Search our Database of Scientific Publications and Authors

I’m looking for a

    Details and Download Full Text PDF:
    Prognostic value of anterior rhinomanometry in diode laser turbinoplasty.

    Arch Otolaryngol Head Neck Surg 2010 Oct;136(10):1015-9
    Department of Otorhinolaryngology, Friedrich-Schiller-Universität, Lessingstraße 2, D-07743 Jena, Germany.
    Objective: To identify objective criteria predicting the success of diode laser-assisted turbinoplasty.

    Design: Prospective before-and-after trial with follow-up of 8 weeks.

    Setting: Outpatient department of a tertiary referral center.

    Patients: Forty-one patients with nasal obstruction caused by hyperplastic inferior nasal turbinates.

    Intervention: Active anterior rhinomanometry with and without decongestion was used to assess the patients both before and after diode laser-assisted turbinate surgery. Surgery was performed under local anesthesia in "contact mode" using a continuous diode laser. In addition, a questionnaire assessed the subjective postoperative benefit.

    Main Outcome Measures: Presurgical effect of topical decongestion was correlated with postoperative improvement of nasal airflow and patients' subjective satisfaction.

    Results: Turbinoplasty significantly improved the mean (SD) nasal airflow by 37.1% (52.4%) (95% confidence interval [CI], 20.6%-53.7%), from 509.8 (189.2) cm³/s (95% CI, 450.1-569.5) to 660.9 (285.4) cm³/s (95% CI, 570.8-751.0) (P < .001). There was no significant correlation between patients' subjective satisfaction and improvement of nasal airflow postoperatively (r(s) = -0.01; P = .93). There was a strong correlation between the presurgical effect of topical decongestion and the improvement of nasal airflow by surgery (r(s) = 0.42; P = .01). The correlation was even stronger when the absolute values were adjusted by the preoperative nasal airflow baseline (r(s) = 0.55; P = .01).

    Conclusions: Rhinomanometry with topical decongestion has a high predictive value for the objective outcome of diode laser-assisted turbinoplasty. Thus, performing a rhinomanometry with topical decongestion and calculating the relative spread of decongestion can help to estimate the patients' benefit from diode laser-assisted turbinate surgery.
    PDF Download - Full Text Link
    ( Please be advised that this article is hosted on an external website not affiliated with PubFacts.com)
    Source Status
    http://dx.doi.org/10.1001/archoto.2010.161DOI ListingPossible

    Similar Publications

    Comparison of long term results after Ho:YAG and diode laser treatment of hyperplastic inferior nasal turbinates.
    Lasers Surg Med 2007 Apr;39(4):324-31
    Laser-Research Laboratory at the LIFE-Center, Ludwig-Maximilians University, 81377 Munich, Germany.
    Background And Objective: Various laser systems have been used to reduce the volume of hyperplastic inferior nasal turbinates during the last 25 years. Although there are many studies reporting the clinical results immediately after laser treatment, there are only a few describing long-term results. Therefore, a clinical study was performed to assess and to compare the long-term outcome of both endonasal Ho:YAG and endonasal diode laser-assisted turbinate surgery. Read More
    Rhinitis medicamentosa: therapeutic effect of diode laser inferior turbinate reduction on nasal obstruction and decongestant abuse.
    Am J Rhinol 2008 Jul-Aug;22(4):433-9
    Department of Otorhinolaryngology, Head and Neck Surgery; Charité-University Medicine Berlin, Berlin, Germany.
    Background: The purpose of this study was to evaluate long-term outcomes of an outpatient-based diode laser inferior turbinate reduction (ITR) in therapy-refractory rhinitis medicamentosa (RM).

    Methods: In a prospective clinical investigation, 42 consecutive RM patients underwent videoendoscopic ITR with a diode laser after topical anesthetic preparation. Intra- and perioperative details were recorded including the occurrence of bleeding, crusting, pain, or discomfort. Read More
    [Ho:YAG and diode laser treatment of hyperplastic inferior nasal turbinates].
    Laryngorhinootologie 2002 Jul;81(7):484-90
    Klinik und Poliklinik für Hals-, Nasen- und Ohrenkranke der Ludwig-Maximilians-Universität München, Klinikum Grosshadern.
    Background: Since the early 80's, chronic nasal obstruction due to hyperplastic turbinates is treated by laser light. Comparative clinical studies were performed to assess the clinical outcome of laser assisted endonasal turbinate surgery in longterm.

    Methods: By means of a pulsed Ho:YAG laser emitting light at lambda = 2100 nm (0. Read More
    Changes in nasal resistance and quality of life after endoscopic microdebrider-assisted inferior turbinoplasty in patients with perennial allergic rhinitis.
    Arch Otolaryngol Head Neck Surg 2006 Sep;132(9):990-3
    Department of Otolaryngology, Far Eastern Memorial Hospital, Taipei, Taiwan.
    Objective: To assess objective and subjective outcomes in patients with perennial allergic rhinitis who had undergone endoscopic microdebrider-assisted inferior turbinoplasty.

    Design: Prospective study.

    Setting: Tertiary referral center. Read More