Radiofrequency Thermal Ablation versus Bipolar Electrocautery for the Treatment of Inferior Turbinate Hypertrophy: Comparison of Efficacy and Postoperative Morbidity

Abstract

Introduction Numerous surgical methods are used to treat nasal obstruction due to inferior turbinate hypertrophy. The primary goal of the therapy is to maximize the nasal airway for as extended a period of time as possible while minimizing therapeutic complications.

Objectives The aim of this study was to assess the effects of radiofrequency thermal ablation (RFTA) and bipolar electrocautery (BEC) on the removal of nasal obstruction in patients with inferior turbinate hypertrophy and on nasal mucociliary clearance (MCC). Patients in both groups were also evaluated in terms of postoperative morbidity.

Methods We compared the outcomes of two groups of patients: those treated with RFTA (n = 23) and those who underwent BEC (n = 20). Nasal obstruction was graded using a visual analog scale (VAS) and MCC was measured using a saccharin clearance test. Both measurements were performed before and 2 months after treatment.

Results Pre- and postoperative VAS scores showed significant improvement for both groups. However, MCC results did not significantly differ between two groups. Neither edema nor crust formation persisted for more than 1 week in any patients.

Conclusion Submucosal cauterization with preservation of the nasal mucosa and periosteum is as effective and safe as RFTA and should be considered when planning inferior turbinate interventions.

Keywords

mucociliary clearance - nasal obstruction - turbinates

• References

• 1 Utley DS, Goode RL, Hakim I. Radiofrequency energy tissue ablation for the treatment of nasal obstruction secondary to turbinate hypertrophy. Laryngoscope 1999; 109 (5) 683-686
• 2 Cavaliere M, Mottola G, Iemma M. Comparison of the effectiveness and safety of radiofrequency turbinoplasty and traditional surgical technique in treatment of inferior turbinate hypertrophy. Otolaryngol Head Neck Surg 2005; 133 (6) 972-978
• 3 Sapçı T, Güvenç MG, Evcimik MF. Radiofrequency treatment for inferior turbinate hypertrophy. Kulak Burun Bogaz Ihtis Derg 2011; 21 (1) 56-60
• 4 Jang YJ, Myong NH, Park KH, Koo TW, Kim HG. Mucociliary transport and histologic characteristics of the mucosa of deviated nasal septum. Arch Otolaryngol Head Neck Surg 2002; 128 (4) 421-424
• 5 Parida PK, Santhosh K, Ganesan S, Surianarayanan G, Saxena SK. The efficacy of radiofrequency volumetric tissue reduction of hypertrophied inferior turbinate in allergic rhinitis. Indian J Med Sci 2011; 65 (7) 269-277
• 6 Asai K, Haruna S, Otori N, Yanagi K, Fukami M, Moriyama H. Saccharin test of maxillary sinus mucociliary function after endoscopic sinus surgery. Laryngoscope 2000; 110 (1) 117-122
• 7 Coste A, Yona L, Blumen M , et al. Radiofrequency is a safe and effective treatment of turbinate hypertrophy. Laryngoscope 2001; 111 (5) 894-899
• 8 Massarweh NN, Cosgriff N, Slakey DP. Electrosurgery: history, principles, and current and future uses. J Am Coll Surg 2006; 202 (3) 520-530
• 9 Uz AO, Kenar F, Yıldız H, Duran A, Tekin MS, Ayçiçek A. The effect of radiofrequency thermal ablation method on nasal mucociliary activity in patients with inferior turbinate hypertrophy. Kulak Burun Bogaz Ihtis Derg 2014; 24 (5) 247-253
• 10 Duran M, Ulkü CH. [Effect of radiofrequency thermal ablation treatment on nasal mucociliary clearance in patients with isolated inferior turbinate hypertrophy]. Kulak Burun Bogaz Ihtis Derg 2014; 24 (4) 185-189
• 11 Cukurova I, Demirhan E, Cetinkaya EA, Yigitbasi OG. Long-term clinical results of radiofrequency tissue volume reduction for inferior turbinate hypertrophy. J Laryngol Otol 2011; 125 (11) 1148-1151
• 12 Taneja M, Taneja MK. Intra turbinate diathermy cautery V/S high frequency in inferior turbinate hypertrophy. Indian J Otolaryngol Head Neck Surg 2010; 62 (3) 317-321
• 13 Kilavuz AE, Songu M, Ozkul Y, Ozturkcan S, Katilmis H. Radiofrequency versus electrocautery for inferior turbinate hypertrophy. J Craniofac Surg 2014; 25 (6) 1998-2001