DeRowe A, Landsberg R, Leonov Y, Katzir A, Ophir D
Department of Otolaryngology-Head and Neck Surgery, Meir General Hospital, Kfar-Saba, Israel.
Am J Rhinol. 1998 May-Jun;12(3):209-12. doi: 10.2500/105065898781390145.
Lasers using different wavelengths and delivery systems have been used to reduce the inferior turbinate mass when hypertrophic inferior turbinates obstruct the nasal airway. Different laser systems produce different laser-tissue interactions. This study presents a comparison between three laser systems: CO2, Nd:YAG, and Diode lasers for inferior turbinate reduction surgery, all performed under endoscopic control. A total of 46 patients were randomized into three treatment groups and followed for more than 1 year. Subjective and objective data were collected. Subjective impressions of improved nasal airway was achieved in 41% (Diode), 47% (Nd:YAG) and 57% (CO2) and was not statistically significant. There was more postoperative bleeding in the CO2 laser group, with 3 patients requiring tamponade. The CO2 laser procedure also took longer to perform. These results failed to show a significant difference between the different lasers for inferior turbinate reduction. Overall, the results were not impressive.
当肥厚性下鼻甲阻塞鼻气道时，使用不同波长和传输系统的激光已被用于减少下鼻甲的体积。不同的激光系统会产生不同的激光与组织相互作用。本研究对三种激光系统（二氧化碳激光、钕钇铝石榴石激光和二极管激光）进行了比较，用于下鼻甲缩小手术，所有手术均在内镜控制下进行。共有46例患者被随机分为三个治疗组，并随访了1年以上。收集了主观和客观数据。主观上感觉鼻气道改善的比例在二极管激光组为41%、钕钇铝石榴石激光组为47%、二氧化碳激光组为57%，但差异无统计学意义。二氧化碳激光组术后出血较多，有3例患者需要填塞止血。二氧化碳激光手术的操作时间也更长。这些结果未能显示不同激光在下鼻甲缩小方面存在显著差异。总体而言，结果并不理想。
