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Allergy and Airway |

Does Inferior Tribunate Reduction by Radio Frequency Improve Pulmonay Function?

Mufide Ozkarafakili, MD
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Sisli Etfal Hamidiye Hospital, Sisli / Istanbul, Turkey


Chest. 2015;148(4_MeetingAbstracts):13A. doi:10.1378/chest.2259338
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Abstract

SESSION TITLE: Allergy and Airway Posters

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 28, 2015 at 01:30 PM - 02:30 PM

PURPOSE: The aim of this study was to review the results of the treatment of persistant inferior turbinate hyperthropy on lung functions. In this study, effects of RF reduction of IT on nose were evaluated with Acustic Rihinometry on lung functions with spiromety.

METHODS: The study was conducted on 19 patients with sympthoms, signs of nasal obstruction associated with IT hyperthrophy bilaterally for 6 months who failed to respond 3 months medical therapy of steroids. Patients with; Smoking habit, Allergic Rhinitis, COPD, Cardiac Disease, Malignancy, Coagulation Disorder were excluded. Additional excluding criteria included Systemic Corticoteroid, Teophyllin, Anticolinerjic, Antileukotrien, Nedokromil, Anticoagulan use. Subjective Sysmptoms including severity of nasal obstruction measured by a standard 10 cm Visual Analog Scale(VAS). A score of 0 repsetented no obstruction and a score of 10 indicated severe nasal obstruction. Data for each Nasal Cavity by Acoustic Rhinometry(AR) before and 6week after IT RF has been performed. Postop evaluations were made in postop Week6. Checked postop week on 1&6. PFTs including FVC, EV1, PEF, FEV1/FVC values were evaluated according to the ATS criteria, given in persentage. SD, Mean (Avg), Min. , Max. values, median values used.

RESULTS: Ages = 32,6±10,48 in the range of 20-59. Patients =♀5 F (%26,3) / ♂14 M (%73,7) Total 19. 38 L & R IT analysed after RF applied VAS values retrieved by t test. Postop 6 week VAS values compared with Preop values, Significant improvement (p<0,05) was obtained. Comparison of Values Obtained From Postop and Preop Mean Cross-section Area of 1&2 (MCA1, MCA2) and R, LVOLumes and (totVOL)evaluated. Postop LMCA1,RMCA1 and RMCA2 values were increasing significantly (p<0,05), LMCA2 did not. Statistically significant (p<0,05) increase observed in postop values of L/R, 1/2 and total volumes. Preop & Postop PFT comparison of FVC and FEV1 values showed statistically significant increase (p<0,05) as shown Table 3, unlikely FEV1/FVC & PERF increases were not significant (p>0,05)

CONCLUSIONS: Evaluation of RF trubinate ablation with AR measurements showed a significant increase in nasal flow and significant decrease in decongestion effects. Small scale changes in the tribunate provided improvement in the symptoms through increasing of airflow in the nasal valve and resulted in positive PFT changes.

CLINICAL IMPLICATIONS: As historical research results in literature in this area is not adequate so far, a series or additional experimental study required to justify these findings.

DISCLOSURE: The following authors have nothing to disclose: Mufide Ozkarafakili

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