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Long-term histological examination of inferior concha after radiofrequency thermal ablation

Published online by Cambridge University Press:  23 August 2010

I Cukurova ,
E A Cetinkaya ,
E Demirhan  and
A Avci
I Cukurova
Affiliation:
Department of ENT and Head & Neck Surgery, Izmir Tepecik Training and Research Hospital, Izmir, Turkey
E A Cetinkaya*
Affiliation:
Department of ENT and Head & Neck Surgery, Ministry Of Health Antalya Ataturk Hospital, Antalya, Turkey
E Demirhan
Affiliation:
Department of ENT and Head & Neck Surgery, Izmir Tepecik Training and Research Hospital, Izmir, Turkey
A Avci
Affiliation:
Department of Pathology, Izmir Ataturk Training and Research Hospital, Izmir, Turkey
*
Address for correspondence: Dr Erdem Atalay Cetinkaya, Antalya Atatürk Devlet Hastanesi, KBB Kliniği, Antalya, 07050Turkey E-mail: drerdemcetinkaya@gmail.com
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Abstract

Objective:

To examine the histological effects of radiofrequency thermal ablation on the inferior concha epithelium and subepithelium, over five years post-treatment.

Method:

Inferior nasal concha epithelial biopsy specimens were examined histologically before and four, 30, 48 and 60 months after radiofrequency treatment, in six patients with inferior nasal concha hypertrophy.

Results:

At four months post-treatment, there was proliferation of blood vessels, increased inflammatory cells and a slightly decreased number of glands. At 30 months post-treatment, the number of inflammatory cells and glands had decreased, but signs of increased vascular proliferation, fibrosis and granulation were seen. At 48 and 60 months post-treatment, the number of inflammatory cells and blood vessels had decreased significantly, the number of glands had increased, and lobulation was observed.

Conclusion:

Radiofrequency thermal ablation does not cause carbonisation or osteitis in the inferior concha. The resultant fibrosis causes contraction of the concha and only minor tissue destruction (as shown by the persistence of submucosal glands).

Keywords

RadiofrequencyInferior Nasal ConchaHypertrophyMicroscopic
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 2 , February 2011 , pp. 158 - 161
Copyright
Copyright © JLO (1984) Limited 2010

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