High-Intensity-Focused Ultrasound Versus Diode Laser for Treatment of Inferior Turbinate Hypertrophy

Year 2024, Volume: 7 Issue: 3, 89 - 94, 10.12.2024

Ali Abed Mohammed Abdulhussein Kareem Jwery Mohammed Radef Dawood

Abstract

Objective: To evaluate the safety and adverse effects of high-intensity-focused ultrasound compared to diode laser
turbinoplasty techniques. Hypertrophy of the inferior nasal turbinate is the most frequent cause of nasal obstruction,
causing considerable impacts on patients’ quality of life, and the type of surgical technique relies on effectiveness of
the procedure, in addition to safety with fewer adverse effect.

Methods: A comparative study with 74 adult patients, complaining of nasal obstruction due to bilateral inferior
hypertrophy, were eventually and randomly divided into 2 groups: group (A) consisted of 37 patients, treated with
high intensity-focused-ultrasound turbinoplasty, and group (B) consisted of 37 patients, treated using the diode laser
technique. Clinical parameters, such as postoperative pain score, intra- and postoperative bleeding, postoperative
crusting and synechiae, and healing rapidity process, were analyzed and compared between the 2 groups.

Results: Mean pain score was significantly higher in group (B) in comparison with group (A), P-value (.001) on the
second postoperative day, and P-value (.0001) on the third, fourth, and fifth postoperative days. Mean intraoperative
bleeding score was higher in group (B) (2.9 ± 0.7), compared to group (A) (1.3 ± 0.5), with P-value (.0001). However,
there was no significant difference between group (A) and (B) regarding bleeding postoperatively, P-value (.521).
Mean rapidity of healing process and crustation formation were higher in group (B) than in group (A), with P-values
(.001 and .0023) respectively. No synechiae (0%) was observed in either group during 3- month follow-up.

Conclusion: High-intensity-focused ultrasound turbinoplasty was associated with fewer adverse effects compared
to diode laser technique.

Keywords

High-intensity-focused ultrasound , diode laser , turbinoplasty

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