Efficacy of inferior turbinate coblation for treatment of nasal obstruction

Farmer, Sarah, Quine, Stuart and Eccles, Ronald ORCID: https://orcid.org/0000-0001-9492-2062 2008. Efficacy of inferior turbinate coblation for treatment of nasal obstruction. The Journal of Laryngology & Otology 123 (3) , pp. 309-314. 10.1017/S0022215108002818

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Abstract

Objective: To determine the efficacy of inferior turbinate coblation for the treatment of nasal obstruction. Methods: Twenty patients awaiting submucosal diathermy to the inferior turbinates were recruited into the study. All underwent inferior turbinate coblation. Pre-operative and post-operative nasal function was investigated using posterior rhinomanometry and subjective symptom scales. Results: There was no significant increase in nasal conductance two weeks after inferior turbinate coblation (p = 0.159). However, three months after inferior turbinate coblation, median nasal conductance had increased significantly, from 203 to 324 cm3/s (p = 0.004). The median increase in nasal conductance was 73 cm3/s or 43.5 per cent. Post-operative visual analogue patients' reported post-operative visual analogue scales scores for nasal obstruction decreased significantly, both two weeks (p = 0.006) and three months after inferior turbinate coblation (p = 0.001) when compared to Pre-operative values. There was no change in the reported severity of rhinorrhoea, nasal itching or sneezing. There was a significant relationship (ρ = −0.57, p = 0.014) between pre-operative nasal conductance and change in nasal conductance after inferior turbinate coblation. Conclusions: This study confirms the short-term efficacy of inferior turbinate coblation for the treatment of nasal obstruction. The benefit was greatest in patients with lower pre-operative nasal conductance. Objective measures of nasal obstruction may be important when selecting patients for inferior turbinate coblation.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Postgraduate Medical and Dental Education Biosciences
Subjects:	Q Science > Q Science (General) R Medicine > R Medicine (General)
Uncontrolled Keywords:	nasal obstruction; turbinates; electrosurgery
Additional Information:	Pdf uploaded in accordance with publisher's policy at http://www.sherpa.ac.uk/romeo/issn/0022-2151/ (accessed 25/02/2014).
Publisher:	Cambridge University Press
ISSN:	0022-2151
Date of First Compliant Deposit:	30 March 2016
Last Modified:	08 May 2023 00:48
URI:	https://orca.cardiff.ac.uk/id/eprint/22052

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