Diode 1470 nm Laser Turbinoplasty versus Partial Surgical Inferior Turbinectomy for Treatment of Inferior Turbinate Hypertrophy.
Kerbala Journal of Medicine,
Volume 10, Issue 3, Pages 3810-3817
AbstractBackground: Nasal obstruction is a common complaint in patients attending otolaryngology clinics which is infrequently due to inferior turbinate hypertrophy. Patients not responding to medical treatment can benefit from turbinate reduction surgery, which aims at relieving this symptom.
Objectives: To evaluate the effects of diode 1470nm laser turbinoplasty of inferior turbinate versus partial surgical inferior turbinectomy in patients with nasal obstruction due to hypertrophy of inferior turbinate.
Methods: A prospective comparative study had been done at Al Kafeel Hospital, Kerbala from February to October 2016. Fifty patients were included and equally divided into two groups of 25 patients for each. First group was treated with partial surgical inferior turbinectomy and the other one with laser turbinoplasty. Patients were evaluated for improvement in symptoms at follow up on 2 days, 1week, 1month, 3months, and 6months.
Results: Patients' age range from 16-50 years with a mean ± Standard deviation 28.18 ± 7.27 years. Females were 30 (60%) of the sample with no significant difference between both groups in regard to age and gender distribution. Both procedures are evenly effective in reducing the turbinate size after 6 months. However crusting, post-operative pain, blood loss, and the number of days of nasal packing was found to be significantly less in laser turbinoplasty group as well as faster improvement in nasal obstruction and healing and less hospital stay.
Conclusion: Diode laser1470 nm turbinoplasty is a safe and effective procedure, because of its precise localization of coagulative effects on soft tissue. In comparison to partial surgical inferior turbinectomy diode laser1470 nm turbinoplasty shows less bleeding, postoperative pain and crustations with no nasal packing as well as earlier healing and nasal obstruction relieve.
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