Lenz H
HNO. 1985 Sep;33(9):422-5.
Between 1976 and 1984 more than 2000 patients with nasal obstruction due to vasomotor rhinitis were treated with the argon laser. The inferior turbinate was treated by laser-strip carbonisation over an area 3 to 5 cm long, 2 mm wide and 1 to 3 mm deep, surrounded by a 2 mm broad coagulation zone. 700 patients were invited to attend follow up and 411 turned up. The observation period was up to 5 years. 80% of the patients obtained a significantly improved or completely free nasal breathing. This result could be improved by 6% by further surgery. Advantages of the laser-strip carbonisation of the inferior turbinate are that it is a bloodless procedure which can be carried out accurately under vision, without nasal packing and it can be performed under local anesthesia without pain. Disadvantages are a longer healing period and temporary crust formation as in conchotomy, the high technical effort and cost of the laser. The end result after laser-strip carbonisation on the inferior turbinates was achieved after 1 1/2 to 2 years.
1976年至1984年间，超过2000例因血管运动性鼻炎导致鼻塞的患者接受了氩激光治疗。对下鼻甲进行激光带状碳化治疗，碳化区域长3至5厘米、宽2毫米、深1至3毫米，周围有2毫米宽的凝固区。邀请了700名患者参加随访，411人前来。观察期长达5年。80%的患者鼻腔通气得到显著改善或完全恢复正常。通过进一步手术，这一结果可再提高6%。下鼻甲激光带状碳化的优点是这是一种无血手术，可在直视下精确操作，无需鼻腔填塞，且可在局部麻醉下进行，无痛感。缺点是愈合期较长，与鼻甲切除术一样会形成暂时性结痂，激光技术要求高且成本高。下鼻甲激光带状碳化术后1年半至2年达到最终效果。
