Evaluation of efficacy of radiofrequency thermal ablation technique by computed tomography and visual analog scale in treatment of isolated inferior turbinate hypertrophy

Yıl 2014, Cilt: 24 Sayı: 2, 65 - 73, 20.04.2014

Mutlu Duran Çağatay Han Ülkü Demet Kıreşi

Öz

Objectives: This study aims to evaluate the efficacy of radiofrequency thermal ablation RFTA technique by computed tomography CT and visual analog scale VAS in patients with isolated inferior turbinate hypertrophy. Patients and Methods: Between May 2009 and December 2009, 30 patients 10 females, 20 males; mean age 31.0±12.0 years; range 18 to 61 years who were diagnosed with an isolated inferior turbinate hypertrophy were included in this study. As a treatment, RFTA was applied to the inferior turbinate on three separate points. Evaluation of turbinate dimensions was performed by CT in pre- and postoperative period. Also, the evaluation of turbinate dimension by another otorhinolaryngologist and of the nasal obstruction by the patients in pre- and postoperative period through VAS were asked. Results: The mean dimensions of the left and right inferior turbinate on CT in pre- and postoperative period were 112.42±28.41 / 81.53±22.57 and 117.72±27.85 / 86.53±23.66 mm2 , respectively. The mean VAS values of the left and right turbinate dimensions were determined by another otorhinolaryngologist in pre- and postoperative period as 6.60±2.48 / 4.30±1.47 and 7.60±1.67 / 4.63±1.40, respectively. The mean VAS values of nasal obstruction in pre- and postoperative period were 6.77±1.19 and 3.57±1.46, respectively. Conclusion: Radiofrequency thermal ablation technique used for the treatment of the inferior turbinate hypertrophy is an effective procedure in the light of the CT and VAS evaluation results.

Anahtar Kelimeler

Computed tomography, nasal obstruction, radiofrequency thermal ablation, turbinate hypertrophy

İzole alt konka hipertrofisi tedavisinde radyofrekans termal ablasyon tekniği etkinliğinin bilgisayarlı tomografi ve görsel analog ölçeği ile değerlendirilmesi

Öz

Amaç: İzole alt konka hipertrofili hastalarda, radyofrekans termal ablasyonu RFTA tekniği etkinliğinin, bilgisayarlı tomografi BT ve görsel analog ölçeği GAÖ ile değerlendirilmesi amaçlandı.Hastalar ve Yöntemler: Mayıs 2009 - Aralık 2009 tarihleri arasında kliniğimizde izole alt konka hipertrofisi tanısı konulan 30 hasta 10 kadın, 20 erkek; ort. yaş 31.0±12.0 yıl; dağılım 18-61 yıl çalışmaya alındı. Tedavi olarak, alt konkaya üç farklı noktada RFTA uygulandı. Konka boyutu değerlendirilmesi, ameliyat öncesi ve sonrası dönemde BT ile yapıldı. Ayrıca, GAÖ ile ameliyat öncesi ve sonrası dönemde, farklı bir kulak burun boğaz KBB uzmanının konka boyutlarını ve hastanın burun tıkanıklığını değerlendirmesi istendi.Bulgular: Ameliyat öncesi ve sonrası BT incelemesinde sol ve sağ alt konka ortalama kesit alanı değerleri sırasıyla 112.42±28.41 / 81.53±22.57 ve 117.72±27.85 / 86.53±23.66 mm2 idi. Farklı bir KBB uzmanı tarafından sol ve sağ alt konka boyutlarının ameliyat öncesi ve sonrası ortalama GAÖ değerleri, sırasıyla 6.60±2.48 / 4.30±1.47 ve 7.60±1.67 / 4.63±1.40 olarak belirlendi. Burun tıkanıklığının ameliyat öncesi ve sonrası ortalama GAÖ değerleri ise sırasıyla 6.77±1.19 ve 3.57±1.46 idi.Sonuç: Alt konka hipertrofisi tedavisinde kullanılan RFTA tekniği, BT ve GAÖ değerlendirme sonuçları ışığında etkin bir yöntemdir

Anahtar Kelimeler

Bilgisayarlı tomografi, burun tıkanıklığı, radyofrekans termal ablasyon, konka hipertrofisi

Kaynakça

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