Lippert B M, Werner J A
Department of Otorhinolaryngology/Head and Neck Surgery, University of Kiel, Germany.
Rhinology. 1997 Mar;35(1):33-6.
The inferior turbinates are responsible for nasal obstruction in patients with allergic and vasomotor rhinitis. Until today there is no satisfactory means of treating hypertrophied turbinates. One hundred and eighty-four patients with nasal obstruction due to hypertrophied inferior turbinates were treated with the CO2 laser using the microscope and a micromanipulator. A few laser spots (1 W, 1 s, laser power density: 2,038 W/cm2) were applied to the head of the turbinate. After a few days a positive effect was present. One hundred and twelve patients were followed for over 2 years. Six months after laser surgery, 87.5% had excellent or good results. After one year, 82.1% of the patients were satisfied, and after 2 years 80.4% were satisfied. The procedure involves little bleeding, no pain and can be done under local anaesthesia in an outpatient setting. Less post-operative wound care is necessary. Therefore, the CO2 laser surgical technique can be considered as an effective method in the treatment of hyperthrophied turbinates.
下鼻甲是变应性鼻炎和血管运动性鼻炎患者鼻阻塞的原因。直到如今，尚无令人满意的治疗肥大鼻甲的方法。184例因下鼻甲肥大导致鼻阻塞的患者使用显微镜和显微操作器，采用二氧化碳激光进行治疗。在鼻甲头部施加几个激光点（1瓦，1秒，激光功率密度：2038瓦/平方厘米）。几天后出现了积极效果。112例患者随访超过2年。激光手术后6个月，87.5%的患者效果为优或良。1年后，82.1%的患者感到满意，2年后80.4%的患者感到满意。该手术出血少、无痛，可在门诊局部麻醉下进行。术后伤口护理需求较少。因此，二氧化碳激光手术技术可被视为治疗肥大鼻甲的有效方法。
