的数据显示，两组患者的 NOSE 评分在术后 24 个月时均较基线显著改善。两种治疗方法之间的术后改善程度无统计学差异（P=0.306）。全身麻醉和局部麻醉在患者术前和术后的平均评分方面无显著差异（P>0.05）。患者术后的平均年龄有显著差异（P<0.001）。在控制时间方面有 4 个术后平均值。0-6 个月时患者的抱怨减少了 82.29%，7-12 个月时减少了 80.51%，13-18 个月时减少了 76.1%，19-24 个月时减少了 59.67%。只有最后一组的评分变化有显著差异（P<0.001）。
本研究表明，鼻中隔成形术+b-RFAIT 应适用于鼻中隔偏曲伴鼻甲肥大的患者。术后 NOSE 量表显示手术的成功与否与患者的性别和手术类型（全身麻醉或局部麻醉）无关。我们得出的结论是，鼻中隔偏曲伴鼻甲肥大且年龄在 18-40 岁的患者比年龄较大的患者从手术中获益更多。
