The effectiveness of diode laser in reduction of inferior turbinate

2020 ◽  
Vol 543 (50-51) ◽  
pp. 25-28
Author(s):  
Hrvoje Mihalj ◽  
Andrijana Včeva ◽  
Željko Zubčić ◽  
Anamarija Šestak ◽  
Vjeran Bogović ◽  
...  
Keyword(s):  
Diode Laser ◽  
Inferior Turbinate

scholarly journals Turbinoplasty of hypertrophied inferior turbinate by diode laser

1970 ◽  
Vol 16 (1) ◽  
pp. 29-34
Author(s):  
Md Rojibul Hoque ◽  
Asaduzzaman Rasel ◽  
Md Khalid Asad ◽  
Moni Lal Aich
Keyword(s):  
Diode Laser ◽  
Local Anesthesia ◽  
Operation Time ◽  
Inferior Turbinate ◽  
Complete Relief ◽  
Clinical Experiences ◽  
Short Operation Time ◽  
The Mean ◽  
Conventional Radiology

Background: Different laser types have been used for the treatment of hypertrophied inferiornasal turbinates. The clinical experiences of its treatment by means of a diode laser are presented.Methods: A total of 45 patients suffering from nasal obstruction due to hypertrophied inferiorturbinates (HIT) were treated with a continuous diode laser (14 W- 940 nm) in "contact" modeand under local anesthesia. Thirty patients (16 with allergic rhinitis and 14 with vasomotorrhinitis) were included into this clinical trial with a follow-up of 6 months. The study wasconducted by a questionnaire, photo documentation, conventional radiology of the paranasalsinuses, and histology.Results: The mean operation time took 8 min/turbinate, no nasal packing was necessary andno immediate complications (e.g., bleeding) were observed. Statistical analysis revealedsignificant subjective improvement (86%) of the nasal airflow and nasal cavity volume (photodocumentation) 6 months after laser surgery. In addition, complete relief of headache wasachieved in 32%. The remission rates of persistent rhinorrhoea and post-nasal dripping were,at about 88% and 64%, respectively. Atrophic change and synechiae had not been observed.Conclusions: Diode laser treatment of HIT is a useful procedure, which can be performed as anoutpatient surgery under local anesthesia, resulting in a controlled coagulation and ablation of thesoft tissue. The short operation time and the good results provide an excellent patient acceptance.Key words: Diode Laser; Hypertrophied Inferior Turbinate; Turbinoplasty.DOI: 10.3329/bjo.v16i1.5778Bangladesh J Otorhinolaryngol 2010; 16(1): 29-34

scholarly journals Inferior Turbinate Reduction: Diode LASER or Conventional Partial Turbinectomy?

2019 ◽  
pp. 014556131983979
Author(s):  
Venkatesh Doreyawar ◽  
Raveendra P. Gadag ◽  
Manjunath Dandinarasaiah ◽  
Shivalingappa B. Javali ◽  
Nagaraj Maradi ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Diode Laser ◽  
Controlled Trial ◽  
Inferior Turbinate ◽  
Conventional Technique ◽  
Intraoperative Bleeding ◽  
Pain Scores ◽  
Common Causes ◽  
Turbinate Reduction

Hypertrophy of inferior nasal turbinate is one of the most common causes for nasal obstruction (NO). As diode laser has proven to be as effective as any other lasers, our objective was to study various primary outcomes of its use of diode laser like improvement in NO, intraoperative bleeding, postoperative pain, and rapidity of healing. The study was undertaken to compare the various outcomes by diode laser turbinate reduction (LTR) and conventional partial inferior turbinectomy (PIT). A nonrandomized controlled trial was conducted on 2 groups: One group (30 cases) underwent LTR and PIT was performed in the other group (30 cases). The improvement in NO was measured postoperatively up to 6 months. Intraoperative bleeding was measured and postoperative pain scores were assessed each day up to fifth postoperative day. Lastly, rapidity of healing was evaluated until 6 months. Subjective relief of NO was 90.8% in LTR group, whereas it was 65% in PIT group at 6-month follow-up, which was statistically significant ( P < .05). Pain scores were higher until 5 days in PIT group compared to LTR group ( P = .0001). Intraoperative bleeding mean scores (milliliters) were 8.03 in LTR group compared to 23.29 in PIT group ( P = .00001). Rapidity of healing was faster in LTR group with mean scores of 3.03 weeks in comparison to PIT group where it was 6.33 weeks ( P = .00001). Compared to the conventional technique, the outcomes were better with diode laser and caused less morbidity.

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

2012 ◽  
Vol 126 (12) ◽  
pp. 1231-1237 ◽  
Author(s):  
A N Kassab ◽  
M Rifaat ◽  
Y Madian
Keyword(s):  
Diode Laser ◽  
Operative Time ◽  
Inferior Turbinate ◽  
The Other ◽  
Success Rates ◽  
Non Invasive ◽  
Turbinate Hypertrophy ◽  
Operative Complications ◽  
Laser Group ◽  
Inferior Turbinate Hypertrophy

AbstractObjective: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.

scholarly journals Diode Laser Reduction of Symptomatic Inferior Turbinate Hypertrophy

2018 ◽  
Vol 56 (214) ◽  
pp. 958-962
Author(s):  
Nain Bahadur Mahato ◽  
Deepak Regmi ◽  
Meera Bista
Keyword(s):  
Diode Laser ◽  
Local Anesthesia ◽  
Cost Effective ◽  
Inferior Turbinate ◽  
Symptom Assessment ◽  
Nasal Discharge ◽  
Turbinate Hypertrophy ◽  
Inferior Turbinate Hypertrophy ◽  
Laser Reduction ◽  
Turbinate Reduction

Introduction: Inferior turbinate hypertrophy refractory to medical management is one of the commonest problems encountered by ENT surgeons all over the world. Diode Laser turbinate reduction is a safe, minimally invasive, cost-effective procedure that helps in relieving the symptoms associated with it and can be performed on a day care basis under local anesthesia. The objective of this study is to measure the effectiveness of Diode laser in treatment of symptomatic ITH.Methods: Fifty patients with symptomatic inferior turbinate hypertrophy, age ranging between 15-45 years were enrolled in the study. Symptom assessment was done with the visual analogue scale. Portable Diode laser was used. Patients were followed up after 1 week and 1 month of surgery. During each postoperative visit, symptoms were reassessed using VAS and postoperative morbidity were noted.Results: Out of fifty patients, all the patients had nasal obstruction and 42 had nasal discharge and by the end of 1 month 43 (86%) and 37 (88%) patients had relief of symptoms respectively. Excessive sneezing was found in 45 patients, 39 (86.6%) patients got benefitted. Out of 18 patients, 15 (83.3%) patients had decreased snoring at 1 month post-op. Similarly, 24 patients had headache, 20 (83.3%) patients had decrease in severity. Hyposmia was seen in 19 patients, 10 (52.6%) patients had improvement in olfaction.Conclusions: Diode laser turbinate reduction for symptomatic inferior turbinate hypertrophy is one of the safest procedures that can be done under local anesthesia on OPD basis with significant relief of symptoms and with minimal complications.

scholarly journals Inferior turbinate reduction by use of Diode Laser. A study on surgical outcome, post-operative crusting, and bleeding

2021 ◽  
Vol 15 (7) ◽  
pp. 1739-1741
Author(s):  
Zafer Iqbal ◽  
Shahbaz Mujtaba Ghouri ◽  
Rehan Saleem ◽  
Aysha Nauman ◽  
Muhammad Nadeem ◽  
...  
Keyword(s):  
Diode Laser ◽  
Postoperative Period ◽  
Surgical Outcome ◽  
Inferior Turbinate ◽  
Nasal Blockage ◽  
Research Hospital ◽  
Operative Complications ◽  
Almost All ◽  
Single Blind ◽  
Turbinate Reduction

Objectives: To assess the efficacy of the technique regarding the surgical outcome, post-operative crusting, and bleeding. Design: Single Blind interventional type of study. Study Place and period: This study was conducted at, Chaudhary Muhammad Akram Teaching and Research Hospital Lahore from July 2018 to June 2019. Material and methods: The study included 100 patients and the results of technique in respect to surgical outcome, the safety of technique regarding post-operative complications like crusting in the postoperative period and epistaxis were analyzed. Results: A total of 100 patients were included for research. Their ages were between 10-40 years. It was concluded that almost all the patients had felt improvement in their nasal blockage and postnasal discharge. The sneezing and headache in these patients also have been improved. Ten patients presented with nose crusting and 4 patient presented with mild epistaxis. No acitve intervention was not required in any patient. Conclusion: It was concluded that reduction of inferior turbinate by Diode laser is an excellent, and safe option, regarding the surgical outcome, and complications faced by patients registered for turbinate surgery. Keywords: Turbinates reduction, Diode laser, epistaxis.

scholarly journals The Long-term Effect of Inferior Turbinate Surgery Techniques on Nasal Obstruction and Quality of Life

2021 ◽  
pp. 000348942110495
Author(s):  
Teemu Harju ◽  
Jura Numminen
Keyword(s):  
Quality Of Life ◽  
Treatment Response ◽  
Diode Laser ◽  
Nasal Obstruction ◽  
Inferior Turbinate ◽  
Long Term Effects ◽  
Long Term Effect

Objective: The aim of the study was to compare the long-term effects of radiofrequency ablation (RFA), microdebrider-assisted inferior turbinoplasty (MAIT), and diode laser techniques on the severity of nasal obstruction and quality of life (QOL) in a 3-year follow-up. Methods: The patients filled a Visual Analog Scale (VAS) regarding the severity of nasal obstruction and the Glasgow Health Status Inventory (GHSI) questionnaire preoperatively and during the control visits at 3 months and 3 years. Acoustic rhinometry was also performed. A total of 78 patients attended both control visits. Results: All 3 techniques improved the VAS score for the severity of nasal obstruction and the GHSI total score significantly compared to the preoperative values at both 3 months and 3 years. Compared to the preoperative values, all 3 techniques increased the V2 to 5 cm values significantly at 3 months. After 3 years, compared to the preoperative values, the MAIT ( P = .005) and diode laser ( P < .001) still had a statistically significant volume increase in V2 to 5 cm, whereas the RFA ( P = .06) did not achieve a statistically significant effect. Conclusion: The RFA, MAIT, and diode laser all improved both the patients’ subjective sensation of the severity of nasal obstruction and QOL significantly. The response was sustained during the 3-year follow-up period with all 3 techniques. A weakening in the objective treatment response to RFA was found in the longer follow-up, but that did not cause a weakening of the patients’ subjective treatment response.

scholarly journals Clinical Feasibility Trial of 1,940-nm Diode Laser in Korean Patients with Inferior Turbinate Hypertrophy

2015 ◽  
Vol 4 (2) ◽  
pp. 60-64 ◽  
Author(s):  
Sung Hoon Kang ◽  
Saehee Lim ◽  
Dongju Oh ◽  
Karam Kang ◽  
Kwang Jin Jung ◽  
...  
Keyword(s):  
Diode Laser ◽  
Inferior Turbinate ◽  
Feasibility Trial ◽  
Korean Patients ◽  
Turbinate Hypertrophy ◽  
Inferior Turbinate Hypertrophy

scholarly journals Diode Laser Turbinate Reduction in Allergic Rhinitis: A Cross-sectional Study

2018 ◽  
Vol 56 (214) ◽  
pp. 949-952
Author(s):  
Priyanka Gupta ◽  
Toran Kc ◽  
Deepak Regmi
Keyword(s):  
Allergic Rhinitis ◽  
Diode Laser ◽  
Medical Therapy ◽  
Inferior Turbinate ◽  
Cross Sectional Study ◽  
Nasal Discharge ◽  
Cross Sectional ◽  
Turbinate Hypertrophy ◽  
Inferior Turbinate Hypertrophy ◽  
Turbinate Reduction

Introduction: Turbinate reduction procedures are recommended for inferior turbinate hypertrophy in allergic rhinitis that fail to respond to medical therapy. Several modalities like turbinectomy, submucosal resection and tissue ablation are available for this purpose. The study aimed to evaluate the effectiveness of diode laser in the treatment of symptomatic inferior turbinate hypertrophy in allergic rhinitis and explore complications related to the procedure.Methods: This descriptive cross-sectional study was carried out in a tertiary care centre. The study enrolled 60 patients with inferior turbinate hypertrophy with failure of medical therapy. Inferior turbinate reduction was performed under local anaesthesia using diode laser. All the patients were evaluated subjectively for various nasal symptoms using visual analogue score scale preoperatively and during postoperative visit at three months.Results: The age ranged from 16 to 47 years with median age of 28 years. Twenty nine were male and thirty one were female. There was significant improvement in symptoms like nasal obstruction, nasal discharge, sneezing and decreased sense of smell. Immediate post-operative pain, crusting and persistent nasal discharge were observed as complications of the procedure. However, there was no incidence of mucosal oedema and synechiae formation in our study.Conclusions: Diode laser turbinate reduction procedure is safe, minimally invasive and effective in relieving the symptoms associated with inferior turbinate hypertrophy in allergic rhinitis resistant to medical therapy and can be performed on a day care basis under local anaesthesia.

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