Controlled Diathermy Technique in the Treatment of Hypertrophy Turbinate

Niazi, F; Motamed, S; Rostami, Kh; Tarahomi, MR; Azhdari, K; Alizadeh Otaghvar, HR; Rouhi Rahim Begloo, E

Controlled Diathermy Technique in the Treatment of Hypertrophy Turbinate

Document Type : Original Article

Authors

F Niazi ¹

S Motamed ²

Kh Rostami ³

MR Tarahomi ⁴

K Azhdari ⁵

HR Alizadeh Otaghvar ⁶

E Rouhi Rahim Begloo ⁷

¹ استادیار گروه جراحی ترمیمی و پلاستیک، دانشگاه علوم پزشکی شهید بهشتی، بیمارستان شهید مدرس

² Professor, Department of Reconstructive and Plastic Surgery, Shahid Beheshti University of Medical Sciences, 15 Khordad Hospital

³ Assistant Professor, Department of Reconstructive and Plastic Surgery, Shahid Beheshti University of Medical Sciences, Shahid Modarres Hospital

⁴ Assistant Professor, Department of Reconstructive and Plastic Surgery, Shahid Beheshti University of Medical Sciences, 15 Khordad Hospital

⁵ Plastic and Reconstructive Surgeon, Army University of Medical Sciences, Imam Reza Hospital

⁶ Assistant Professor of General Surgery, Bushehr University of Medical Sciences, Fatemeh Zahra Hospital, Bushehr, Iran

⁷ Master of Nursing, Tehran University of Medical Sciences, Tehran Faculty of Nursing and Midwifery

Abstract

Introduction & Objective: Nasal obstruction is one of the oldest and most common complaints of people that can be caused by septal defect, polyp and rhinitis allergic and inferior turbinate abnormalities. The best technique to reduce the size of the inferior turbinate and maintain physiological function, preserving mucosal surface by reducing the sub mucosal tissue. Therefore, this study was conducted to treat turbinate hypertrophy with using diathermy technique controlled. Materials & Methods: His study was conducted on 96 patients with airway obstruction due to turbinates hypertrophy with using diathermy technique controlled in Shahid Modares Hospital. Sampling was conducted convenience. Data were collected through clinical examinations, the results of CT scans and paraclinical tests, complete the checklist and record the results of the preliminary examinations nasal and septum before surgery. Diathermy technique controlled was conducted on patients with moderate and severe hypertrophy with using monopolar cautery grade 40 and through the cannula 5 mm. Airway complications and recovery of all patients at interval of one month after surgery were follow and evaluated by referring patients to hospital. Finally the data were analyzed with the McNemar and Kruskal test in SPSS (V.22). Results: Results showed a significant difference in reducing symptoms such as feeling an unpleasant smell, runny nose and a creation of crest in recovery of patient after surgery controlled diathermy, as well as significant improvement created in respiratory status and condition of smell (P < 0.05). However, a significant difference was not observed In terms of reducing hoarseness snoring sound (P > 0.05). Conclusions: Many surgical techniques for treatment of inferior turbinate hypertrophy such as complete or partial turbinectomy, turbinoplasty, laser, cauter and crayotherapy, reducing volume with radio frequency have been used. This study suggests, controlled diathermy as a effective method for reducing bothering symptoms after rhinoplasty.

Keywords

Turbinate Hypertrophy

Diathermy Controlled

Nasal Obstructio

1. Aslan G. Postnasal drip due to inferior turbinate perforation after radiofrequency turbinate surgery: A case report. Allergy & Rhinology. 2013; 4(1): 17-20.

2. Puterman M, Segal N, Joshua B. Endoscopic, assisted, modified turbinoplasty with mucosal flap. The Journal of Laryngology & Otology. 2012; 126(05): 525-8.

3. Pittore B, Al Safi W, Jarvis S. Concha bullosa of the inferior turbinate: an unusual cause of nasal obstruction. Acta Otorhinolaryngol Ital. 2011; 31(1): 47-9.

4. Nassif Filho ACN, Ballin CR, Maeda CAS, Nogueira GF, Moschetta M, de Campos DS. Comparative study of the effects of submucosal cauterization of the inferior turbinate with or without outfracture. Brazilian journal of otorhinolaryngology. 2006; 72(1): 89-95.

5. Barbosa AdA, Caldas N, Morais AXd, Campos AJdC, Caldas S, Lessa F. Assessment of pre and postoperative symptomatology in patients undergoing inferior turbinectomy. Revista Brasileira de Otorrinolaringologia. 2005; 71(4): 468-71.

6. Frank DO, Kimbell JS, Cannon D, Pawar SS, Rhee JS. Deviated nasal septum hinders intranasal sprays: a computer simulation study. Rhinology. 2012; 50(3): 311.

7. Parida PK, Santhosh K, Ganesan S, Surianarayanan G, Saxena SK. The efficacy of radiofrequency volumetric tissue reduction of hypertrophied inferior turbinate in allergic rhinitis. 2011; 65(7): 269-77.

8. Tsai T-L, Lan M-Y, Ho C-Y. There is no structural relationship between nasal septal deviation, concha bullosa, and paranasal sinus fungus balls. The Scientific World Journal. 2012; 2012.

9. Qiu S, Duan X, Geng X, Xie J, Gao H. Antigen-specific activities of CD8 + T cells in the nasal mucosa of patients with nasal allergy. Asian Pacific journal of allergy and immunology. 2012; 30(2): 107.

10. Kassab A, Rifaat M, Madian Y. Comparative study of management of inferior turbinate hypertrophy using turbinoplasty assisted by microdebrider or 980 nm diode laser. The Journal of Laryngology & Otology. 2012; 126(12): 1231-7.

11. Sharma K, Duggal K, Hundal JS. SMR of inferior turbinate in chronic hypertrophic rhinitis. Indian Journal of Otolaryngology and Head & Neck Surgery. 1999; 51(1): 10-4.

12. Zhang Q, Zhou W, Zhang H, Ke Y, Wang Q. Relationship between inferior turbinate outfracture and the improvement of nasal ventilatory function. Zhonghua er bi yan hou tou jing wai ke za
zhi = Chinese journal of otorhinolaryngology head and neck surgery. 2013; 48(5): 422-5.

13. Taneja M, Taneja M. Intra turbinate diathermy cautery V/S high frequency in inferior turbinate hypertrophy. Indian Journal of Otolaryngology and Head & Neck Surgery. 2010; 62(3): 317-21.

14. Mori S, Fujieda S, Igarashi M, Fan G, Saito H. Submucous turbinectomy decreases not only nasal stiffness but also sneezing and rhinorrhea in patients with perennial allergic rhinitis. Clinical and Experimental Allergy. 1999; 29: 1542-8.

15. Ferri E, García PF, Ianniello F, Armato E, Cavaleri S, Capuzzo P. Surgical treatment of inferior turbinate hypertrophy with argon plasma: a long-term
follow-up in 157 patients. Acta otorrinolaringologica espanola. 2003; 55(6): 277-81.