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

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.

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Inferior Turbinate Reduction: Diode LASER or Conventional Partial Turbinectomy?

Ear Nose & Throat Journal ◽

10.1177/0145561319839795 ◽

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.

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

The Journal of Laryngology & Otology ◽

10.1017/s0022215112002320 ◽

2012 ◽

Vol 126 (12) ◽

pp. 1231-1237 ◽

Cited By ~ 7

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.

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Diode Laser Reduction of Symptomatic Inferior Turbinate Hypertrophy

Journal of Nepal Medical Association ◽

10.31729/jnma.4005 ◽

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.

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Diode laser versus bipolar diathermy for turbinate reduction in cases of inferior turbinate hypertrophy

Lasers in Medical Science ◽

10.1007/s10103-020-03228-3 ◽

2021 ◽

Author(s):

Nasser Nagieb Mohamed ◽

Sherif Mohammad Askar ◽

Sally Salah Mohamed

Keyword(s):

Diode Laser ◽

Inferior Turbinate ◽

Bipolar Diathermy ◽

Turbinate Hypertrophy ◽

Inferior Turbinate Hypertrophy ◽

Turbinate Reduction

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

Journal of Nepal Medical Association ◽

10.31729/jnma.3870 ◽

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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Diode Laser Turbinate Reduction in the Treatment of Symptomatic Inferior Turbinate Hypertrophy

Indian Journal of Otolaryngology and Head & Neck Surgery ◽

10.1007/s12070-012-0515-8 ◽

2012 ◽

Vol 65 (S2) ◽

pp. 350-355 ◽

Cited By ~ 2

Author(s):

Pradipta Kumar Parida ◽

Gopalakrishnan Surianarayanan ◽

Arun Alexander ◽

Sunil Kumar Saxena ◽

Krishnapriya Santhosh

Keyword(s):

Diode Laser ◽

Inferior Turbinate ◽

Turbinate Hypertrophy ◽

Inferior Turbinate Hypertrophy ◽

Turbinate Reduction

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Diode laser- an ideal tool for inferior turbinate reduction in allergic rhinitis

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1708658 ◽

2016 ◽

Vol 06 (03) ◽

pp. 27-32

Author(s):

Satheesh Kumar Bhandary B. ◽

Rishi Ajay Khanna ◽

Vadisha Srinivas Bhat ◽

Rajeshwary Aroor

Keyword(s):

Allergic Rhinitis ◽

Diode Laser ◽

Inferior Turbinate ◽

Patient Acceptance ◽

Nasal Pack ◽

Turbinate Hypertrophy ◽

Post Operative Pain ◽

Ideal Tool ◽

Inferior Turbinate Hypertrophy ◽

Turbinate Reduction

Abstract Background: Inferior turbinate hypertrophy is the leading cause of nasal obstruction in subjects with allergic rhinitis. Patients not responding to medical line of treatment can benefit from turbinate reduction surgery, which aims at relieving symptoms. Objective: Our study aimed at comparing the improvement in nasal symptoms as well as complications following diode laser turbinoplasty and conventional inferior turbinectomy. Methods: A comparative interventional study conducted on randomly selected 93 patients of allergic rhinitis with hypertrophied inferior turbinate, attending the department of Otorhinolaryngology, in K.S.Hegde Charitable Hospital, Mangalore over a period of 3 years. Fifty patients underwent conventional inferior turbinectomy and 43 underwent diode laser inferior turbinoplasty. All patients were evaluated for improvement in symptoms at follow up on 1 week, 1 month, 3 month and 6 month. Results: The overall subjective improvement at 6 month was 71.10% in Conventional turbinectomy group and 73.84% in Laser turbinoplasty group. Both procedures are equally effective in reducing the turbinate size; however crusting, post-operative pain, blood loss and number of days of nasal pack was found to be significantly less in Laser turbinoplasty group. Conclusion: Diode laser turbinoplasty and conventional turbinectomy for inferior turbinate hypertrophy are equally good in providing long-lasting symptom reduction in patients of allergic rhinitis with hypertrophied inferior turbinate. However diode laser turbinoplasty is a safe and effective procedure resulting in a controlled coagulation and ablation of the soft tissue with less immediate post-operative pain, bleeding, crusting, duration of nasal pack and hospital stay. The better results of diode laser turbinoplasty provide an excellent patient acceptance.

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