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Microdebrider-assisted versus radiofrequency-assisted inferior turbinoplasty.

机译:微清创术辅助与射频辅助下鼻甲成形术。

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摘要

OBJECTIVES: The study aimed to evaluate the long-term efficacy of microdebrider-assisted inferior turbinoplasty (MAIT) compared to radiofrequency-assisted inferior turbinoplasty (RAIT) for hypertrophic inferior turbinates. STUDY DESIGN: Surgical outcomes were evaluated using the visual analogue scale, anterior rhinomanometry, and saccharin test results. METHODS: From January 2001 to December 2006 inclusively, 120 patients with persistent allergic rhinitis, chronic nasal obstruction, and hypertrophic inferior turbinates were enrolled in this study, randomly classified, and underwent either MAIT (n = 60) or RAIT. Ten patients who did not have any nasal discomfort served as normal controls. Assessments (visual analogue scale, anterior rhinomanometry, and saccharin test) were conducted prior to surgery and 6 months, 1, 2, and 3 years subsequent to surgery. RESULTS: Compared to preoperative values, the symptom scores (nasal obstruction, sneezing, rhinorrhea, and snoring), mean total nasal resistance, and mean saccharin transit time all improved significantly at 6 months, 1, 2, and 3 years after surgery in MAIT group (P < .05 for all). The same holds true for the RAIT group from 6 months up to 1 year (P < .05 for all), but no improvements from 2 to 3 years after were noted. The parameters between the two groups did not significantly differ 6 months after surgery, but was noted after 1 to 3 years (P < .05 for all). CONCLUSION: MAIT is more effective than RAIT at relieving nasal symptoms and decreasing total nasal resistance and saccharin transit time 1 to 3 years postoperatively in patients with persistent allergic rhinitis and who have substantial nasal obstruction.
机译:目的:本研究旨在评估与微创下鼻甲成形术(RAIT)相比射频辅助下鼻甲成形术(RAIT)对肥厚性下鼻甲的远期疗效。研究设计:使用视觉模拟量表,前鼻测压计和糖精测试结果评估手术结果。方法:从2001年1月至2006年12月,包括120例持续性变应性鼻炎,慢性鼻阻塞和肥厚性下鼻甲患者入选本研究,随机分类并接受MAIT(n = 60)或RAIT。十名没有任何鼻子不适的患者作为正常对照。在手术前以及手术后6个月,1、2和3年进行评估(视觉模拟量表,前鼻压力计和糖精试验)。结果:与术前相比,MAIT的症状评分(鼻塞,打喷嚏,鼻漏和打呼)),平均总鼻阻力和平均糖精通过时间在术后6个月,1、2和3年均得到了显着改善。组(所有P <.05)。对于RAIT组,从6个月到1年(所有P均<0.05)也是如此,但是从2到3年后没有发现改善。两组之间的参数在术后6个月无明显差异,但在1至3年后才注意到(所有P均<0.05)。结论:对于持续性变应性鼻炎且患有严重鼻塞的患者,MAIT在缓解鼻症状,降低总鼻阻力和糖精转运时间方面比RAIT更有效,在术后1-3年。

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