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Efficacy of inferior turbinate coblation for treatment of nasal obstruction

Published online by Cambridge University Press:  09 June 2008

S E J Farmer ,
S M Quine  and
R Eccles
S E J Farmer*
Affiliation:
Common Cold Centre, Cardiff School of Biosciences, Cardiff University, Cardiff, Wales, UK
S M Quine
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, University Hospital of Wales, Cardiff, Wales, UK
R Eccles
Affiliation:
Common Cold Centre, Cardiff School of Biosciences, Cardiff University, Cardiff, Wales, UK
*
Address for correspondence: Miss Sarah Farmer, ENT Specialist Registrar, Common Cold Centre, Cardiff School of Biosciences, Cardiff University, Museum Avenue, Cardiff CF10 3US, Wales, UK. Fax: 029 20 874093 E-mail: [email protected]
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Abstract

Objective:

To determine the efficacy of inferior turbinate coblation for the treatment of nasal obstruction.

Methods:

Twenty patients awaiting submucosal diathermy to the inferior turbinates were recruited into the study. All underwent inferior turbinate coblation. Pre-operative and post-operative nasal function was investigated using posterior rhinomanometry and subjective symptom scales.

Results:

There was no significant increase in nasal conductance two weeks after inferior turbinate coblation (p = 0.159). However, three months after inferior turbinate coblation, median nasal conductance had increased significantly, from 203 to 324 cm3/s (p = 0.004). The median increase in nasal conductance was 73 cm3/s or 43.5 per cent. Post-operative visual analogue patients' reported post-operative visual analogue scales scores for nasal obstruction decreased significantly, both two weeks (p = 0.006) and three months after inferior turbinate coblation (p = 0.001) when compared to Pre-operative values. There was no change in the reported severity of rhinorrhoea, nasal itching or sneezing. There was a significant relationship (ρ = −0.57, p = 0.014) between pre-operative nasal conductance and change in nasal conductance after inferior turbinate coblation.

Conclusions:

This study confirms the short-term efficacy of inferior turbinate coblation for the treatment of nasal obstruction. The benefit was greatest in patients with lower pre-operative nasal conductance. Objective measures of nasal obstruction may be important when selecting patients for inferior turbinate coblation.

Keywords

Nasal ObstructionTurbinatesElectrosurgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 3 , March 2009 , pp. 309 - 314
Copyright
Copyright © JLO (1984) Limited 2008

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Footnotes

Presented as a poster at the British Rhinology Society 6th Annual Meeting, 25th May 2007, London, England, and in full at the Welsh Otorhinolaryngological Association Meeting, 26th October 2007, Swansea, Wales, UK.

References

1 ArthroCare Corporation. http://www.arthrocareent.com/wt/page/coblation_explained 2005 [1 October 2007]Google Scholar
2 Back, LJ, Hytonen, ML, Malmberg, HO, Ylikoski, JS. Submucosal bipolar radiofrequency thermal ablation of inferior turbinates: a long-term follow-up with subjective and objective assessment. Laryngoscope 2002;112:1806–12CrossRefGoogle ScholarPubMed
3 Bhattacharyya, N, Kepnes, LJ. Clinical effectiveness of coblation inferior turbinate reduction. Otolaryngol Head Neck Surg 2003;129:365–71CrossRefGoogle ScholarPubMed
4 Atef, A, Mosleh, M, El Bosraty, H, Abd El Fatah, G, Fathi, A. Bipolar radiofrequency volumetric tissue reduction of inferior turbinate: does the number of treatment sessions influence the final outcome? Am J Rhinol 2006;20:25–31CrossRefGoogle ScholarPubMed
5 Quine, SM, Eccles, R. Nasal resistance from the laboratory to the clinic. Curr Opin Otolaryngol Head Neck Surg 1999;7:20–5CrossRefGoogle Scholar
6 Eccles, R. Evaluation of the nasal airway and nasal challenge. In: Kerr, AG, ed. Scott-Brown's Otolaryngology, 6th edn. Oxford: Butterworth-Heinemann, 1997; 4/4/1–15Google Scholar
7 Cottle, M. Concepts of nasal physiology as related to corrective nasal surgery. Arch Otolaryngol Head Neck Surg 1960;72:11–20CrossRefGoogle Scholar
8 Quine, SM, Aitken, PA, Eccles, R. Effect of submucosal diathermy to the inferior turbinates on unilateral and total nasal airflow in patients with rhinitis. Acta Otolaryngol 1999;119:911–15Google Scholar
9 Panagou, PS, Loukides, S, Tsipra, S, Syrigou, K, Anastasakis, C, Kalogeropoulos, N. Evaluation of nasal patency: comparison of patient and clinician assessments with rhinomanometry. Acta Otolaryngol 1999;118:847–51Google Scholar
10 Eccles, R. Nasal airflow in health and disease. Acta Otolaryngol 2000;120:580–95CrossRefGoogle ScholarPubMed
11 Rhee, CS, Kim, DY, Won, TB, Lee, HJ, Park, SW, Kwon, TY et al. Changes of nasal function after temperature-controlled radiofrequency tissue volume reduction for the turbinate. Laryngoscope 2001;111:153–8CrossRefGoogle ScholarPubMed
12 Aljafri, AM, Kingsnorth, A, eds. Fundamentals of Surgical Practice. London: Greenwich Medical Media, 1998Google Scholar
13 Talaat, M, El-Sabawy, E, Baky, FA, Raheem, AA. Submucous diathermy of the inferior turbinates in chronic hypertrophic rhinitis. J Laryngol Otol 1987;101:452–60CrossRefGoogle ScholarPubMed