Evaluation of radiofrequency thermal ablation results in inferior turbinate hypertrophies by magnetic resonance imaging
| Autor: | Tarik Sapci, M Fatih Evcimik, Elcin Aygun, Mustafa Peker, Ahmet Karavus, Ziya Bozkurt, Canan Usta |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Thermal ablation Turbinates Preoperative care Surgical methods Postoperative Complications Surveys and Questionnaires Preoperative Care Medicine Humans Prospective Studies Prospective cohort study Retrospective Studies Postoperative Care medicine.diagnostic_test business.industry Magnetic resonance imaging Hypertrophy Middle Aged Magnetic Resonance Imaging Surgery Treatment Outcome Otorhinolaryngology Chronic Disease Catheter Ablation Female Objective evaluation Radiology Nasal Obstruction business Radiofrequency energy Follow-Up Studies |
| Zdroj: | The Laryngoscope. 117(4) |
| ISSN: | 0023-852X |
| Popis: | Objectives: Nasal obstruction caused by inferior turbinate hypertrophies is one of the most frequent problems in otolaryngology. Treatment of this disease may involve medical and surgical methods. Thermal ablation with radiofrequency energy has become quite popular in the recent years as one of the surgical methods used when medical therapy is not adequate. Study Design: Prospective, clinical trial. Methods: Thermal ablation with radiofrequency energy was used in this study on the inferior turbinates of 21 patients who had nasal obstruction caused by inferior turbinate hypertrophy only. The results were evaluated subjectively by preoperative and postoperative patient- and physician-assigned visual analogue scales and objectively by magnetic resonance imaging (MRI) investigation. Results: By the end of the postoperative week 10, 64.76% recovery was detected according to the patient evaluation, and 40.75% recovery was detected according to the physician evaluation. Measurement of the average volumes of the inferior turbinates by MRI revealed a 8.70% postoperative reduction. The most significant change was detected in the anterior-posterior length measurement performed in the axial plane. Conclusions: These results suggest that thermal ablation with radiofrequency energy is an easily applied, efficient, and reliable technique in treatment of the inferior turbinate hypertrophy, and that anterior-posterior length measurement in the axial section of the inferior turbinate by MRI, which is thought as an objective evaluation method, could be an efficient diagnostic tool in detecting the efficiency of radiofrequency on inferior turbinate. |
| Databáze: | OpenAIRE |
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