Long‐Term Results of Inferior Turbinate Reduction With Argon Plasma Coagulation

Bergler, W.; Sadick, Haneen; Hammerschmitt, N.; Oulmi, Jasmina; Hörmann, K.

doi:10.1097/00005537-200109000-00019

Cited by 38 publications

(28 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4 Of these, the most widely used are turbinectomy, 5,6 laser cautery, 7,8 electrocautery, 9,10 cryotherapy, 11,12 submucosal resection, 13,14 and submucosal resection with lateral displacement. 15,16 None of these procedures is ideal; each is associated with known short-and long-term complications.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Inferior Turbinate Hypertrophy: A Randomized Clinical Trial

Passàli¹,

Passàli²,

Damiani³

et al. 2003

Ann Otol Rhinol Laryngol

190

167

View full text Add to dashboard Cite

In the past 130 years, many surgical procedures for turbinate reduction have been developed. We analyzed the long-term efficacy of 6 of these surgical techniques (turbinectomy, laser cautery, electrocautery, cryotherapy, submucosal resection, and submucosal resection with lateral displacement) over a 6-year follow-up period. We randomly divided 382 patients into 6 therapeutic groups and surgically treated them at the Department of Otorhinolaryngology of the University of Siena. After 6 years, only submucosal resection resulted in optimal long-term normalization of nasal patency and in restoration of mucociliary clearance and local secretory IgA production to a physiological level with few postoperative complications (p < .001). The addition of lateral displacement of the inferior turbinate improved the long-term results. We recommend, in spite of the greater surgical skill required, submucosal resection combined with lateral displacement as the first-choice technique for the treatment of nasal obstruction due to hypertrophy of the inferior turbinates.KEY WORDS -hypertrophy, inferior turbinate, submucosal resection.

show abstract

Section: Introductionmentioning

confidence: 99%

Treatment of Inferior Turbinate Hypertrophy: A Randomized Clinical Trial

Passàli¹,

Passàli²,

Damiani³

et al. 2003

Ann Otol Rhinol Laryngol

190

167

View full text Add to dashboard Cite

show abstract

“…Even if there is an initial reactive edema that persists within the first 7 days, 4 weeks after APC more than 50% of the treated patients present a lower portion of the nasal passages with a complete and definitive shape of a 'tunnel' with signs of mucosal regeneration, restoration of the physiological mucociliary clearance, a moderate fibrosis of the submucosa and an evident improvement of the respiratory function [13,14,16,17,28].…”

Section: Discussionmentioning

confidence: 99%

“…Rhinosurgery with the CO 2 laser is a useful alternative method for the treatment of chronic turbinate hypertrophy, although the limited penetration depth of the laser beam and the difficulty to reach the posterior part of the inferior turbinate are the main disadvantages of the CO 2 laser technique [16].…”

Section: Discussionmentioning

confidence: 99%

Argon Plasma Surgery for Treatment of Inferior Turbinate Hypertrophy: A Long-Term Follow-Up in 157 Patients

Ferri¹,

Armato²,

Cavaleri³

et al. 2003

ORL

View full text Add to dashboard Cite

Chronic nasal obstruction is a common disorder, mostly caused by hypertrophic inferior turbinates. In cases of nonresponse to conservative medical management, the surgical reduction of the inferior turbinates is often required. Surgical techniques for the reduction of hyperplastic nasal turbinates include monopolar or bipolar coagulation, partial or total reduction of the turbinates with a conchotome or scissors and laser surgery with Nd:YAG, CO₂ or KTP. Argon plasma coagulation (APC) is a new, innovative technique in otorhinolaryngology which is based on high-frequency electrocoagulation with an argon gas source. The fast and short surgery times, the absence of hemorrhagic complications and, in rhinosurgery, the complete abstention from any kind of nasal packing are remarkable. Between March and November 2000, a group of 157 patients with symptoms of nasal obstruction due to hypertrophic inferior turbinates were treated using APC, at the Otorhinolaryngology Surgery Department of the Hospital of Dolo (Venice). The follow-up period was 24 months. Rhinomanometry was performed to objectively measure the nasal obstruction and to verify the postoperative improvement. The Student t test was used for statistical data. After 24 months, 87% (p < 0.001) of the patients reported to have a better nasal airflow than before the operation. None of the patients needed a nasal packing after APC surgery. The indication, advantages, complications, controversies and long-term results of the treatment with APC in rhinosurgery are reviewed and discussed.

show abstract

“…In the meantime, the results of three larger studies on success rates, the histomorphoplogic changes and complications are available. In a prospective study on 121 patients and with a follow-up period of 16 months, Bergler et al have determined that 76% of patients experienced improved nasal breathing after one week, and 83% after 12 months [115]. Furthermore they found histological indications for a re-epthelisation within 6 weeks.…”

Section: Therapy Of the Inferior Turbinatementioning

confidence: 99%