modified inferior turbinate under nasal endoscopy
Clinical comparative study of modified inferior turbinate under nasal endoscopy and cryogenic plasma ablation of inferior turbinate plus fracture removal for severe chronic hypertrophic rhinitis
Objective To compare the treatment of severe chronic hypertrophic rhinitis (hypertrophy of inferior turbinate mucosa, periosteum and bone, abnormal turbinate morphology and severe VAS score) by modified inferior turbinate endoscopic surgery with low-temperature plasma ablation and fracture removal of inferior turbinate. Methods 124 patients with severe chronic hypertrophic rhinitis were retrospectively analyzed. They were divided into two groups: group A (64 cases) and group B (60 cases). Nasal symptoms were evaluated by VAS 1 week before surgery, 6 months after surgery, and 12 months after surgery. Saccharin test was used to evaluate the ciliary transport function of nasal mucosa in 2 groups 1 week before surgery and 6 months after surgery. Nasal resistance was measured 1 week before surgery and 6 months after surgery to evaluate the improvement of nasal obstruction. Results The intraoperative bleeding and operation time of the lower turbinate ablation group were significantly reduced compared with the modified lower turbinate ablation group, and the postoperative complications were less. Nasal obstruction was significantly improved in both patients 6 months after surgery. The ciliary function of nasal mucosa was not significantly affected by the two surgical methods. The mean operation time was 27.80min and complication rate was 9.38% in group A and 19.10min and complication rate was 6.67% in group B. There was no significant difference in average VAS score between the two groups 6 months after surgery (P=0.12), but there was significant difference 12 months after surgery (P= 0.03). Conclusion improvement of inferior turbinate with inferior turbinate of low temperature plasma ablation for the treatment of offshoring fracture, severe chronic hypertrophic rhinitis (6 months) are good recent effect, but the long-term effect (1 year) improvement of inferior turbinate keratoplasty effect is better, therefore suggest that for patients with severe chronic hypertrophic rhinitis should vary from person to person accurate diagnosis and treatment.
