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Inferior turbinate hypertrophy radiofrequency management for children with cystic fibrosis
H Abou Mayaleh1, L Benichou, O Senouci-Bereksi
1ENT Head and Neck Surgery Departement, Robert Bisson's Hospital, 4 rue Roger Aini, BP 14107 Lisieux, France.
Insights
Radiofrequency treatment for inferior turbinate hypertrophy in children with cystic fibrosis offers initial symptom relief. While effectiveness wanes over time, results remain satisfactory for up to two years, suggesting potential for repeat treatments.
Area of Science:
- Otorhinolaryngology
- Pediatric Surgery
- Medical Technology
Background:
- Inferior turbinate hypertrophy is a common issue in children with cystic fibrosis.
- Effective management strategies are crucial for improving quality of life.
Purpose of the Study:
- To assess the efficacy and relevance of radiofrequency techniques for treating inferior turbinate hypertrophy in pediatric cystic fibrosis patients.
- Evaluate the long-term outcomes of radiofrequency treatment.
Main Methods:
- A cohort of 41 pediatric cystic fibrosis patients with inferior turbinate hypertrophy was studied over two years.
- Clinical and radiological examinations were used to analyze the postoperative phase and treatment effectiveness.
Main Results:
- 100% of patients experienced clinical symptom improvement by three months post-surgery.
- Radiofrequency effectiveness on turbinate tissue decreased after one year, worsening over time.
- Postoperative results remained satisfactory at both one and two-year follow-ups.
Conclusions:
- Radiofrequency is a recommended treatment for inferior turbinate hypertrophy in pediatric cystic fibrosis patients due to its low-risk profile and preservative nature.
- While benefits diminish over time, satisfactory outcomes persist beyond two years.
- Consideration for repeat radiofrequency sessions after two years is often beneficial.
Objective:
To evaluate, using radiofrequency techniques, the relevance and effectiveness of treatment of inferior turbinate hypertrophy in children with cystic fibrosis.
Materials And Methods:
A study of patients with cystic fibrosis with hypertrophy of inferior turbinate who were being treated at Lisieux Hospital In-Patient Paediatric and ENT- Head and Neck Surgery Department. 41 patients were included in the study and followed over 2 years. We analyzed the postoperative phase and the effectiveness of treatment, through clinical and radiological examination.
Results:
A clinical improvement of symptoms is observable from the third month after surgery in 100% of cases. However, we noted a loss in the effectiveness of radiofrequency on the turbinate tissue one year following operation, which worsens with time. However, the postoperative results remain satisfactory at 1 year and 2 years.
Conclusion:
Radiofrequency is, in our opinion, the treatment of choice for inferior turbinate hypertrophy in children with cystic fibrosis. It combines a simple and low-risk effect with effective preservative treatment. However, the benefits of radiofrequency fade with time. Nonetheless, this technique yields postoperative results that remain satisfactory beyond 2 years. It is often useful to consider a new session after this date.
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