A double‐blind, randomized, intra‐individual controlled feasibility trial comparing the use of 1,470 and 940 nm diode laser for the treatment of hyperplastic inferior nasal turbinates

Abstract

1,470 nm diode laser system offers an efficient method for tissue reduction in hyperplasia of inferior nasal turbinate. Compared with our standard practice (940 nm diode laser), 1,470 nm diode laser application provides an equivalent tissue reduction in shorter operation time using less total energy and a comparable relief of nasal obstruction postoperatively.

Intraindividual comparison of 1,470 nm diode laser versus carbon dioxide laser for tonsillotomy: A prospective, randomized, double blind, controlled feasibility trial

“…Due to the observations made in the in vitro experiments (data not shown), it was expected that the a novel, CE‐marked 1,470 nm diode laser system might also (and apart from its coagulative capabilities as described in our previous study 16) dispose of excellent tissue cutting abilities in contact mode due to the high rate of tissue ablation. This current work is the first to show the safety and efficacy of this fiber guided diode laser system emitting a light at a wavelength of 1,470 nm for tonsillotomy procedure in a small number of patients.…”

“…As already investigated formerly, a fiber guided 1,470 nm diode laser system is a suitable instrument for endonasal “non‐contact” application for treatment of hyperplastic inferior nasal turbinates 16. Due to its excellent cutting abilities observed in ex‐vivo experiments (unpublished data) this prospective controlled clinical trial was initiated to compare ablative tissue effects using the 1,470 nm diode laser system and our standard practise (carbon dioxide laser) for tonsillotomy in an intraindividual manner.…”

Evidence-Based Medicine

“…Accordingly, turbinate reduction procedures are often performed as a component of functional rhinoplasty surgery. Numerous techniques for turbinate reduction have been described in level 4 and level 5 studies, with commonly used methods including partial turbinectomy, 36 submucous resection, 37,38 microdebrider reduction, 39 turbinate outfracture, 40 radiofrequency ablation, 41,42 laser ablation, 43 ultrasound, 44 and submucous coblation. 39 A comprehensive review of turbinate reduction outcomes was described by Batra and colleagues 45 …”

Diode laser‐induced tissue effects: In vitro tissue model study and in vivo evaluation of wound healing following non‐contact application

“…In the meantime, the clinical efficacy of 1,470 nm diode laser as compared to 940 nm diode laser for turbinate reduction in terms of symptom improvement has been demonstrated . However, further studies with larger patient groups as well as a long‐term follow‐up concerning the efficacy of the procedure and symptom control are required to elucidate the relation of the tissue effects determined in the present work with clinical outcome of these treatment methods.…”