Lippert B M, Werner J A
Klinik für Hals-, Nasen-, Ohrenheilkunde, Kopf- und Halsschirurgie der Universität Kiel.
Laryngorhinootologie. 1996 Sep;75(9):523-8. doi: 10.1055/s-2007-997626.
Different types of laser have been used for reduction of hyperplastic inferior turbinates in the recent years with good results. Reports about the long-term benefit of the laser treatment are rare.
At the Dept. of Otorhinolaryngology, Head and Neck Surgery, University of Kiel between 1987 and 1994, 89 patients with hyperplastic inferior turbinates were treated using the Nd:YAG laser. With the Nd:YAG laser, low-dose irradiation (laser power density: 1770-3540 W/cm2, non-contact-technique) of the entire turbinate is performed under endoscopic control.
Twenty-seven patients (67.5%) who were treated by laser surgery were without complaints 6 months postoperatively. After one and two years, this applied to 29 (72.5%) and 26 (65%) patients, respectively. The success of treatment was seen after several months. The procedure involves little or no bleeding. The mucocillary clearance of the epiturbinate is not disturbed by Nd:YAG laser treatment.
The Nd:YAG laser is suitable for the treatment of hyperplastic inferior turbinates. The disadvantages of the Nd:YAG laser therapy are that the success of treatment becomes evident only after weeks or months due to the scarring process which takes very long, and time consuming wound care is necessary.
近年来，不同类型的激光已被用于治疗增生性下鼻甲，效果良好。关于激光治疗长期益处的报道很少。
1987年至1994年间，在基尔大学耳鼻咽喉头颈外科，89例增生性下鼻甲患者接受了Nd:YAG激光治疗。使用Nd:YAG激光，在内镜控制下对整个鼻甲进行低剂量照射（激光功率密度：1770 - 3540 W/cm²，非接触技术）。
27例（67.5%）接受激光手术的患者术后6个月无不适。1年和2年后，分别有29例（72.5%）和26例（65%）患者情况良好。治疗效果在数月后显现。该手术几乎不出血或不出血。Nd:YAG激光治疗不会干扰上鼻甲的黏液纤毛清除功能。
Nd:YAG激光适用于治疗增生性下鼻甲。Nd:YAG激光治疗的缺点是，由于瘢痕形成过程非常漫长，治疗效果仅在数周或数月后才明显，且需要耗时的伤口护理。
