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- Title
Diode laser- an ideal tool for inferior turbinate reductionin allergic rhinitis.
- Authors
Bhandary B., Satheesh Kumar; Khanna, Rishi Ajay; Bhat, Vadisha Srinivas; Aroor, Rajeshwary
- 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 followingdiode 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, 1month, 3month and 6month. 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 packwas 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 symptomreduction 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 tissuewith 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.
- Subjects
HAY fever treatment; SEMICONDUCTOR lasers; POSTOPERATIVE pain; OTOLARYNGOLOGY; ABLATION techniques
- Publication
Nitte University Journal of Health Science, 2016, Vol 6, Issue 3, p27
- ISSN
2249-7110
- Publication type
Article