Sevilay KARAHAN, Ergin TURAN, Seymur YUSUBOV

Comparison of the outcomes of partial turbinectomy and radiofrequency tissue ablation of inferior turbinates

Amaç. Kronik nazal havayolu tıkanmalarının esas sebeplerinden biri alt konka hipertrofisidir.Kısmi turbinektomi çözümün klasik yolu olmakla beraber, alt konkanın radyofrekans dokuablasyonu göreceli olarak yeni bir metottur. Alt konkanın kısmi türbinektomi ve radyofrekansdoku ablasyonu ile tedavisi sonrası subjektif semptom skorları ve objektif testler kullanılarak nazalfonksiyonların mukayesesi yapılmıştır. Yöntem. Konka hipertrofisinden dolayı kronik buruntıkanıklığı olan 12 hasta (24 konka) radyofrekans doku ablasyonu ile tedavi edildi. Diğer 11 hasta(22 konka) kısmı türbinektomi ile tedavi edildi. Ameliyat öncesinde ve ameliyat sonrası altıncıhaftada akustik rinometri, sakkarin testi ve görsel analog skala ile burun tıkanma şikayetideğerlendirildi. Hastalar ameliyat sonrası 6 hafta boyunca görsel analog skala ve burunendoskopisi ile haftalık olarak takip edildi. Bulgular. Her iki gruptada ameliyat sonrası akustikrinometri sonuçları ameliyat öncekilerinden belirgin olarak yüksekti (p0,05). Görsel analog skalaskorları kıyaslandığında kısmi türbinektomi grubunun burun tıkanması skorlarının ilk haftadanbaşlayarak radyofrekans doku ablasyonu grubunun skorlarından belirgin olarak az olduğugörülmektedir (p

Alt konkaların kısmi türbinektomi ve radyof rekans doku ablasyonu sonuçlarının karşılaştırılması

Aim. One of the major causes of chronic nasal airway obstruction is inferior turbinatehypertrophy. Partial turbinectomy is a classical way of solution; however radiofrequency tissueablation of inferior turbinates is a realatively new method. Comparison of the nasal function wasmade after treatment by partial turbinectomy and radiofrequency tissue ablation of the inferiorturbinates using subjective symptom scores and objective tests. Methods. 12 of the patients (24turbinates) with chronic nasal obstruction due to turbinate hypertrophy were treated byradiofrequency tissue ablation (RFTA), another 11 patients (22 turbinates) were treated by partialturbinectomy (PT). Preoperatively and at the postoperative 6th week; acoustic rhinometry,saccharin test, and evaluation of the nasal obstruction complaint by visual analogue scale (VAS)were done. The patients were followed by weekly nasal endoscopy and VAS scores during thepostoperative 6 weeks. Results. In both groups postoperative acoustic rhinomety results weresignificantly higher than preoperative ones (p0.05). There was nota significant difference between preoperative and postoperative saccharin test results in bothgroups (p>0.05). When the VAS scores were compared, PT group s nasal obstruction scoresappear to be significantly less than RFTA group s scores, beginning from the first week (p

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