The effect of radiofrequency thermal ablation method on nasal mucociliary activity in patients with inferior turbinate hypertrophy

Uz, Ali Osman; Kenar, Fethullah; Yıldız, Hüseyin Bekir; Duran, Abidin; Tekin, Mustafa; Ayçiçek, Abdullah

doi:10.5606/kbbihtisas.2014.25986

Cited by 4 publications

(6 citation statements)

References 22 publications

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“…Uz et al and Parida et al used the SCT and VAS to evaluate the efficacy of RFTA and the postoperative morbidity associated with the procedure. 5 9 They reported no adverse effects of RFTA on mucociliary activity and a significant improvement in VAS scores. Duran and Ulkü obtained similar results with respect to MCC.…”

Section: Discussionmentioning

confidence: 94%

Radiofrequency Thermal Ablation versus Bipolar Electrocautery for the Treatment of Inferior Turbinate Hypertrophy: Comparison of Efficacy and Postoperative Morbidity

Uluyol

Karakaya

Gür

et al. 2015

Int Arch Otorhinolaryngol

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Introduction Numerous surgical methods are used to treat nasal obstruction due to inferior turbinate hypertrophy. The primary goal of the therapy is to maximize the nasal airway for as extended a period of time as possible while minimizing therapeutic complications. Objectives The aim of this study was to assess the effects of radiofrequency thermal ablation (RFTA) and bipolar electrocautery (BEC) on the removal of nasal obstruction in patients with inferior turbinate hypertrophy and on nasal mucociliary clearance (MCC). Patients in both groups were also evaluated in terms of postoperative morbidity. Methods We compared the outcomes of two groups of patients: those treated with RFTA (n = 23) and those who underwent BEC (n = 20). Nasal obstruction was graded using a visual analog scale (VAS) and MCC was measured using a saccharin clearance test. Both measurements were performed before and 2 months after treatment. Results Pre- and postoperative VAS scores showed significant improvement for both groups. However, MCC results did not significantly differ between two groups. Neither edema nor crust formation persisted for more than 1 week in any patients. Conclusion Submucosal cauterization with preservation of the nasal mucosa and periosteum is as effective and safe as RFTA and should be considered when planning inferior turbinate interventions.

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Section: Discussionmentioning

confidence: 94%

Radiofrequency Thermal Ablation versus Bipolar Electrocautery for the Treatment of Inferior Turbinate Hypertrophy: Comparison of Efficacy and Postoperative Morbidity

Uluyol

Karakaya

Gür

et al. 2015

Int Arch Otorhinolaryngol

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“…The in vivo nasal MCC can be measured with the SNTT. In literature, most of the authors reported no significant changes in SNTT before and after radiofrequency ablation of inferior turbinate 1,14,15 . Karatas et al, 16 comparing the effects of RFVTR using 2 magnitudes of energy, suggested that the energy value could influence the MCC.…”

Section: Discussionmentioning

confidence: 99%

“…In literature, most of the authors reported no significant changes in SNTT before and after radiofrequency ablation of inferior turbinate. 1,14,15 Karatas et al, 16 comparing the effects of RFVTR using 2 magnitudes of energy, suggested that the energy value could influence the MCC. In that study, higher magnitudes of energy, elongating the healing process, also prolonged the SNTT.…”

Section: Discussionmentioning

confidence: 99%

Effect of Radiofrequency Thermal Ablation Treatment on Nasal Ciliary Motility

Rosato

Pagliuca

Martellucci

et al. 2016

Otolaryngol.--head neck surg.

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“…[7,8] Tıkayıcı uyku apne sendromundaki tedavi yöntemlerinin burnun mukosiliyer aktivitesine etkisini araştıran çok sayıda çalışma vardır. [9][10][11][12][13][14] Ancak TUAS'ın burun hava yolunda klirense etkisi yeteri kadar incelenmemiştir. Gün içinde sakarin testinin değişimleri de net değildir.…”

Section: Discussionunclassified

Apnea and nasal mucociliary clearance

Evren¹

2015

Praxis of ORL

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Bu çalışmada tıkayıcı uyku apne sendromu ve basit horlama hastalarında nazal mukosiliyer klirens zamanı karşılaştırıldı. Hastalar ve Yöntemler: Ekim 2009-Nisan 2010 tarihleri arasında kliniğimize horlama yakınması ile başvuran ve klinik gereklilik yüzünden polisomnografi yapılan 50 hasta (40 erkek, 10 kadın; ort. yaş 46.22 yıl; dağılım 29-67 yıl) çalışmaya dahil edildi. Hastalar apne hipopne indeksine (AHİ) göre iki gruba ayrıldı. AHİ skoru <5 olanlar basit horlama grubu (n=23), AHİ skoru >5 olanlar apne grubu (n=27) olarak kayıt edildi. Ayrıca 29 sağlıklı gönüllü (16 erkek, 13 kadın; ort. yaş 39.4 yıl; dağılım 21-61 yıl) ile bir kontrol grubu oluşturuldu. Sakarin testi polisomnografinin yapılacağı gece yatmadan önce ve sabah kalkınca ilk yarım saat içinde uygulandı. Bulgular: Basit horlama ve apne gruplarındaki hastaların yaş ortalamaları arasında istatistiksel olarak anlamlı bir farklılık yoktu (p>0.05). Basit horlama grubunda ortalama klirens zamanı akşam 25.7 dk, sabah 23.2 dk idi. Apne grubunda ortalama klirens zamanı akşam 19.0 dk, sabah 19.8 dk idi. Kontrol grubunda ortalama klirens zamanı akşam 24.2 dk, sabah 24.1 dk idi. Buna göre, basit horlama ve apne grupları arasında sabah ve akşam klirens ölçümlerinde istatistiksel olarak anlamlı bir farklılık bulunmadı (p=0.102, p=0.301). Basit horlama ve apne grupları arasında klirens ölçümleri açısından istatistiksel olarak anlamlı bir farklılık yoktu (p=0.522, p=0.596). Hafif, orta ve ağır apne grupları ile kontrol grubu arasında mukosiliyer klirens zamanı açısından anlamlı farklılık yoktu (p=0.323, p=0.274). Sonuç: Çalışmamızın sonucunda basit horlama ve apne grupları arasında sabah ve akşam klirens ölçümleri açısından istatistiksel olarak anlamlı bir farklılık bulunmadı. Ayrıca, her bir grup içinde klirens ölçümleri açısından istatistiksel olarak anlamlı bir farklılık yoktu.

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The effect of radiofrequency thermal ablation method on nasal mucociliary activity in patients with inferior turbinate hypertrophy

Abstract: It was detected that RFTA has no adverse effect on mucociliary activity in the treatment of inferior turbinate hypertrophy, and this method is notably effective in relieving the nasal obstruction caused by inferior turbinate hypertrophy.

Cited by 4 publications

References 22 publications

Radiofrequency Thermal Ablation versus Bipolar Electrocautery for the Treatment of Inferior Turbinate Hypertrophy: Comparison of Efficacy and Postoperative Morbidity

Radiofrequency Thermal Ablation versus Bipolar Electrocautery for the Treatment of Inferior Turbinate Hypertrophy: Comparison of Efficacy and Postoperative Morbidity

Effect of Radiofrequency Thermal Ablation Treatment on Nasal Ciliary Motility

Apnea and nasal mucociliary clearance

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