Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (5): 11-17.doi: 10.6040/j.issn.1673-3770.0.2021.395

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Curative effect analysis of low-temperature plasma radiofrequency ablation in 27 cases of drug-related rhinitis

LI Dingbo1, TANG Zhiyuan1, DENG Zhiyi1, ZENG Xianhai1, ZHANG Qiuhang1,2, WANG Zaixing1   

  1. 1. Department of Otorhinolaryngology & Head and Neck Surgery, Institute of ENT and Shenzhen Key Laboratory of ENT/Longgang ENT Hospital, Shenzhen 518172, Guangdong, China;
    2. Department of Otorhinolaryngology & Head and Neck Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100730, China
  • Published:2022-09-20

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Abstract: Objective To analyze the therapeutic effect of low-temperature plasma radiofrequency ablation(LPRFA)on rhinitis medicamentosa. Methods Twenty-six patients with rhinitis medicamentosa were treated using LPRFA in the bilateral inferior turbinates. The visual analog scale(VAS)score, Lund-Kennedy endoscopic nasal score, and nasal resistance measurements were collected and analyzed statistically at 3 months after surgery. Results The preoperative, 3-month postoperative, and 6-month postoperative VAS endoscopic scores were 7.82±0.92, 2.15±0.99, and 2.26±1.06, respectively. The preoperative, 3-month postoperative, and 6-month postoperative Lund-Kennedy nasal endoscopic scores were 3.22±0.58, 1.15±0.86, and 0.63±0.56, respectively. Patients who underwent LPRFA had significantly lower VAS and Lund-Kennedy endoscopic scores at 3 and 6 months postoperatively than the preoperative scores(P<0.05). Sinus CT and nasal endoscopy showed that the nasal mucosa had recovered well. The total nasal tract was unobstructed postoperatively compared with that before surgery. Furthermore, the patient-reported symptoms of nasal obstruction were significantly improved. The preoperative total nasal inspiratory resistance value was 0.97±0.50 kPa/L·s. The total nasal expiratory resistance value was 0.35±0.23 kPa/L·s. The total nasal inspiratory resistance value 3 months postoperatively was 1.01±0.84 kPa/L·s. The total expiratory nasal resistance was 0.35±0.19 kPa/L·s. The total inspiratory and expiratory nasal resistance significantly decreased at 3 months after surgery(P<0.05). Conclusion After treating rhinitis medicamentosa using LPRFA, the nasal symptoms such as nasal congestion were relieved, and the patient's quality of life improved. During the follow-up period(6 months), nasal obstruction and other nasal symptoms were gradually relieved. Hence, LPRFA should be recommended for the clinical treatment of rhinitis medicamentosa.

Key words: Low-temperature plasma radiofrequency ablation, Rhinitis medicamentosa, Nasal resistance, Visual analog scale, Lund-Kennedy nasal endoscopic score

CLC Number: 

  • R765
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