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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2016; 06(03): 27-32
DOI: 10.1055/s-0040-1708658
Original Article

Diode laser- an ideal tool for inferior turbinate reduction in allergic rhinitis

Satheesh Kumar Bhandary B.
1   Professor, Department of Otorhinolaryngology, K.S.Hegde Medical Academy, Nitte University, Mangalore - 575 018
,
Rishi Ajay Khanna
2   Senior Resident, Department of Otorhinolaryngology, K.S.Hegde Medical Academy, Nitte University, Mangalore - 575 018
,
Vadisha Srinivas Bhat
3   Professor, Department of Otorhinolaryngology, K.S.Hegde Medical Academy, Nitte University, Mangalore - 575 018
,
Rajeshwary Aroor
4   Professor, Department of Otorhinolaryngology, K.S.Hegde Medical Academy, Nitte University, Mangalore - 575 018
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Abstract

Background: Inferior turbinate hypertrophy is the leading cause of nasal obstruction in subjects with allergic rhinitis. Patients not responding to medical line of treatment can benefit from turbinate reduction surgery, which aims at relieving symptoms.

Objective: Our study aimed at comparing the improvement in nasal symptoms as well as complications following diode laser turbinoplasty and conventional inferior turbinectomy.

Methods: A comparative interventional study conducted on randomly selected 93 patients of allergic rhinitis with hypertrophied inferior turbinate, attending the department of Otorhinolaryngology, in K.S.Hegde Charitable Hospital, Mangalore over a period of 3 years. Fifty patients underwent conventional inferior turbinectomy and 43 underwent diode laser inferior turbinoplasty. All patients were evaluated for improvement in symptoms at follow up on 1 week, 1 month, 3 month and 6 month.

Results: The overall subjective improvement at 6 month was 71.10% in Conventional turbinectomy group and 73.84% in Laser turbinoplasty group. Both procedures are equally effective in reducing the turbinate size; however crusting, post-operative pain, blood loss and number of days of nasal pack was found to be significantly less in Laser turbinoplasty group.

Conclusion: Diode laser turbinoplasty and conventional turbinectomy for inferior turbinate hypertrophy are equally good in providing long-lasting symptom reduction in patients of allergic rhinitis with hypertrophied inferior turbinate. However diode laser turbinoplasty is a safe and effective procedure resulting in a controlled coagulation and ablation of the soft tissue with less immediate post-operative pain, bleeding, crusting, duration of nasal pack and hospital stay. The better results of diode laser turbinoplasty provide an excellent patient acceptance.

Keywords

Allergic rhinitis - inferior turbinate hypertrophy - diode laser - conventional turbinectomy


Publication History

Received: 12 March 2016

Accepted: 28 June 2016

Article published online:
22 April 2020

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