ZET Amaç: Nazal obstrüksiyona neden olan alt konka hipertrofilerinde radyofrekans uygulamalarının etkinliğinin ve komplikasyonlarının değerlendirilmesi amaçlanmıştır. Yöntem ve Gereçler: Burun tıkanıklığı şikayeti ile başvuran ve KBB muayenesinde alt konka hipertrofisi saptanan 23 hasta çalışmaya alınmıştır. Tüm hastalara bilateral alt konkalara radyofrekans ile doku küçültmesi yapılmıştır. Tedaviden hemen önce ve sekiz hafta sonra hastaların burun tıkanıklığı vizüel analog skala ile değerlendirilmiş ve muhtemel komplikasyonlar açısından sorgulanmıştır. Vizüel analog skalada 30 mm'nin altındaki değerler iyileşme olarak kabul edilmiş ve sonuçlar one-way anowa testi ile değerlendirilmiştir. Sonuçlar: Toplam 16 haftalık takip sonrasında hastaların %82,5'inde burun tıkanıklığında iyileşme gözlenmiştir. p<0.001. Kronik hipertrofik riniti olan 15 hastanın ikisine alerjik riniti olan sekiz hastadan dördüne iki seans radyofrekans uygulanmıştır. İşlem sırasında ve takiplerde herhangi ciddi bir komplikasyona rastlanmamıştır. Anahtar Sözcükler: Radyofrekans, alt konka hipertrofisi, vizüel analog skala EVALUATION OF RADIOFREQUENCY SURGERY IN TREATMENT OF NASAL OBSTRUCTION SECONDARY TO INFERIOR TURBINATE HYPERTROPHY SUMMARY Objectives: Evaluation of the efficiency of radiofrequency surgery to inferior turbinate hypertrophy causing nasal obstruction. Material and Methods: Twenty-three patients with complaint of nasal obstruction and diagnosis of inferior turbinate hypertrophy were included in this study. All patients underwent radiofrequency surgery to inferior turbinates bilaterally. The efficiency and possible complications were evaluated using visual analog scale just before and after 8 weeks of treatment. Visual analog scale measurements less than 30 mm were accepted as complete relief and results were evaluated by one-way anowa test statistically. Results: The nasal obstruction was completely treated in 82.5 % of patients after overall 16 week-follow-up period. Two out of 15 patients with chronic hypertrophic rhinitis and 4 out of eight patients with allergic rhinitis underwent radiofrequency for two times. There were no remarkable complications either during the procedure or during follow-up period.

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    ABSTRACT: Ideal treatment for nasal obstruction caused by turbinate hypertrophy remains in question. Medical therapy is often ineffective. Surgical procedures have associated morbidity including pain, bleeding, crusting, adhesion, infection, and dryness. Radiofrequency has recently been shown to be safe and effective in volumetric tissue reduction of the tongue in the animal model and of the palate in human beings. We prospectively evaluate the safety and effectiveness of radiofrequency volumetric tissue reduction (RFVTR) for the treatment of nasal obstruction caused by inferior turbinate hypertrophy. Twenty-two consecutive patients with nasal obstruction and associated inferior turbinate hypertrophy refractory to medical therapy were evaluated for RFVTR. The study design limited the region of treatment to the anterior third of the inferior turbinate. The procedures were performed in an ambulatory facility with patients under local anesthesia. Clinical examinations, patient questionnaires, and visual analog scales were used to assess treatment outcomes. No adverse effects were encountered, including bleeding, crusting, dryness, infection, adhesion, or a worsening of obstruction. Mild edema was noted in all patients but was of short duration (24 to 48 hours). Posttreatment discomfort was well controlled with acetaminophen. Eight weeks after treatment, nasal breathing improved in 21 of 22 patients, with a 58.5% reduction in severity and a 56.5% decrease in the frequency of nasal obstruction. The results of this study demonstrate that RFVTR of the hypertrophic inferior turbinate is associated with minimal adverse effects. Furthermore, this new treatment modality achieves subjective improvement in patients with symptoms of nasal obstruction. However, because of the small sample size and short follow-up, future investigations are needed to fully evaluate the use of RFVTR in the treatment of nasal obstruction caused by turbinate hypertrophy.
    Otolaryngology Head and Neck Surgery 01/1999; 119(6):569-73. DOI:10.1016/S0194-5998(98)70013-0 · 2.02 Impact Factor
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    ABSTRACT: It is evident from the foregoing that the evaluation of such a common complaint as nasal obstruction can be extremely complex. If a thorough history and examination are undertaken, however, only a small number of these investigations (if any) may be required. In each individual, it is always worth considering possible predisposing factors. Good clinical practice dictates that we attempt to quantify problems and measure our success in treating them. Until recently, rhinology has not been overendowed with such investigative tools, so it behooves us to use those now available when unraveling the cause of deceptively simple nasal obstruction.
    Otolaryngologic Clinics of North America 09/1992; 25(4):803-16. · 1.49 Impact Factor
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    ABSTRACT: 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.
    The Annals of otology, rhinology, and laryngology 08/2003; 112(8):683-8. DOI:10.1177/000348940311200806 · 1.09 Impact Factor
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