laser versus diathermy assisted inferior turbinoplasty

Document Type : Original Article

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Otorhinolaryngology Department, Faculty of Medicine, Zagazig University

Abstract

Introduction: When conservative medical treatment options fail in reduction of the inferior turbinate can be performed using various surgical techniques.These include turbinectomy, turbinoplasty, submucosal electrocautery, laser-assisted turbinoplasty, and cryosurgery. The expected outcomes of turbinate surgery are volumetric reduction of the inferior turbinate and lasting nasal patency.
Objective: To compare between diode laser and diathermy.
Methods: Interventional study (clinical trial).carried out in ORL-HNS department Zagazig University in the period from April 2018 till december 2108. On a total sample size of 55 11 in each group of Submucosal technique by diode laser, Linear technique by diode laser, Cross hatching technique by diode laser, Bipolar Diathermy and Monopolar diathermy groups.Also 10 medical staff volunteered as control for methylene blue colored saccharine test.
Results: There was high significant difference as regard postoperative nasal obstruction (most of submucosal technique by diode laser improved). While there is significant difference between the studied groups as regard rhinorrhea (Most of surface technique by diode laser). There was significant difference between the studied groups in post operative complications as regard pain, crusting and synechia. There was a high significant difference between the studied groups as regard patient satisfaction score the higher score was among laser groups.
Conclusion: Laser reduction seems to be standing out as methods that can be applied under local anesthesia providing minimal morbidity (very low risk of intra- and postoperative bleeding and other (complications) combined with high patients comfort (time-saving application, no nasal packing).
Key words;diode Laser, diathermy, Hypertrophied inferior turbinat, Mucociliary Clearance

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