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Results of radiofrequency tissue ablation

Year 2002, Volume: 9 Issue: 1, 30 - 36, 03.01.2002

Abstract

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.

References

  • Smith TL, Correa AJ, Kuo T, Reinisch L. Radiofre q u e n c y tissue ablation of the inferior turbinates using a thermo- couple feedback electrode. Laryngoscope 1999;109: 1 7 6 0 - 5 .
  • Powell NB, Riley RW, Troell RJ, Li K, Blumen MB, Guilleminault C. Radiofrequency volumetric tissue reduction of the palate in subjects with sleep-disor- dered breathing. Chest 1998;113:1163-74.
  • Powell NB, Riley RW, Troell RJ, Blumen MB, Guilleminault C. Radiofrequency volumetric reduc- tion of the tongue. A porcine pilot study for the treat- ment of obstructive sleep apnea syndrome. Chest 1997; 111:1348-55.
  • Utley DS, Goode RL, Hakim I. Radiofrequency energy tissue ablation for the treatment of nasal obstruction secondary to turbinate hypertro p h y. Laryngoscope 1999;109:683-6.
  • Li KK, Powell NB, Riley RW, Troell RJ, Guilleminault C. Radiofrequency volumetric tissue reduction for t reatment of turbinate hypertrophy: a pilot study. Otolaryngol Head Neck Surg 1998;119:569-73.
  • Rhee CS, Kim DY, Won TB, Lee HJ, Park SW, Kwon TY, et al. Changes of nasal function after temperature-con- trolled radiofrequency tissue volume reduction for the turbinate. Laryngoscope 2001;111:153-8.
  • Elwany S, Gaimaee R, Fattah HA. Radiofrequency bipolar submucosal diathermy of the inferior turbinates. Am J Rhinol 1999;13:145-9.
  • Powell NB, Riley RW, Guilleminault C. Radiofre q u e n c y tongue base reduction in sleep-disordered breathing: A pilot study. Otolaryngol Head Neck Surg 1999;120: 656-64.
  • Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 1991; 14:540-5.
  • K respi YP, Keidar A. Laser-assisted uvula-palatoplasty for the treatment of snoring. Operative Tech Otolaryngol Head Neck Surg 1994;23:228-34.
  • Fairbanks DN. Snoring: surgical vs. nonsurgical man- agement. Laryngoscope 1984;94:1188-92.
  • Kamami YV. Laser CO2for snoring. Pre l i m i n a r y results. Acta Otorhinolaryngol Belg 1990;44:451-6.
  • fiapçı T, Ocaklı Ö, Karavufl A, Akbulut UG. Horlama tedavisinde LAUP etkili bir yöntem mi? KBB İhtisas Derg 1999;6:286-90.
  • Courey MS, Fomin D, Smith T, Huang S, Sanders D, Reinisch L. Histologic and physiologic effects of elec- trocautery, CO2laser, and radiofrequency injury in the porcine soft palate. Laryngoscope 1999;109:1316-9.
  • Somnus Medical Technologies, Inc. Principles of radiofrequency thermal ablation (RFTA). 1998.
  • Coste A, Yona L, Blumen M, Louis B, Zerah F, Rugina M, et al. Radiofrequency is a safe and effective treat- ment of turbinate hypertrophy. Laryngoscope 2001; 111:894-9.
  • Coleman SC, Smith TL. Radiofrequency tissue volume reduction of the palate for snoring. In: AAO-HNSF Annual Meeting; San Antonio, Texas, 1998.

Radyofrekans cerrahisi sonuçlarımız

Year 2002, Volume: 9 Issue: 1, 30 - 36, 03.01.2002

Abstract

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

References

  • Smith TL, Correa AJ, Kuo T, Reinisch L. Radiofre q u e n c y tissue ablation of the inferior turbinates using a thermo- couple feedback electrode. Laryngoscope 1999;109: 1 7 6 0 - 5 .
  • Powell NB, Riley RW, Troell RJ, Li K, Blumen MB, Guilleminault C. Radiofrequency volumetric tissue reduction of the palate in subjects with sleep-disor- dered breathing. Chest 1998;113:1163-74.
  • Powell NB, Riley RW, Troell RJ, Blumen MB, Guilleminault C. Radiofrequency volumetric reduc- tion of the tongue. A porcine pilot study for the treat- ment of obstructive sleep apnea syndrome. Chest 1997; 111:1348-55.
  • Utley DS, Goode RL, Hakim I. Radiofrequency energy tissue ablation for the treatment of nasal obstruction secondary to turbinate hypertro p h y. Laryngoscope 1999;109:683-6.
  • Li KK, Powell NB, Riley RW, Troell RJ, Guilleminault C. Radiofrequency volumetric tissue reduction for t reatment of turbinate hypertrophy: a pilot study. Otolaryngol Head Neck Surg 1998;119:569-73.
  • Rhee CS, Kim DY, Won TB, Lee HJ, Park SW, Kwon TY, et al. Changes of nasal function after temperature-con- trolled radiofrequency tissue volume reduction for the turbinate. Laryngoscope 2001;111:153-8.
  • Elwany S, Gaimaee R, Fattah HA. Radiofrequency bipolar submucosal diathermy of the inferior turbinates. Am J Rhinol 1999;13:145-9.
  • Powell NB, Riley RW, Guilleminault C. Radiofre q u e n c y tongue base reduction in sleep-disordered breathing: A pilot study. Otolaryngol Head Neck Surg 1999;120: 656-64.
  • Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 1991; 14:540-5.
  • K respi YP, Keidar A. Laser-assisted uvula-palatoplasty for the treatment of snoring. Operative Tech Otolaryngol Head Neck Surg 1994;23:228-34.
  • Fairbanks DN. Snoring: surgical vs. nonsurgical man- agement. Laryngoscope 1984;94:1188-92.
  • Kamami YV. Laser CO2for snoring. Pre l i m i n a r y results. Acta Otorhinolaryngol Belg 1990;44:451-6.
  • fiapçı T, Ocaklı Ö, Karavufl A, Akbulut UG. Horlama tedavisinde LAUP etkili bir yöntem mi? KBB İhtisas Derg 1999;6:286-90.
  • Courey MS, Fomin D, Smith T, Huang S, Sanders D, Reinisch L. Histologic and physiologic effects of elec- trocautery, CO2laser, and radiofrequency injury in the porcine soft palate. Laryngoscope 1999;109:1316-9.
  • Somnus Medical Technologies, Inc. Principles of radiofrequency thermal ablation (RFTA). 1998.
  • Coste A, Yona L, Blumen M, Louis B, Zerah F, Rugina M, et al. Radiofrequency is a safe and effective treat- ment of turbinate hypertrophy. Laryngoscope 2001; 111:894-9.
  • Coleman SC, Smith TL. Radiofrequency tissue volume reduction of the palate for snoring. In: AAO-HNSF Annual Meeting; San Antonio, Texas, 1998.
There are 17 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Tarık Şapçı This is me

Ziya Bozkurt This is me

Betül Şahin This is me

Uğur Günter Akbulut This is me

Publication Date January 3, 2002
Published in Issue Year 2002 Volume: 9 Issue: 1

Cite

APA Şapçı, T., Bozkurt, Z., Şahin, B., Akbulut, U. G. (2002). Radyofrekans cerrahisi sonuçlarımız. The Turkish Journal of Ear Nose and Throat, 9(1), 30-36.
AMA Şapçı T, Bozkurt Z, Şahin B, Akbulut UG. Radyofrekans cerrahisi sonuçlarımız. Tr-ENT. January 2002;9(1):30-36.
Chicago Şapçı, Tarık, Ziya Bozkurt, Betül Şahin, and Uğur Günter Akbulut. “Radyofrekans Cerrahisi sonuçlarımız”. The Turkish Journal of Ear Nose and Throat 9, no. 1 (January 2002): 30-36.
EndNote Şapçı T, Bozkurt Z, Şahin B, Akbulut UG (January 1, 2002) Radyofrekans cerrahisi sonuçlarımız. The Turkish Journal of Ear Nose and Throat 9 1 30–36.
IEEE T. Şapçı, Z. Bozkurt, B. Şahin, and U. G. Akbulut, “Radyofrekans cerrahisi sonuçlarımız”, Tr-ENT, vol. 9, no. 1, pp. 30–36, 2002.
ISNAD Şapçı, Tarık et al. “Radyofrekans Cerrahisi sonuçlarımız”. The Turkish Journal of Ear Nose and Throat 9/1 (January 2002), 30-36.
JAMA Şapçı T, Bozkurt Z, Şahin B, Akbulut UG. Radyofrekans cerrahisi sonuçlarımız. Tr-ENT. 2002;9:30–36.
MLA Şapçı, Tarık et al. “Radyofrekans Cerrahisi sonuçlarımız”. The Turkish Journal of Ear Nose and Throat, vol. 9, no. 1, 2002, pp. 30-36.
Vancouver Şapçı T, Bozkurt Z, Şahin B, Akbulut UG. Radyofrekans cerrahisi sonuçlarımız. Tr-ENT. 2002;9(1):30-6.