Partial laser turbinectomy: two year outcomes in patients with allergic and non-allergic rhinitis.

Objective: The aim was to compare two year outcomes of partial laser turbinectomy in patients with allergic and non-allergic rhinitis with respect to nasal obstruction symptom scores and nasal peak inspiratory flow rates (nPIFR). This has not been reported previously. Method: Fifty-four patients underwent partial laser turbinectomy (28 with allergic rhinitis, 26 with non-allergic rhinitis). NPIFR was measured preoperatively, at 3 months and two years postoperatively. A symptom score questionnaire was also completed. Results: Both allergic and non-allergic patients showed a significant improvement in symptom scores and nPIFR at three months (n=54). The improvement in allergic patients was greater. In the 31 patients seen at two years, there was still a significant improvement in median symptom scores but no such improvement in median nPIFR. In allergic patients (n=18) at two years, there was no significant improvement in symptom and nPIFR scores. Non-allergic patients (n=13), however, did show sustained significant improvement in these scores (p<0.05). Eighty-seven percent (26/31) considered the operation successful and would recommend it to others. Conclusions: Non-allergic patients derive a more sustained improvement in the medium term compared to allergic individuals when undergoing partial laser turbinectomy. The improvement in symptom scores in the group as a whole was still significant. SUMMARY

[1]  R. Harrison,et al.  Inferior turbinectomy: Comparison of four techniques , 1990, The Journal of Laryngology & Otology.

[2]  J A Werner,et al.  CO2 laser surgery of hypertrophied inferior turbinates. , 1997, Rhinology.

[3]  D. G. John,et al.  The effect of inferior turbinate outfracture on nasal resistance to airflow in vasomotor rhinitis assessed by rhinomanometry , 1988, The Journal of Laryngology & Otology.

[4]  R Risavi,et al.  CO2 laser anterior turbinectomy in the treatment of non-allergic vasomotor rhinopathia. A prospective study upon 78 patients. , 1991, Rhinology.

[5]  F. A. Baky,et al.  Submucous diathermy of the inferior turbinates in chronic hypertrophic rhinitis , 1987, The Journal of Laryngology & Otology.

[6]  H. Mittelman.  Co2 laser turbinectomies for chronic, obstructive rhinitis , 1982, Lasers in surgery and medicine.

[7]  H. Levine,et al.  Endoscopy and the KTP/532 Laser for Nasal Sinus Disease , 1989, The Annals of otology, rhinology, and laryngology.

[8]  H. Lenz.  Acht Jahre Laserchirurgie an den unteren Nasenmuscheln bei Rhinopathia vasomotorica in form der Laserstrichkarbonisation , 1985 .

[9]  N. Marks,et al.  Turbinate surgery: how effective is it? A long-term assessment. , 1987, ORL; journal for oto-rhino-laryngology and its related specialties.

[10]  S. G. Selkin.  Laser turbinectomy as an adjunct to rhinoseptoplasty. , 1985, Archives of otolaryngology.

[11]  P. Dawes,et al.  The early complications of inferior trubinectomy , 1987, The Journal of Laryngology & Otology.

[12]  B. Lipworth,et al.  Peak inspiratory flow rate is more sensitive than acoustic rhinometry or rhinomanometry in detecting corticosteroid response with nasal histamine challenge. , 2003, Rhinology.

[13]  B. Lippert,et al.  Long‐term results after laser turbinectomy , 1998, Lasers in surgery and medicine.

[14]  D. Ophir,et al.  Total inferior turbinectomy for nasal airway obstruction. , 1985, Archives of otolaryngology.

[15]  H. Puhakka,et al.  Cryotherapy as a method of treatment in allergic and vasomotor rhinitis , 1977, The Journal of Laryngology & Otology.