Therapeutic Efficacy of Diode Laser Turbinoplasty on Nasal Obstruction Estimated with Rhinomanometry  

作　　者：Ebrahim Almulla Dhaidan Alshammari Raneem Alshaikh Abdulrahman Almannai Noora Althawadi Waleed Janahi Andrew Riskalla Zied Zid Ebrahim Almulla;Dhaidan Alshammari;Raneem Alshaikh;Abdulrahman Almannai;Noora Althawadi;Waleed Janahi;Andrew Riskalla;Zied Zid(ENT Department, King Hamad University Hospital, Muharraq, Kingdom of Bahrain;Ministry of Health, Dammam, Saudi Arabia;Ministry of Health, Manama, Kingdom of Bahrain;Head and Neck Surgery Department, University College London Hospital, London, UK)

机构地区：[1]ENT Department, King Hamad University Hospital, Muharraq, Kingdom of Bahrain [2]Ministry of Health, Dammam, Saudi Arabia [3]Ministry of Health, Manama, Kingdom of Bahrain [4]Head and Neck Surgery Department, University College London Hospital, London, UK

出　　处：《International Journal of Otolaryngology and Head & Neck Surgery》2021年第6期487-496,共10页耳鼻喉（英文）

摘　　要：<strong>Objective:</strong> Diode-assisted laser turbinoplasty is a popular surgical technique that improves airflow during nasal obstruction. In this study, we aimed to evaluate the efficacy of a diode laser for turbinate hypertrophy by using rhinomanometry. <strong>Methods:</strong> This cross-sectional study included 199 patients for 13 months. Preoperative, intraoperative, and 6-week postoperative rhinomanometry values were measured. <strong>Results:</strong> The most common intraoperative symptoms were olfactory annoyance (barbecue smell) (76.4%) and a painful burning or stinging sensation (64.3%). The inspiratory and expiratory mean nasal airflow values increased both intraoperatively and postoperatively, illustrating the effect of decongestants and inferior turbinate surgery. Intraoperatively, inspiration improved by 262.73 ± 196.09 (p < 0.01) and expiration by 247.94 ± 180.05 (p < 0.01). Postoperative inspiration improved by 254.03 ± 199.08 (p < 0.01) and expiration by 244.05 ± 194.57 (p < 0.01). Postoperative snoring (22.6%, p = 0.026) and nasal obstruction (20.2%, p = 0.042) were significantly higher in female than in male patients. <strong>Conclusions:</strong> The therapeutic efficacy of using diode lasers in inferior turbinate resection was established in this study on the basis of rhinomanometric data with a follow-up of 6 weeks. Postoperative nasal obstruction was effectively decreased and the other symptoms displayed a female preponderance.<strong>Objective:</strong> Diode-assisted laser turbinoplasty is a popular surgical technique that improves airflow during nasal obstruction. In this study, we aimed to evaluate the efficacy of a diode laser for turbinate hypertrophy by using rhinomanometry. <strong>Methods:</strong> This cross-sectional study included 199 patients for 13 months. Preoperative, intraoperative, and 6-week postoperative rhinomanometry values were measured. <strong>Results:</strong> The most common intraoperative symptoms were olfactory annoyance (barbecue smell) (76.4%) and a painful burning or stinging sensation (64.3%). The inspiratory and expiratory mean nasal airflow values increased both intraoperatively and postoperatively, illustrating the effect of decongestants and inferior turbinate surgery. Intraoperatively, inspiration improved by 262.73 ± 196.09 (p < 0.01) and expiration by 247.94 ± 180.05 (p < 0.01). Postoperative inspiration improved by 254.03 ± 199.08 (p < 0.01) and expiration by 244.05 ± 194.57 (p < 0.01). Postoperative snoring (22.6%, p = 0.026) and nasal obstruction (20.2%, p = 0.042) were significantly higher in female than in male patients. <strong>Conclusions:</strong> The therapeutic efficacy of using diode lasers in inferior turbinate resection was established in this study on the basis of rhinomanometric data with a follow-up of 6 weeks. Postoperative nasal obstruction was effectively decreased and the other symptoms displayed a female preponderance.

关 键 词：Diode-Assisted Laser Turbinoplasty Nasal Obstruction Turbinate Hypertrophy RHINOMANOMETRY 

分 类 号：TN2[电子电信—物理电子学]