Effects of Radiofrequency and Intranasal Steroid Treatments on Respiratory and Olfactory Functions in Nasal Obstruction

Sözen, Esra; Tansuker, Deniz; Yldrm, Ömürsen; Uçal, Yusuf Orhan; Coşkun, Berna Uslu

doi:10.1097/scs.0b013e31828f2e56

Cited by 3 publications

(3 citation statements)

References 26 publications

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“…The reduction of the severity of symptoms in the third month in this study was confirmed by Sozen et al with the exception that they analyzed the cases in the third month after the intervention and did not consider quality of life and rhinomanometry of patients (18). The present study was in agreement with Celiker et al study in reducing the severity of nasal hyperemia (19).…”

Section: Discussionsupporting

confidence: 90%

Therapeutic Effects of Radiofrequency and Intranasal Corticosteroid on Rhinomanometry in Patients With Inferior Turbinate Hypertrophy

Taheri

Akhavan

Zangeneh

et al. 2014

Thrita

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Background: Inferior turbinate hypertrophy (ITH) is one of the common causes of nasal obstruction. In some case with ITH due to allergic rhinitis medical therapy can be useful and in cases with refractory ITH surgical techniques may be helpful. Although there is no excellence [or superiority] among these surgical methods, radiofrequency (RF) has recently become popular. Objectives: This study compared the therapeutic effects of intranasal corticosteroid and RF in patients with ITH due to allergic rhinitis. Patients and Methods: In this randomized clinical trial, patients with ITH due to allergic rhinitis, referred to Baqiyatallah University of Medical Sciences Allergy Clinic, were randomly assigned to RF and intranasal corticosteroid spray groups (fluticasone 125 µg). Patients were evaluated by the symptoms severity, which were measured by visual analogue scale (0-10 score) and rhinomanometry, four times (before the intervention and the 1st, 3rd and 6th month after the intervention). Data were analyzed by SPSS version 21. Results: Sixty patients with ITH due to allergic rhinitis were evaluated, among which 26 were male and 34 were female. The mean age was 35.5 ± 8.86 years old and the mean body mass index (BMI) was 22.97 ± 3.12 kg/m 2. There was no significant difference in demographic data among the groups. All the patients showed significant improvements in symptoms severities and rhinomanometry at all the after intervention visits. The best results were obtained in the 6th month of follow-up. The mean nasal obstruction severity and rhinomanometry results were significantly higher in the RF group at all the after intervention visits (P < 0.05). Conclusions: According to the results, we suggest using RF technique for patients with ITH due to allergic rhinitis, which is an outpatient procedure with local anesthesia; long-term effects of these two therapeutic methods (corticosteroid an RF) could be evaluated in future studies.

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Section: Discussionsupporting

confidence: 90%

Therapeutic Effects of Radiofrequency and Intranasal Corticosteroid on Rhinomanometry in Patients With Inferior Turbinate Hypertrophy

Taheri

Akhavan

Zangeneh

et al. 2014

Thrita

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“…[2][3][4] Intranasal glucocorticosteroids (INSs) are regarded as the most effective pharmacologic treatment for AR and are recommended by Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines as first-line treatment. Although long-term use of steroid nasal sprays is often associated with side effects like bleeding, drying, and crusting, [4,5] intranasal glucocorticosteroids have a good safety profile. This is especially true for newer INSs (such as ciclesonide, mometasone furoate, and fluticasone furoate) which have systemic bioavailability lower than 1%.…”

Section: Discussionmentioning

confidence: 99%

“…This is especially true for newer INSs (such as ciclesonide, mometasone furoate, and fluticasone furoate) which have systemic bioavailability lower than 1%. [4] Sozen et al [5] compared the positive effects of nasal steroid spray and radiofrequency ablation for ITH and concluded that nasal steroids may be used to treat this condition. [5] Surgical treatment of ITH in the form of surface cautery is done with electrosurgical probe, laser, or cryoprobe.…”

Section: Discussionmentioning

confidence: 99%

Clinical efficacy of combined treatment with trichloroacetic acid chemical cautery and steroid spray in allergic rhinitis with inferior turbinate hypertrophy

Nemade¹

2018

Tr-ENT

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Objectives: Comparison between efficacy of combined treatment with trichloroacetic acid (TCA) chemical cautery and steroid nasal spray in the treatment of allergic rhinitis (AR) with inferior turbinate hypertrophy (ITH). Patients and Methods: A total of 132 patients with ITH due to AR were included in the study. Forty-four patients each were treated with TCA chemical cauterization of inferior turbinate (Group A), steroid nasal spray (Group B), or combined treatment with TCA cautery and steroid nasal spray (Group C). The Symptom Severity Grade (SSG) 1-5 based on a validated Questionnaire Sheet (QS) as well as Visual Analog Scale were documented before and after treatment. Results: Before treatment, the SSG was 3-5 in 37 (84%), 36 (81.8%), and 40 (90.9%) patients in groups A, B, and C, respectively. At six months post-treatment, SSG 1-2 was achieved in 20 patients (45.4%) in Group A, 18 patients (40.9%) in group B and 31 patients (70.4%) in Group C. Statistically significant improvement was found in patients who received the combined treatment. Conclusion: Combined treatment with TCA chemical cauterization of inferior turbinate and steroid nasal spray can be effective therapy for amelioration of symptoms of AR and ITH.

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Evaluation of the Olfactory Function With the “Sniffin’ Sticks” Test After Endoscopic Transsphenoidal Pituitary Surgery

Cingöz

Kızmazoğlu

Güvenç

et al. 2018

Journal of Craniofacial Surgery

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The aim of this study was to evaluate the olfactory function of patients who had undergone endoscopic transsphenoidal pituitary surgery. In this prospective study, the "Sniffin' Sticks" test was performed between June 2016 and April 2017 at Izmir Katip Celebi University Ataturk Training and Research Hospital. Thirty patients who were scheduled to undergo endoscopic transsphenoidal pituitary surgery were evaluated preoperatively and 8 weeks postoperatively using the Sniffin' Sticks test battery for olfactory function, odor threshold, smell discrimination, and odor identification. The patients were evaluated preoperatively by an otolaryngologist. The patients' demographic data and olfactory functions were analyzed with a t test and Wilcoxon-labeled sequential test. The study group comprised 14 women (46.7%) and 16 men (53.3%) patients. The mean age of the patients was 37.50 ± 9.43 years (range: 16-53 years). We found a significant difference in the preoperative and postoperative values of the odor recognition test (P = 0.017); however, there was no significant difference between the preoperative and postoperative odor threshold values (P = 0.172) and odor discrimination values (P = 0.624). The threshold discrimination identification test scores were not significant (P = 0.110). The olfactory function of patients who were normosmic preoperatively was not affected postoperatively. This study shows that the endoscopic transsphenoidal technique for pituitary surgery without nasal flap has no negative effect on the olfactory function.

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Effects of Radiofrequency and Intranasal Steroid Treatments on Respiratory and Olfactory Functions in Nasal Obstruction

Cited by 3 publications

References 26 publications

Therapeutic Effects of Radiofrequency and Intranasal Corticosteroid on Rhinomanometry in Patients With Inferior Turbinate Hypertrophy

Therapeutic Effects of Radiofrequency and Intranasal Corticosteroid on Rhinomanometry in Patients With Inferior Turbinate Hypertrophy

Clinical efficacy of combined treatment with trichloroacetic acid chemical cautery and steroid spray in allergic rhinitis with inferior turbinate hypertrophy

Evaluation of the Olfactory Function With the “Sniffin’ Sticks” Test After Endoscopic Transsphenoidal Pituitary Surgery

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