Guvenmez Oguz, Zhanbaeva Anara Keneshovna, Keskin Huseyin, Zhanbaev Adylbek
Otorhinolaryngology, Osh State University, Osh, KGZ.
Clinical Pharmacology, Osh State University, Osh, KGZ.
Cureus. 2023 Mar 4;15(3):e35758. doi: 10.7759/cureus.35758. eCollection 2023 Mar.
Chronic rhinitis and chronic turbinate hypertrophy are conditions that affect the quality of life of individuals. The conchas, or the three half-crescent-shaped structures in the nasal cavity, play a crucial role in the respiratory system by filtering and humidifying the air we breathe. The growth of the conchas outside of normal physiological conditions can lead to conditions such as hyperplasia of the inferior turbinate and hypertrophy of the inferior turbinate.
The study was conducted between June 2020 and December 2022 and aimed to evaluate the effect of silver nitrate cauterization on patients with chronic rhinitis and chronic turbinate hypertrophy. A total of 638 patients and 520 controls with nasal obstruction were included in the study and underwent silver nitrate cauterization without the need for surgical intervention. The treatment was performed under local anesthesia and involved the application of silver nitrate on the anterior one-centimeter part of the medial surface of both inferior turbinates. Patients were instructed to use an isotonic solution nasal spray and take an antihistamine pill for seven days.
A significant improvement was observed in the overall inspiratory function without the need for nasal decongestant sprays or surgery in all patients after one and three months. There was also a significant improvement noted three months after the silver nitrate cauterization in the Nasal Obstruction Symptom Evaluation (NOSE) scores, which measure the level of nasal obstruction.
Silver nitrate cauterization showed to be an effective treatment for patients with turbinate hypertrophy, leading to an improvement in overall inspiratory function and reducing the severity of nasal obstruction. This treatment can serve as an alternative to surgical intervention for these conditions.
慢性鼻炎和慢性鼻甲肥大是影响个体生活质量的病症。鼻甲，即鼻腔内的三个半月形结构，在呼吸系统中起着至关重要的作用，它能过滤和湿润我们吸入的空气。鼻甲在正常生理条件之外的生长会导致诸如下鼻甲增生和下鼻甲肥大等病症。
该研究于2020年6月至2022年12月期间进行，旨在评估硝酸银烧灼术对慢性鼻炎和慢性鼻甲肥大患者的疗效。共有638例患者和520例鼻塞对照者纳入研究，接受了无需手术干预的硝酸银烧灼术。治疗在局部麻醉下进行，将硝酸银涂抹在下鼻甲内侧表面前部一厘米处。患者被指示使用等渗溶液鼻喷雾剂，并服用抗组胺药七天。
所有患者在1个月和3个月后，整体吸气功能均有显著改善，无需使用鼻减充血喷雾剂或进行手术。硝酸银烧灼术后3个月，用于衡量鼻塞程度的鼻塞症状评估（NOSE）评分也有显著改善。
硝酸银烧灼术被证明是治疗鼻甲肥大患者的有效方法，可改善整体吸气功能并减轻鼻塞严重程度。这种治疗方法可作为这些病症手术干预的替代方案。
