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Clinical Medicine Insights: Ear, Nose and Throat

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Use of the Nd-YAG Laser for Inferior Turbinectomy: A Comparative Study

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Publication Date: 07 Jul 2010

Type: Original Research

Journal: Clinical Medicine Insights: Ear, Nose and Throat

Citation: Clinical Medicine Insights: Ear, Nose and Throat 2010:3 11-15

doi: 10.4137/CMENT.S3740

Abstract

Nasal obstruction resulting from inferior turbinate hypertrophy was treated by Nd-YAG laser inferior turbinectomy (laser IT). The effectiveness of the procedure was assessed and compared with both functional endoscopic turbinoplasty (turbinoplasty) and con- ventional partial turbinectomy (conventional IT).

Materials and methods: A retrospective analytic study was carried out for 53 patients suffering from inferior turbinate hypertrophy. Twenty patients underwent Nd-YAG Laser IT (Group 1), 24 patients underwent turbinoplasy (Group 2) and 9 patients underwent con- ventional IT (Group 3). Improvement in nasal symptoms were assessed. Intra-operative bleeding, duration of hospital stay, and post- operative medications and instrumentation were compared between the three groups.

Results: The symptoms of sneezing, hyposmia and rhinorhoea were significantly reduced post-operatively among patients in the three groups and there were no differences statistically between them. The Nd-YAG laser turbinectomy group showed marked reduction in blood loss (average = 12 ml per patient) compared to the turbinoplasy group (average = 181 ml per patient) and conventional IT group (average 201 ml per patient). Hospital stay was much shorter in the laser IT group (average = 0.05 days) compared to Group 2 (1.2 days) and Group 3 (1.3 days). Only one patient in the laser IT group required nasal packing, whereas all patients in the other two groups required nasal packing routinely.

Conclusions: Nd-YAG laser IT was effective in reducing the symptoms of nasal obstruction, as well as other nasal symptoms without significant complications. The Nd-YAG laser is recommended as an alternative method, when applicable, in treating patients with nasal obstruction resulting from inferior turbinate hypertrophy.


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The experience of publishing with Clinical Medicine Insights: Ear, Nose and Throat was amazing. The prompt review and author friendly system made the process very simple and fast. The best part was the meticulous guidance provided by the editor in every step of the publication.  I am very happy to be associated with such a dedicated and thoroughly professional team. I would certainly recommend others to submit their works to this journal and experience the ...
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