Cytology of nasal mucosa, olfactometry and rhinomanometry in patients after CO2 laser mucotomy in inferior turbinate hypertrophy.

Olszewska, Ewa; Sieśkiewicz, Andrzej; Kasacka, Irena; Rogowski, Marek; Żukowska, Marlena; Soroczyńska, Jolanta; Rutkowska, Justyna

doi:10.2478/v10042-010-0049-4

Cited by 14 publications

(8 citation statements)

References 17 publications

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“…To date, results have been mixed with a general trend toward better results with radiofrequency and partial resection techniques and worse effects with electrocautery and laser techniques. [30][31][32][33][34][35][36][37][38] A consensus based on these results cannot be reached at this time.…”

Section: Complicationsmentioning

confidence: 99%

Inferior turbinate reduction

Jourdy

2014

Operative Techniques in Otolaryngology-Head and Neck Surgery

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The inferior turbinate is an important structure serving a vital role in nasal physiology. However, inferior turbinate enlargement can lead to decreased nasal airflow and a sensation of nasal obstruction. Chronic nasal obstruction can substantially affect quality of life, productivity, and finances, and when medical therapies fail, surgical management is often recommended. Many techniques for inferior turbinate reduction exist, including outfracturing, submucosal soft tissue reduction (ie, electrocautery, radiofrequency coblation, and powered microdebrider), submucosal bone removal, argon plasma coagulation, laser reduction, partial turbinectomy, and total turbinectomy. These techniques have demonstrated varied long-term results, and there remains a lack of consensus as to the optimal surgical technique. However, given the important role the inferior turbinates play in nasal physiology, many contemporary surgeons aim to strike a balance between adequate tissue resection for symptom improvement and preservation of functional turbinate tissue and its contribution to normal nasal physiology.

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Section: Complicationsmentioning

confidence: 99%

Inferior turbinate reduction

Jourdy

2014

Operative Techniques in Otolaryngology-Head and Neck Surgery

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“…However, they focused on epithelial cells and did not stratify for different rhinitis types. Olszewska et al [9] evaluated cytological changes after CO 2 laser mucotomy, without reporting data on allergies. They observed a decrease in goblet cell proportion 3 months after the procedures.…”

Section: Discussionmentioning

confidence: 99%

“…The improvement or the absence of alterations of epithelial cells in nasal mucosa has been demonstrated with histological and cytological evaluations [6][7][8][9][10]. However, previous studies did not assess inflammatory infiltrate and did not stratify for types of rhinitis, such as allergic and nonallergic rhinitis and cellular subtypes.…”

Section: Introductionmentioning

confidence: 99%

Nasal Cytology in Radiofrequency Turbinate Volume Reduction

Pecorari

Riva

Bartoli

et al. 2021

ORL

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Introduction: Radiofrequency turbinate volume reduction (RFTVR) is an effective treatment of inferior turbinate hypertrophy. RFTVR can reduce epithelial cell alterations in nasal mucosa. The aim of this observational study was to evaluate the effects of RFTVR on nasal obstruction and cytology, stratifying for different types of rhinitis. Methods: Nasal cytology and subjective nasal obstruction were evaluated on 113 patients before RFTVR (T0) and after 3 months (T1). The patients were divided into groups on the basis of the underlying disease: allergic rhinitis, nonallergic rhinitis, rhinitis medicamentosa, and other diseases (e.g., hormonal-based turbinate hypertrophy). Results: Nasal cytology at T0 identified 42 patients with allergic rhinitis, 40 with nonallergic rhinitis, 19 with rhinitis medicamentosa, and 12 with other diseases. An improvement of nasal cytology at T1 was observed in 29.2% of cases. They mainly consisted of patients with nonallergic rhinitis with neutrophils, whose neutrophil infiltrate decreased. Only 2 cases (1.7%) showed a worsening of nasal cytology at T1. A statistically significant decrease in subjective nasal obstruction was observed for every group (p < 0.05). Higher differences of nasal obstruction between T0 and T1 were found in patients with rhinitis medicamentosa or other diseases. Conclusion: RFTVR represents a safe and effective treatment for turbinate hypertrophy of various etiology. It is not responsible for a worsening of inflammatory infiltrate of the nasal mucosa.

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“…However there is some published data on 940 nm diode laser tissue effects, showing that in contrast to carbon dioxide laser (l ¼ 10,600) that causes a superficial vaporization of the tissue with a broad carbonization zone and penetration depth of 0.1 mm, it provides deeper tissue penetration with a rather thin carbonization layer and pronounced coagulation zone up to 1-3 mm as evaluated by means of optical microscopy (hematoxylin and eosin staining) and scanning electron microscopy [25]. Concerning histopathological changes following laser surgery, it could be shown that the lamina propria was occupied by fibrous tissues, and that the number of vessels and seromucinous glands in the turbinates had decreased [26][27][28]. Some authors found that laser assisted turbinate surgery disturbed mucociliary function [29,30], whereas Willat et al [31] found the postoperative mucociliary clearance to be unchanged.…”

Section: Discussionmentioning

confidence: 99%