Radyofrekans cerrahisi sonuçlarımız

Amaç: Radyofrekans doku ablasyonu tekniğinin horlama ve konka hipertrofisine bağlı solunum tıkanıklığındaetkinliğini değerlendirmek.Hastalar ve Yöntemler: Otuz üç hastada , 15’i konka, 13’üyumuflak damak, befli konka ve yumuflak damak olmaküzere 38 uygulama yapıldı. Yumuflak damakta her ikilateral bölge, orta hat ve uvula olmak üzere dört bölgeden; konka uygulamaları hipertrofinin durumuna göreanterior, medial ve posterior bölgelere yapıldı. Horlamauygulama öncesinde, ikinci ay ve birinci yılın sonundaEpworth Uyku Skalası ve subjektif olarak; burun solunumu uygulama öncesinde, ikinci ay, altıncı ay ve birinci yılın sonunda görsel analog skala ile değerlendirildi.Takip süresi en uzun bir yıl idi. Bulgular: Subjektif değerlendirmede birinci yıl sonundahastaların %44.5’inde horlamada azalma gözlendi,% 5 0 ’sinde horlama kayboldu; %5.5’inde ise değifliklikgözlenmedi Birinci yıl sonunda hasta tarafından yapılantıkanıklık değerlendirmesinde iyileflme oranı %65.24; klinik muayene ile yapılan değerlendirmede iyileflme oranı%45.61 bulundu. Önemli bir komplikasyon gözlenmedi.Sonuç: Radyofrekans uygulamalarının en az düzeydeinvaziv olması, az güç ve ısı gerektirmesi, genel anestezi gerektirmemesi, komplikasyon riskinin düflük olması nedeniyle uygun hastalarda kullanılması gereken biryöntem olduğunu düflünüyoruz

Anahtar Kelimeler:

Kateter ablasyonu/enstrümantasyon, hipertrofi, burun t›kan›kl›¤›/etyoloji/cerrahi, damak, yumuflak/cerrahi, uyku apnesi sendromlar›/cerrahi, horlama/ cerrahi, turbinat/cerrahi.

Results of radiofrequency tissue ablation

Objectives: We evaluated the effectiveness of radiofrequency tissue ablation in respiratory obstruction due to snoring and turbinate hypertrophy.Patients and Methods: Thirty-three patients 9 females, 24 males; mean age 35.3 years; range 19 to 55 years unden/vent 38 submucosal probe applications in the inferi- orturbinate n=15 , sofi palate n=13 , and both n=5 .Applications were performed in four regions of the sofi palate, and in the anterior, medial, or posterior regions of the inferior turbinate depending on the hypertrophic site.Evaluations were made prior to, in the second month, and at the end of the first year of treatment. Snoring was eval uated using the Epvvorth Sleepiness Scale and subjective assessment. Respiration vvas evaluated by a visual analog scale. Maximum follovv-up period vvas one year.Results: Subjective evaluations made at the end of the first year shovved that snoring decreased in 44.5% and disappeared in 50%. No change vvas observed in 5.5%.According to the patients’ subjective evaluations and clinical examination findings complaints of obstruction decreased by 65.4% and 45.61%, respeetively. No significant complications occurred.Conclusion: Radiofrequency tissue ablation may prove to be useful in appropriate patients. İt is minimal- ly invasive, requires lovv povver and heat, and no gen eral anesthesia, and is associated vvith lovv complication risks.

Keywords:

Catheter ablation/instrumentation, hypertrophy, nasal obstruction/etiology/surgery, palate, soft/surgery, sleep apnea syndromes/surgery, snoring/surgery, turbinates/ surgery,

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