Nasal nerve ablation, nasal swell body and inferior turbinate reduction for nasal obstruction and congestion relief.

Autor:	Krespi YP; Otorhinolaryngology, Lenox Hill Hospital, Northwell Health, New York, USA., Wilson KA; Otorhinolaryngology, Lenox Hill Hospital, Northwell Health, New York, USA., Kizhner V; Otolaryngology, Mount Sinai Morningside, New York, USA.
Jazyk:	angličtina
Zdroj:	The Journal of laryngology and otology [J Laryngol Otol] 2023 Mar; Vol. 137 (3), pp. 270-272. Date of Electronic Publication: 2022 Mar 29.
DOI:	10.1017/S0022215122000871
Abstrakt:	Objective: Nasal obstruction and congestion can occur because of turbinate and septal variations with or without rhinitis. A combined treatment for nasal obstruction and congestion was examined retrospectively in cases where the nasal swell body was addressed with inferior turbinectomy, with or without posterior nasal nerve ablation. Methods: A 940 nm laser was utilised for contact (nasal swell body, septum and inferior turbinate) and non-contact (posterior nasal nerve) ablation. Total Nasal Symptoms Score, visual analogue scale pain score, complications and procedure location (office vs operating theatre) were recorded. Results: All 242 patients underwent nasal swell body reduction with inferior turbinate reduction, and 150 had posterior nasal nerve ablation also. No laser complications were observed. An 80 per cent reduction in medication usage was noted. Total Nasal Symptoms Score decreased by 73 per cent; rhinorrhoea and congestion scores decreased by 54 per cent and 81 per cent respectively. Crusting, epistaxis and infections were minimal, and resolved within two weeks. Conclusion: Nasal swell body with inferior turbinate reduction, with or without posterior nasal nerve ablation, is a new method of treating nasal obstruction and congestion. Laser posterior nasal nerve ablation can be utilised as a complementary tool to deliver anatomical obstruction relief.
Databáze:	MEDLINE
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