Radiofrequency volumetric tissue reduction of the inferior turbinate in a sheep model

2012 ◽  
Vol 122 (4) ◽  
pp. 724-729 ◽  
Author(s):  
Kiran Kakarala ◽  
William C. Faquin ◽  
Michael J. Cunningham
Keyword(s):  
Inferior Turbinate ◽  
Sheep Model ◽  
Radiofrequency Volumetric Tissue Reduction ◽  
Tissue Reduction

Radiofrequency Volumetric Tissue Reduction of the Inferior Turbinate in a Sheep Model

2011 ◽  
Vol 121 (S4) ◽  
pp. S233-S233
Author(s):  
Kiran Kakarala ◽  
William C. Faquin ◽  
Michael J. Cunningham
Keyword(s):  
Inferior Turbinate ◽  
Sheep Model ◽  
Radiofrequency Volumetric Tissue Reduction ◽  
Tissue Reduction

Inferior Turbinate Hypertrophy: A Review of the Evolution of Management in Children

2018 ◽  
Vol 33 (2) ◽  
pp. 212-219 ◽  
Author(s):  
Sevan R. Komshian ◽  
Michael B. Cohen ◽  
Christopher Brook ◽  
Jessica R. Levi
Keyword(s):  
Pediatric Population ◽  
Inferior Turbinate ◽  
Current Evidence ◽  
Turbinate Hypertrophy ◽  
Surgical Methods ◽  
Inferior Turbinate Hypertrophy ◽  
Radiofrequency Volumetric Tissue Reduction ◽  
Turbinate Reduction ◽  
Tissue Reduction

Background Historically, there has been uncertainty in the treatment of inferior turbinate hypertrophy (ITH) in children. Although management always begins with medical therapy, the decision to offer surgery in resistant cases is becoming more widely practiced. In the pediatric population, turbinate reduction can be achieved with turbinectomy, electrocautery, lasers, submucous microdebridement, and radiofrequency volumetric tissue reduction (RVTR). However, there remains a lack of consensus on the preferred approach to treatment. Objective To compare how the efficacy, duration, and complications of different surgical methods has changed the management of inferior turbinate hypertrophy in children over time. Methods In March 2018, a comprehensive literature search was performed in PubMed for all inferior turbinate hypertrophy management-related studies in children. Inclusion criteria included children (age, 1–17 years). Exclusion criteria included reviews and abstracts. Results Each technique has experienced a period of popularity over the last 30 years in parallel with the technology available at the time as well as evidence from studies in adults. The literature for ITH management in children has largely followed these trends, with a recent improvement in the quality of studies mirroring the overall increase in surgical practice. Of all methods currently used, RVTR and submucous microdebridement offer the least invasive and most efficacious relief of nasal obstruction. Conclusion This review provides an overview of the evolution of ITH management in children and, based on historic and current evidence, proposes the following graduated recommendation to treatment: (1) a 3-month trial of medical management, (2) evaluation for adenoid hypertrophy for consideration of concurrent adenoidectomy, and (3) RVTR or submucous microdebridement as the first-line surgical approach.

Effect of the Radiofrequency Volumetric Tissue Reduction of Inferior Turbinate on Expiratory Nasal Sound Frequency

2009 ◽  
Vol 23 (3) ◽  
pp. 316-320 ◽  
Author(s):  
Erdal Seren
Keyword(s):  
Nasal Obstruction ◽  
Sound Intensity ◽  
Inferior Turbinate ◽  
Waveform Analysis ◽  
Intensity Level ◽  
Nasal Airflow ◽  
Before And After ◽  
Inferior Turbinate Hypertrophy ◽  
Radiofrequency Volumetric Tissue Reduction ◽  
Tissue Reduction

Background We sought to evaluate the short-term efficacy of radiofrequency volumetric tissue reduction (RFVTR) in treatment of inferior turbinate hypertrophy (TH) as measured by expiratory nasal sound spectra. In our study, we aimed to investigate the Odiosoft-rhino (OR) as a new diagnostic method to evaluate the nasal airflow of patients before and after RFVTR. Methods In this study, we have analyzed and recorded the expiratory nasal sound in patients with inferior TH before and after RFVTR. This analysis includes the time expanded waveform, the spectral analysis with time averaged fast Fourier transform (FFT), and the waveform analysis of nasal sound. Results We found an increase in sound intensity at high frequency (Hf) in the sound analyses of the patients before RFVTR and a decrease in sound intensity at Hf was found in patients after RFVTR. Conclusion This study indicates that RFVTR is an effective procedure to improve nasal airflow in the patients with nasal obstruction with inferior TH. We found significant decreases in the sound intensity level at Hf in the sound spectra after RFVTR. The OR results from the 2000- to 4000-Hz frequency (Hf) interval may be more useful in assessing patients with nasal obstruction than other frequency intervals. OR may be used as a noninvasive diagnostic tool to evaluate the nasal airflow.

The efficacy of radiofrequency volumetric tissue reduction of hypertrophied inferior turbinate in allergic rhinitis

2011 ◽  
Vol 65 (7) ◽  
pp. 269 ◽  
Author(s):  
PradiptaKumar Parida ◽  
Krishnapriya Santhosh ◽  
Gopalakrishnan Surianarayanan ◽  
SunilKumar Saxena ◽  
Sivaraman Ganesan
Keyword(s):  
Allergic Rhinitis ◽  
Inferior Turbinate ◽  
Radiofrequency Volumetric Tissue Reduction ◽  
Tissue Reduction

Comparison of Postoperative Pain between Laser-Assisted Uvulopalatoplasty, Uvulopalatopharyngoplasty, and Radiofrequency Volumetric Tissue Reduction of the Palate

2000 ◽  
Vol 122 (3) ◽  
pp. 402-409 ◽  
Author(s):  
Robert J. Troell ◽  
Nelson B. Powell ◽  
Robert W. Riley ◽  
Kasey K. Li ◽  
Christian Guilleminault
Keyword(s):  
Quantitative Assessment ◽  
Sleep Disordered Breathing ◽  
The Other ◽  
Narcotic Analgesics ◽  
Pain Medications ◽  
Pain Scales ◽  
Analgesic Medication ◽  
The Mean ◽  
Radiofrequency Volumetric Tissue Reduction ◽  
Tissue Reduction

OBJECTIVES: This study compares the posttreatment discomfort between laser-assisted uvulopalatoplasty (LAUP), uvulopalatopharyngoplasty (UPPP), and radiofrequency volumetric tissue reduction (RFVTR) of the palate through the use of visual analog pain scales and a quantitative assessment of the analgesic medication taken. METHODS: In one group, LAUP (n = 10) or UPPP (n = 9) was used to treat patients' snoring or sleep-disordered breathing (SDB), and the other group underwent RFVTR (n = 22). RESULTS: The mean numbers of days with pain after RFVTR, LAUP, and UPPP were 2.6, 13.8, and 14.3 days, respectively. Narcotic analgesics were required in the RFVTR, LAUP and UPPP groups in 9%, 100%, and 100% of the subjects, respectively. The mean number of these days requiring narcotic pain medications for RFVTR, LAUP, and UPPP was 0.2, 11.8, and 12.4 days, whereas the total narcotic equivalent was 0.3, 7.4 and 29.6 days, respectively. CONCLUSION: RFVTR of the soft palate produced less posttreatment pain than LAUP or UPPP. LAUP and UPPP appeared to show little difference in the severity or duration of posttreatment discomfort.

A Multi-Institutional Study of Radiofrequency Volumetric Tissue Reduction for OSAS

2001 ◽  
Vol 125 (4) ◽  
pp. 303-311 ◽  
Author(s):  
B. Tucker Woodson ◽  
Lionel Nelson ◽  
Samuel Mickelson ◽  
Tod Huntley ◽  
Aaron Sher
Keyword(s):  
Radiofrequency Volumetric Tissue Reduction ◽  
Tissue Reduction
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