J Rhinol.  2023 Nov;30(3):149-154. 10.18787/jr.2023.00056.

Radiofrequency Ablation and Microdebrider-Assisted Turbinoplasty: 5-Year Postoperative Outcomes

• Yoo SH
• Kim HY
• Kim YA
• Mo JH

• KMID: 2548192
• DOI: http://doi.org/10.18787/jr.2023.00056

Abstract

Background and Objectives
Turbinoplasty may be an option in patients with persistent symptoms of allergic rhinitis (AR) despite adequate medication. The two most frequently used surgical techniques for turbinoplasty are radiofrequency ablation and microdebriderassisted turbinoplasty. This study compared the outcomes of these two surgical techniques and assessed the long-term treatment effects.
Methods
This study included patients with AR who underwent turbinoplasty between January 2010 and June 2017. We examined the medication scores, overall treatment satisfaction scores, and medical records. Based on the type of surgery, patients were classified into microdebrider and coblator groups. A telephone survey was conducted to collect data on the 5-year post-treatment efficacy parameters. Scores for allergic symptoms, prescription medicines taken after surgery, and general satisfaction were compared.
Results
Of the total 241 patients, 192 (79.7%) and 49 (20.3%) underwent microdebrider-assisted turbinoplasty and radiofrequency ablation turbinoplasty, respectively. Both the microdebrider and coblator groups showed remarkable improvements in AR symptoms at the 5-year follow-up (p<0.001). Although the degree of symptom improvement did not differ significantly between the two groups, the coblator group did show significant improvements in medication scores when compared with the microdebrider group (p<0.05), and there were significant differences in postoperative satisfaction scores between the two groups.
Conclusion
In terms of 5-year postoperative outcomes, radiofrequency-ablation turbinoplasty and microdebrider-assisted turbinoplasty were equally beneficial for reducing nasal symptoms and enhancing medication ratings in patients with AR.

Keyword

Allergic rhinitis; Turbinates; Therapeutics; Rhinorrhea; Nasal obstruction

Figure

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  Fig. 1. Turbinator tip coblator (Smith & Nephew Arthrocare ENT coblator II device, London, UK). Power settings: coblation 4 (A) and coagulation 2 (B).

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  Fig. 2. Comparison of preoperative and 5-year postoperative visual analog scale symptom scores for nasal obstruction, rhinorrhea, sneezing, and itching (****p<0.0001). A: Microdebrider group. B: Coblator group.

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  Fig. 3. Five-year follow-up changes in medication frequency (A) and overall satisfaction (B) scores after treatment in the microdebrider and coblator groups (***p=0.0001; ****p<0.0001).

Reference

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