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ORIGINAL ARTICLE
Year : 2018  |  Volume : 46  |  Issue : 1  |  Page : 16-22

Surface linear versus submucosal cauterization using radiofrequency for the management of inferior turbinate hypertrophy


Department of Otolaryngology, Faculty of Medicine, Tanta University Hospitals, Tanta, Egypt

Correspondence Address:
Shimaa G El-Gamalah
Department of Otolaryngology, Faculty of Medicine, Tanta University Hospitals, Mahalat Marhoum, Tanta, Gharbia Governorate, 31719
Egypt
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DOI: 10.4103/tmj.tmj_67_17

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Background and aim Inferior turbinate hypertrophy is one of the major causes of nasal obstruction. Radiofrequency thermal ablation (RFTA) is a technique in which high-frequency current passes quickly through the target tissue to cause a reduction in tissue amount through ablation by heat. In RFTA application, initially, a coagulation necrosis is formed in the tissue, then, tissue ablation is occurred through recovery. The aim of this work was to evaluate and compare the effectiveness of surface linear versus submucosal cauterization by using radiofrequency in the management of hypertrophied inferior turbinates. Patients and methods Patients who had bilateral nasal obstruction caused by only inferior turbinate hypertrophy underwent surgical treatment by surface linear cauterization for right hypertrophied inferior turbinate and submucosal cauterization for left hypertrophied inferior turbinate using radiofrequency with 0° telescope under general anesthesia. Information was collected regarding nasal obstruction, crust formation, adhesions and patient satisfaction. The data were recorded at 1 week, 1, 3, and 6 months postoperatively based on a 10-point visual analogue scale. Results Regarding nasal obstruction, significant difference was found between both techniques only at 1 week after intervention in favor of surface group. Regarding crustation, significant difference was observed between both techniques at 1 week, 1, and 3 months. Regarding satisfaction, significant difference was seen between both techniques at 1 week, 1, and 3 months. Regarding adhesion, significant difference was seen between both techniques only at 1 week. Conclusion Surface linear method may lead to crust formation and more adhesions.


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