Laser Surgery for Allergic Rhinitis

Effect of Diode Laser on Mucosal Swelling of Outpatients with Perennial Allergic Rhinitis

“…The use of surgical lasers with CO 2 has most commonly been used for the treatment of perennial allergic rhinitis, and a positive effect (excellent and good results) has been observed in about 75% of patients [5,6]. From our experience since 1983, we found that the allergic reactions of the inferior turbinate can be inhibited when the tissue is seared in the submucosa of the inferior turbinate after being vaporized by a CO 2 laser.…”

“…Manipulation of both the nasal endoscope and handpieces for the diode laser difficult, children may complain of pain and an uncomfortable feeling resulting in an inadequate initial treatment. In our previous report [5], one of the advantages in CO 2 laser surgery for children is the fact that the operation is painless. In this respect, further observations will be necessary to elucidate the optimal treatment regimen for children with nasal allergy undergoing diode laser therapy.…”

“…The use of surgical lasers for the treatment of perennial allergic rhinitis has recently become widespread in Japan, since we first described our successful results using a carbon dioxide (CO 2 ) laser as a surgical treatment modality [4][5][6]. Furthermore, we also developed a new treatment system with a high power diode laser and right endoscopic device for the treatment of perennial allergic rhinitis with a surgical laser at outpatient basis.…”

“…However, patients with perennial allergic rhinitis refractory to these conventional treatments may be indicated for such alternative treatments as an inferior turbinectomy [1], cryosurgery [2], electrocoagulation [3] of inferior turbinate, or laser surgery [4][5][6], because both the cost and time effectiveness should be considered when selecting alternative treatment strategies for allergic rhinitis.…”

The Efficacy of Cryosurgery Combined with Laser Surgery in the Treatment of Perennial Allergic Rhinitis

“…We performed a combined treatment of laser surgery to the inferior turbinate and transnasal cryodegeneration of the vidian nerve using endoscopy, offering a less traumatic operation, less bleeding and a high patient acceptance treated on an outpatient basis. In the method, a CO 2 laser was used under the assumption that the allergic reaction could be inhibited by causing scar tissue formation in the superficial layer of the submucosa of the inferior turbinate [13,14], where the allergic reaction is considered to occur, and cryodegeneration of the vidian nerve could block the reflex pathway of the parasympathetic nerve [15].…”