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OTORINOLARINGOLOGIA

A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery


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Otorinolaringologia 2005 September;55(3):203-7

language: Italian

Nasal and olfactory changes after radiofrequency tissue volume reduction for the turbinate

Eibenstein A., Fioretti A. B., Rosati N., Fusetti M.

Dipartimento Scienze Chirurgiche Insegnamento di Otorinolaringoiatria Università dell’Aquila, L’Aquila


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Aim. Chronic nasal obstruction secondary to turbinate hypertrophy may be responsible of changes in respiratory and olfactory functions. The aim of this study was to evaluate nasal functions using active anterior rhinomanometry and olfactory test (Sniffin’ Sticks) in patients treated with bipolar radiofrequency tissue volume reduction for the turbinate (RFTVR).
Methods. The Authors treated with RFTVR 57 patients with bilateral turbinate hypertrophy secondary to chronic hypertrophic rhinitis. All the patients were investigated by a subjective evaluation with a visual analogue scale (VAS) of the nasal obstruction and by an objective evaluation with nasal endoscopy, active anterior rhinomanometry and olfactory test before surgery and after 4 months.
Results. It was demonstrated the validity of the RFTVR to objectively improve the nasal function with a percentage of success of 84%. The results also indicate an improvement of the olfactory function in 6 of 10 hyposmic patients which were classified as normosmic after surgery.
Conclusion. These data suggest that RFTVR represents an effective surgical technique to improve nasal airflow and to restore olfactory function in patients with chronic hypertrophic rhinitis.

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