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Diode Laser Turbinate Reduction in Allergic Rhinitis: A Cross-sectional Study
Priyanka Gupta1, Toran Kc2, Deepak Regmi3
1Department of ENT-Head and Neck Surgery, Bluecross Hospital, Kathmandu, Nepal.
JNMA; Journal of the Nepal Medical Association
|May 9, 2019
Summary
Diode laser turbinate reduction effectively treats allergic rhinitis symptoms like nasal obstruction. This minimally invasive procedure offers a safe, day-care option for inferior turbinate hypertrophy resistant to medical therapy.
Area of Science:
- Otolaryngology
- Allergy and Immunology
Background:
- Inferior turbinate hypertrophy is a common cause of nasal obstruction in allergic rhinitis.
- Medical therapy is often insufficient for persistent symptoms.
- Surgical intervention, including turbinate reduction, is recommended when medical management fails.
Purpose of the Study:
- To evaluate the effectiveness of diode laser turbinate reduction for symptomatic inferior turbinate hypertrophy in allergic rhinitis.
- To assess complications associated with the diode laser procedure.
Main Methods:
- A descriptive cross-sectional study involving 60 patients with inferior turbinate hypertrophy.
- Diode laser turbinate reduction performed under local anesthesia.
- Subjective symptom assessment using Visual Analogue Scale preoperatively and at 3-month follow-up.
Main Results:
- Significant improvement observed in nasal obstruction, discharge, sneezing, and sense of smell.
- Common complications included post-operative pain, crusting, and persistent nasal discharge.
- No cases of mucosal edema or synechiae formation were reported.
Conclusions:
- Diode laser turbinate reduction is a safe and effective minimally invasive treatment for refractory inferior turbinate hypertrophy.
- The procedure provides significant symptom relief for patients with allergic rhinitis.
- It can be safely performed on an outpatient basis under local anesthesia.
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