The effect of radiofrequency thermal ablation method on nasal mucociliary activity in patients with inferior turbinate hypertrophy

Yıl 2014, Cilt: 24 Sayı: 5, 247 - 253, 15.10.2014

Ali Osman Uz Fethullah Kenar Hüseyin Yıldız Abidin Duran Mustafa Said Tekin Abdullah Ayçiçek

Öz

Objectives: This study aims to investigate the effect of radiofrequency thermal ablation RFTA treatment on nasal mucociliary activity before and after treatment in inferior turbinate hypertrophy. Patients and Methods: Thirty-nine patients 21 males, 18 females; mean age 36.3±13.9 years; range 16 to 67 years admitted to our clinic with complaint of nasal obstruction and diagnosed with stromal inferior turbinate hypertrophy were included in this study. Effect of RFTA treatment on nasal mucociliary activity was investigated by saccharine test before treatment and two months after treatment. Grade of nasal obstruction was evaluated by visual analog scale VAS before treatment and two months after treatment. Results were compared with paired t-test. Results: Mean mucociliary activity times were 9.8±4.4 minutes before treatment and 9.6±4.1 minutes two months after treatment, and the difference between two tests was not statistically significant p=0.3 . Mean VAS scores for nasal obstruction were 6.5±1.2 before treatment and 3.8±1.0 two months after treatment, and the difference between two results was statistically significant p=0.001 . Difference between sexes in terms of saccharine transit time and VAS values before and after treatment was not statistically significant p>0.05 . Conclusion: It was detected that RFTA has no adverse effect on mucociliary activity in the treatment of inferior turbinate hypertrophy, and this method is notably effective in relieving the nasal obstruction caused by inferior turbinate hypertrophy.

Anahtar Kelimeler

Hypertrophy, inferior turbinate, mucociliary activity, radiofrequency, saccharine test

Alt konka hipertrofisi olan hastalarda radyofrekans termal ablasyon yönteminin nazal mukosiliyer aktivite üzerine etkisi

Öz

Amaç: Bu çalışmada alt konka hipertrofisinde radyofrekans termal ablasyon RFTA tedavisinin tedavi öncesi ve sonrası nazal mukosiliyer aktivite üzerine etkisi araştırıldı.Hastalar ve Yöntemler: Kliniğimize burun tıkanıklığı yakınması ile başvuran ve stromal alt konka hipertrofisi tanısı konulan 39 hasta 21 erkek, 18 kadın; ort. yaş 36.3±13.9 yıl; dağılım 16-67 yıl çalışmaya alındı. Radyofrekans termal ablasyon tedavisinin nazal mukosiliyer aktivite üzerine etkisi, tedavi öncesi ve tedaviden iki ay sonra sakarin testi ile araştırıldı. Burun tıkanıklığının derecesi görsel analog ölçeği GAÖ ile tedavi öncesi ve tedaviden iki ay sonra değerlendirildi. Sonuçlar eşleştirmeli t-testi ile karşılaştırıldı.Bulgular: Ortalama mukosiliyer aktivite süreleri tedavi öncesi 9.8±4.4 dakika, tedaviden iki ay sonra 9.6±4.1 dakika idi ve iki test arasındaki farklılık istatistiksel olarak anlamlı değildi p=0.3 . Burun tıkanıklığı için ortalama GAÖ değeri tedavi öncesi 6.5±1.2, tedaviden iki ay sonra 3.8±1.0 idi ve sonuçlar arasındaki farklılık istatistiksel olarak anlamlıydı p=0.001 . Tedavi öncesi ve sonrası sakarin geçiş zamanı ve GAÖ değerleri açısından cinsiyetler arasındaki farklılık istatistiksel olarak anlamlı değildi p>0.05 .Sonuç: Alt konka hipertrofisinin tedavisinde RFTA’nın mukosiliyer aktivite üzerinde olumsuz etkisinin olmadığı ve bu yöntemin alt konka hipertrofisinin neden olduğu burun tıkanıklığını gidermede oldukça etkili olduğu saptandı

Anahtar Kelimeler

Hipertrofi, alt konka, mukosiliyer aktivite, radyofrekans, sakarin testi

Kaynakça

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