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Comparative study of management of inferior turbinate hypertrophy using turbinoplasty assisted by microdebrider or 980 nm diode laser

Published online by Cambridge University Press:  23 October 2012

A N Kassab ,
M Rifaat  and
Y Madian
A N Kassab*
Affiliation:
Otorhinolaryngology Unit, Department of Medical Laser Applications, National Institute of Laser Enhanced Sciences, Cairo University, Egypt
M Rifaat
Affiliation:
Otorhinolaryngology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
Y Madian
Affiliation:
Otorhinolaryngology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
*
Address for correspondence: Dr Ahmed Nazmi Kassab, Otorhinolaryngology Unit, Department of Medical Laser Applications, National Institute of Laser Enhanced Sciences, Cairo University, Cairo, Egypt E-mail: Kassabahmed28@yahoo.com
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Abstract

Objective:

This study aimed to compare the outcomes of turbinoplasty assisted by microdebrider and by diode laser (980 nm wavelength).

Methods:

Forty patients suffering from bilateral nasal obstruction were randomly divided into two equal groups. One group was managed with microdebrider-assisted turbinoplasty and the other with diode laser assisted turbinoplasty. The patients were followed up for six months post-operatively.

Results:

After six months, total success rates were 90 per cent for the microdebrider group and 85 per cent for the diode laser group. There were no significant differences between the two groups regarding success rate, post-operative complications or operative time.

Conclusion:

These two techniques are equally safe, reliable, successful and non-invasive.

Keywords

TurbinateNasal CavityDiode LasersRhinitisHypertrophyOtorhinolaryngologic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 12 , December 2012 , pp. 1231 - 1237
Copyright
Copyright © JLO (1984) Limited 2012

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References

1Courtiss, EH. Management of inferior turbinate hypertrophy. Plast Reconstr Surg 1999;104:1197–8CrossRefGoogle ScholarPubMed
2Garth, RJ, Cox, HJ, Thomas, MR. Haemorrhage as a complication of inferior turbinectomy: a comparison of anterior and radical trimming. Clin Otolaryngol 1995;20:236–8CrossRefGoogle ScholarPubMed
3Jackson, LE, Koch, RJ. Controversies in the management of inferior turbinate hypertrophy: a comprehensive review. Plast Reconstr Surg 1999;103:300–12CrossRefGoogle ScholarPubMed
4Passali, D, Lauriello, M, De Filippi, A, Bellussi, L. Comparative study of most recent surgical techniques for the treatment of the hypertrophy of inferior turbinates [in Italian]. Acta Otorhinolaryngol Ital 1995;15:219–28Google ScholarPubMed
5Friedman, M, Vidyasagar, R. Surgical management of septal deformity, turbinate hypertrophy, nasal valve collapse and choanal atresia. In: Bailey, BJ, Johnson, JT, Newlands, SD, eds. Head & Neck Surgery – Otolaryngology. Philadelphia: Lippincott Williams & Wilkins, 2006;1:328–30Google Scholar
6Fairbanks, DN. Snoring: surgical vs. nonsurgical management. Laryngoscope 1984;94:1188–92CrossRefGoogle ScholarPubMed
7Haight, JS, Cole, P. The site and function of the nasal valve. Laryngoscope 1983;93:49–55CrossRefGoogle ScholarPubMed
8Hofmann, T, Wolf, G, Koidl, B. In vitro studies of the effect of vasoconstrictor nose drops on ciliary epithelium of human nasal mucosa [in German]. Laryngorhinootologie 1995;74:564–7CrossRefGoogle ScholarPubMed
9Tasman, AJ, Soor, A, Zaiss, M, Weidauer, H. The septal mucosa decongests with naphazoline: a study of mucosal dynamics with sonography. Am J Rhinol 1999;13:411–17CrossRefGoogle ScholarPubMed
10Baumgarten, CR, Nichols, RC, Naclerio, RM, Lichtenstein, LM, Norman, PS, Proud, D. Plasma kallikrein during experimentally induced allergic rhinitis: role in kinin formation and contribution to TAME-esterase activity in nasal secretions. J Immunol 1986;137:977–82CrossRefGoogle ScholarPubMed
11Haackevon, NP, Hardcastle, PF. Submocosal diathermy of the inferior turbinate and the congested nose. ORL J Otolaryngol Relat Spec 1985;47:189–93CrossRefGoogle Scholar
12Hol, MK, Huizing, EH. Treatment of inferior turbinate pathology: a review and critical evaluation of the different techniques. Rhinology 2000;38:157–66Google Scholar
13Kimmelman, CP, Gamal, HA. Vasomotor rhinitis. Otolaryngol Clin North Am 1986;65:65–71Google Scholar
14Dawes, PJ. The early complications of inferior turbinectomy. J Laryngol Otol 1987;101:1136–9CrossRefGoogle ScholarPubMed
15Passali, D, Lauriello, M, Anselmi, M, Bellussi, L. Treatment of hypertrophy of the inferior turbinate: long-term results in 382 patients randomly assigned to therapy. Ann Otol Rhinol Laryngol 1999;108:569–75CrossRefGoogle ScholarPubMed
16Setcliff, R, Parsons, D. The hummer: new instrumentation for functional endoscopic sinus surgery. Am Rhinol J 1994;8:275–7CrossRefGoogle Scholar
17Yañez, C. New technique for turbinate reduction in chronic hypertrophic rhinitis intraturbinal stroma removal using the microdebrider. Oper Tech Otolaryngol Head Neck Surg 1998;9:135–7CrossRefGoogle Scholar
18Friedman, M, Tanyeri, H, Lim, J, Landsberg, R, Caldarelli, D. A safe, alternative technique for inferior turbinate reduction. Laryngoscope 1999;109:1834–7CrossRefGoogle ScholarPubMed
19Lee, KC, Hwang, PH, Kingdom, TT. Surgical management of inferior turbinate hypertrophy in the office: three mucosal sparing techniques. Oper Tech Otolaryngol Head Neck Surg 2001;12:107–11CrossRefGoogle Scholar
20Lenz, H, Eichler, J, Schafer, G, Salk, J. Parameters for argon laser surgery of the lower human turbinate. Acta Otolaryngol 1977;83:360–5CrossRefGoogle Scholar
21Lenz, H. 8 years' laser surgery of the inferior turbinates in vasomotor rhinopathy in the form of laser strip carbonization [in German]. HNO 1985;33:422–5Google ScholarPubMed
22Janda, P, Sroka, R, Baumgartner, R, Greevers, G, Leunig, A. Laser treatment of hyperplastic inferior nasal turbinates. Lasers Surg Med 2001;28:404–13CrossRefGoogle ScholarPubMed
23Eichler, J, Alves, OG. A review of different lasers in endonasal surgery: Ar-, KTP-, Dye-, Diode-, Nd-, Ho- and CO2-Laser. Med Laser Appl 2002;17:190–200CrossRefGoogle Scholar
24Janda, P, Sroka, R, Betz, CS, Baumgartner, R, Leunig, A. Comparison of laser induced effects on hyperplastic inferior nasal turbinates by means of scanning electron microscopy. Lasers Surg Med 2002;30:31–9CrossRefGoogle ScholarPubMed
25Janda, P, Sroka, R, Mundweil, B, Baumgartner, R, Leunig, A. Comparison of thermal tissue effects induced by contact application of fiber guided laser systems. Lasers Surg Med 2003;33:93–101CrossRefGoogle ScholarPubMed
26Janda, P, Sroka, R, Stefan, T, Baumgartner, R, Greevers, G, Leunig, A. Diode laser treatment of hyperplastic inferior nasal turbinates. Lasers Surg Med 2000;27:129–393.0.CO;2-R>CrossRefGoogle ScholarPubMed
27Yañez, C, Mora, N. Inferior turbinate debriding technique: ten-year results. Otolaryngol Head Neck Surg 2008;138:170–5CrossRefGoogle ScholarPubMed
28Abramson, M, Harker, LA. Physiology of the nose. Otolaryngol Clin North Am 1973;6:625–35CrossRefGoogle ScholarPubMed
29Cook, PR. Sinusitis and allergy. Curr Opin Otolaryngol Head Neck Surg 1997;5:35–9CrossRefGoogle Scholar
30Principato, JJ. Chronic vasomotor rhinitis: cryogenic and other surgical modes of treatment. Laryngoscope 1979;89:619–37CrossRefGoogle ScholarPubMed
31Mabry, RL. Inferior turbinoplasty: patient selection, technique, and long-term consequences. Otolaryngol Head Neck Surg 1988;98:60–6CrossRefGoogle ScholarPubMed
32Elwany, S, Harrison, R. Inferior turbinectomy: comparison of four techniques. J Laryngol Otol 1990;104:206–9CrossRefGoogle ScholarPubMed
33Rakover, Y, Rosen, G. A comparison of partial inferior turbinectomy and cryosurgery for hypertrophic inferior turbinates. J Laryngol Otol 1996;110:732–5CrossRefGoogle ScholarPubMed
34Salam, MA, Wengraf, C. Concho-antropexy or total inferior turbinectomy for hypertrophy of the inferior turbinates? A prospective randomized study. J Laryngol Otol 1993;107:1125–8CrossRefGoogle ScholarPubMed
35Ophir, D, Shapira, A, Marshak, G. Total inferior turbinectomy for nasal airway obstruction. Arch Otolaryngol Head Neck Surg 1985;111:93–5CrossRefGoogle ScholarPubMed
36Moore, GF, Freeman, TJ, Ogren, FP, Yonkers, AJ. Extended follow-up of total inferior turbinate resection for relief of chronic nasal obstruction. Laryngoscope 1985;95:1095–9CrossRefGoogle ScholarPubMed
37Jones, AS, Lancer, JM. Does submucosal diathermy to the inferior turbinates reduce nasal resistance to airflow in the long term? J Laryngol Otol 1987;101:448–51CrossRefGoogle Scholar
38Sapci, T, Sahin, B, Karavus, A, Akbulut, UG. Comparison of the effects of radiofrequency tissue ablation, CO2 laser ablation, and partial turbinectomy applications on nasal mucociliary functions. Laryngoscope 2003;103:514–19CrossRefGoogle Scholar
39Nuutinen, J. Asymmetry in the nasal mucociliary transport rate. Laryngoscope 1996;106:1424–8CrossRefGoogle ScholarPubMed
40Kizilkaya, Z, Ceylan, K, Emir, H, Yavanoglu, A, Unlu, I, Samim, E. Comparison of radiofrequency tissue volume reduction and submucosal resection with microdebrider in inferior turbinate hypertrophy. Otolaryngol Head Neck Surg 2008;138:176–81CrossRefGoogle ScholarPubMed
41Lee, CF, Chen, TA. Power microdebrider-assisted modification of endoscopic inferior turbinoplasty: a preliminary report. Chang Gung Med J 2004;27:359–65Google ScholarPubMed
42Lee, JY, Lee, JD. Comparative study on the long-term effectiveness between coblation- and microdebrider-assisted partial turbinoplasty. Laryngoscope 2006;116:729–34CrossRefGoogle ScholarPubMed
43Medtronic: Risks and benefits – septoplasty associated with turbinoplasty with microdebrider [in Italian]. In: http://www.medtronic.it/tua-salute/infezioni-seni-paranasali/nostra-terapia/settoplastica-turbinoplastica/rischi-benefici/index.htm [23 August 2012]Google Scholar
44Liu, CM, Tan, CD, Lee, FP, Lin, KN, Huang, HM. Microdebrider-assisted versus radiofrequency-assisted inferior turbinoplasty. Laryngoscope 2009;119:414–18CrossRefGoogle ScholarPubMed
45Lenz, H, Preussler, H. Histologic changes in the epithelium of the respiratory mucosa of the lower turbinates following argon laser strip carbonization in vasomotor rhinitis [in German]. Laryngol Rhinol Otolol (Stuttg) 1986;65:438–44CrossRefGoogle ScholarPubMed
46Elwany, S, Abdel-Moniem, MH. Carbon dioxide laser turbinectomy. An electron microscopic study. J Laryngol Otol 1997;111:931–4CrossRefGoogle ScholarPubMed
47Katz, S, Schmelzer, B, Vidts, G. Treatment of the obstructed nose by CO2-laser reduction of the inferior turbinates. Techniques and results. Am J Rhinol 2000;14:51–5CrossRefGoogle ScholarPubMed
48Lippert, BM, Werner, JA. CO2 laser surgery of hypertrophied inferior turbinates. Rhinology 1997;35:33–6Google ScholarPubMed
49Lippert, BM, Werner, JA. Treatment of the hypertrophic inferior turbinate [in German]. HNO 2000;48:170–81CrossRefGoogle ScholarPubMed
50Tanigawa, T, Yashiki, T, Hazshi, K, Sato, T. Carbon dioxide laser vaporization for turbinate: optimal conditions and indications. Auris Nasus Larynx 2000;27:137–40CrossRefGoogle ScholarPubMed
51Leunig, A, Janda, P, Sroka, R, Baumgartner, R, Grevers, G. Holmium: YAG laser treatment of hyperplastic inferior nasal turbinates. Laryngoscope 1999;109:1690–5CrossRefGoogle ScholarPubMed
52Oswal, VH, Bingham, BJG. A pilot study of the holmium YAG laser in nasal turbinate and tonsil surgery. J Clin Laser Med Surg 1992;10:211–16CrossRefGoogle ScholarPubMed
53Sroka, R, Janda, P, Killian, T, Vaz, F, Betz, C, Leunig, A. Comparison of long term results after Ho:YAG and diode laser treatment of hyperplastic inferior nasal turbinates. Lasers Surg Med 2007;39:324–31CrossRefGoogle ScholarPubMed
54Kirschner, RA, McDonnel, BC, Brodkin, AC. Nd: YAG laser turbinectomy. Laser Surg Med 1988;8:195Google Scholar
55Lachiver, X. Blondel, J, Ouayoun, M, Mosnier, I, Dupuy, MA, Freche, C, Chabolle, F. Ambulatory laser and turbinectomy in the treatment of nasal obstruction. Apropos of 68 cases [in French]. Ann Otolaryngol Chir Cervicofac 1995;112:285–92Google ScholarPubMed
56Olthoff, A, Martin, A, Liebmann, F. Nd:YAG laser treatment of the lower turbinates with contact in hyperreflexic and allergic rhinopathy [in German]. Laryngorhinootologie 1999;78:240–3CrossRefGoogle ScholarPubMed
57Lippert, BM, Werner, JA. Nd:YAG laser light-induced reduction of the nasal turbinates [in German]. Laryngorhinootologie 1996;75:523–8CrossRefGoogle ScholarPubMed
58Hopf, JUG, Hopf, M, Koffroth, BC. Minimal invasive surgery of obstructions of the nasal cavity by diode laser [in German]. Lasermedizin 1999;14:106–15Google Scholar
59Newman, J, Ananad, V. Applications of the diode laser in otolaryngology. Ear Nose Throat J 2002;81:850–1CrossRefGoogle ScholarPubMed
60Min, YG, Kim, HS, Yun, YS, Kim, CS, Jang, YG, Jung, TG. Contact laser turbinate surgery for the treatment of idiopathic rhinitis. Clin Otolaryngol Allied Sci 1996;21:533–6CrossRefGoogle ScholarPubMed
61DeRowe, A, Landsberg, R, Leonov, Y, Katzir, A, Ophir, D. Subjective comparison of Nd:YAG, diode, and CO2 lasers for endoscopically guided inferior turbinate reduction surgery. Am J Rhinol 1998;12:209–12CrossRefGoogle ScholarPubMed
62Lee, DH, Kim, EH. Microdebrider-assisted versus laser-assisted turbinate reduction: comparison of improvement in nasal airway according to type of turbinate hypertrophy. Ear Nose Throat J 2010;89:541–5Google ScholarPubMed