Argon Plasma Coagulation for the Treatment of Hereditary Hemorrhagic Telangiectasia

Bergler, W.; Riedel, Frank; Baker-Schreyer, A.; Juncker, C.; Hörmann, K.

doi:10.1097/00005537-199901000-00004

Cited by 69 publications

(64 citation statements)

References 13 publications

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“…1,3,6,8 Da ta re la ted to post-ope ra ti ve comp li ca ti ons and to the mu co ci li ar trans port ti me de mons tra te the go od to le ra bi lity and ef fi cacy of this met hod, par ti cu larly if com pa red, at one-month post-ope ra ti ve fol low-up, with tho se re la ted to ot her sur gi cal pro ce du res. 6,[9][10][11][12][13][15][16][17]18 CONC LU SI ON HF is a re li ab le sur gi cal pro ce du re per mit ting a reduc ti on of the tur bi na te vo lu me wit ho ut re qu i ring na sal pac ka ging. This form of tre at ment se ems to be par ti cu larly ef fec ti ve in pa ti ents with non-al ler gic chro nic hyper trop hic rhi ni tis: in the se pa ti ents, it was pos sib le to re du ce the tur bi na te mass res to ring na sal flow and im pro ving symptoms, whi le, furt her mo re, in ag re e ment with re ports in the li te ra tu re, ob ta i ning gre at sa tis fac ti on on the part of the pa ti ents.…”

Section: Discussionmentioning

confidence: 99%

Surgery of Turbinate Hypertrophy What can This Give Us?

Barbieri¹,

Vicheva²,

Barbieri³

2008

Turkish J Rhinology

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asal obstruction is one of the most frequent symptoms encountered in the ENT consulting service and hypertrophy of the lower turbinates is the most common and, indeed, often the only triggering factor. [1][2][3][4] When medical therapy is ineffective, a surgical ap- A AB BS S T TR RA AC CT T The sur gi cal ma na ge ment of lo wer tur bi na te hyper trophy in rhi nop lasty gi ves ri se to much dis cus si on. Aim of the pre sent in ves ti ga ti on was to es tab lish, by me ans of the analy sis of a large pa ti ent po pu la ti on, the ef fi cacy and rep ro du ci bi lity of high fre qu ency sur gery, in the tre at ment of' this con di ti on. A to tal of 1689 non al ler gic pa ti ents with na sal obs truc ti on, pre sen ting hypertrophy of the lo wer tur bi na tes. We re sub mit ted, un der lo cal ana est he si a, to tur bi na tes de con ges tion using, a high fre qu ency, and ins tru men tal unit with a bi po lar ter mi nal elec tro de. Ef fi cacy of the pro ce du re was eva lu a ted on the ba sis of ob jec ti ve exa mi na ti on, re sults of qu es ti on na i res, ac ti ve ante ri or rhi no ma no metry and mu co ci li ar trans port ti me. Re sults re ve a led a re duc ti on of hyper trophy, an im pro ve ment in symptoms. A re duc ti on in na sal re sis tan ces and an im pro ve ment of mu co ci li ar trans port ti me the lar ge pa ti ent po pu la ti on. Low post ope ra ti ve comp li ca ti on ra te and the go od pati ent comp li an ce, du e al so to the fact that no ha e mos ta tic pro ce du re is ne ces sary. Wo uld sug gest that this met hod is par ti cu larly va lid. Ef fec ti ve and sa fe for the tre at ment of hyper trophy of the lo wer turbi na tes and it is pro bably ide al for rhi nop lasty. Mo re o ver in the last ye ars anot her de vi ce, ba sed on a bi po lar ra di of re qu ency tech no logy, ap pe a red on the mar ket and it is ro u ti nely used by our equ ip.K Ke ey y W Wo or rd ds s: : Tur bi na te hyper trophy, high fre qu ency, ra di of re qu ency Ö ÖZ ZE ET T Rinoplastide alt konka hipertrofisinin cerrahi tedavisi çok tartışmalıdır. Bu çalışmanın amacı, bu patolojinin tedavisinde, geniş hasta popülasyonunun analizi ile yüksek frekans cerrahisinin etkinliğini ve tekrarlanabilirliğini göstermektir. Burun tıkanıklığı ile gelen ve alt konka hipertrofisi olan non-allerjik 1689 hasta çalışmaya dahil edilmiştir. Lokal anestezi altında yüksek frekans ünitesi ve bipolar terminal elektrodu ile konkalarda gelişen dekonjesyon değerlendirilmiştir. Prosedürün etkinliği, objektif muayene, anket sonuçları, aktif rinomanometri ve mukosiliyer transport süresinin ölçümü ile değerlendirilmiştir. Sonuçlar hipertrofide azalma ve semptomlarda düzelme göstermiştir. Büyük hasta popülasyonunda nazal rezistansda azalma ve mukosiliyer transport zamanında iyileşme görülmüştür. Az sayıda komplikasyon oranları ve iyi hasta uyumu görülmektedir. Ayrıca herhangi bir hemostatik işlem gerektirmemektedir. Bu sonuçlar metodun kullanılabilirliğini göstermektedir. Bu yöntem alt konka hipertrofisinde etkili ve güvenli bir yöntem olması nedeni...

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Section: Discussionmentioning

confidence: 99%

Surgery of Turbinate Hypertrophy What can This Give Us?

Barbieri¹,

Vicheva²,

Barbieri³

2008

Turkish J Rhinology

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“…Для этих целей ис пользуются различные группы медикаментов: лу бриканты (физиологический раствор, мази с анти биотиками), мази/кремы с гормональными препара тами, антифибринолитики [57][58][59][60]. Хирургическое лечение включает лазерные, химические и электри ческие методы эндоназальной коагуляции, дермо пластику перегородки носа (пересадка кожи или буккальной слизистой), эмболизацию носовой арте рии и закрытие носовой полости (операция Янга) [57,[61][62][63][64][65][66]. Для терапии острых носовых кровотече ний наиболее часто используется тампонирование полости носа, однако удаление тампонов может при вести к повторному кровотечению.…”

Section: лечениеunclassified

Hereditary hemorrhagic teleangiectasia: the topical problems of diagnostics and surgical treatment

Baydarova¹,

Тупикин²,

Andreytseva³

2016

Dok. gastroenterol.

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“…Die Argonplasmachirurgie (APC) wurde an der Universitäts-Hals-Nasen-Ohren-Klinik Mannheim seit 1997 unter anderem als neue Behandlungsmodalität von hereditären hämorrhagischen Teleangiektasien der Nasenschleimhaut etabliert [1,2,3]. Es handelt sich hierbei um ein neues Verfahren der Elektrochirurgie, bei der ein hochfrequenter elektrischer Wechselstrom durch ionisiertes Argongas im "kontakt-freien" Verfahren auf das zu behandelnde Gewebe appliziert wird.…”

Section: Neues Verfahren Der Elektrochirurgieunclassified

“…Diese vorteilhaften physikalischen Eigenschaften des Argonplasmas mit den Möglichkeiten einer akuten Blutstillung führten zur Ausweitung der Indikation und Anwendung auf ein größeres Patientengut [1,2]. Dabei hat sich die Kombinationstherapie aus APC und postoperativ applizierten Östrogenen in Form einer Nasensalbe als allgemeines Behandlungskonzept der HHT an der Universitäts-HNO-Klinik Mannheim etabliert und wurde bereits im Rahmen einer randomisierten Studie an 26 Patienten mit Morbus Rendu-Osler-Weber angewendet [4].…”

Section: Neues Verfahren Der Elektrochirurgieunclassified