KTP laser inferior turbinoplasty: an alternative procedure to treat the nasal obstruction
Objective: Nasal obstruction resulting from inferior turbinate hypertrophy (ITH) was treated with KTP laser inferior turbinoplasty (KIT). The effectiveness of the procedure was assessed. Methods: A prospective clinical trial was carried out in King Chulalongkorn Memorial Hospital from October 1, 199...
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creator | Supiyaphun, Pakpoom Aramwatanapong, Phooripan Kerekhanjanarong, Virachai Sastarasadhit, Veerapong |
description | Objective: Nasal obstruction resulting from inferior turbinate hypertrophy (ITH) was treated with KTP laser inferior turbinoplasty (KIT). The effectiveness of the procedure was assessed.
Methods: A prospective clinical trial was carried out in King Chulalongkorn Memorial Hospital from October 1, 1998 to September 30, 2000. Forty-eight patients with chronic nasal obstruction underwent KIT. Nasal obstruction was pre- and postoperatively assessed, based on 4-point scale, by the patient and investigator. The scores were compared by paired
t-test. The correlation of assessment by the patient and investigator was also demonstrated by weighted
κ test. Pre- and postoperative rhinomanometric evaluations were performed in 29 patients and were compared with paired
t-test.
Results: Significant reduction of nasal obstruction was obtained from assessment by the patient (
P |
doi_str_mv | 10.1016/S0385-8146(02)00104-9 |
format | Article |
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Methods: A prospective clinical trial was carried out in King Chulalongkorn Memorial Hospital from October 1, 1998 to September 30, 2000. Forty-eight patients with chronic nasal obstruction underwent KIT. Nasal obstruction was pre- and postoperatively assessed, based on 4-point scale, by the patient and investigator. The scores were compared by paired
t-test. The correlation of assessment by the patient and investigator was also demonstrated by weighted
κ test. Pre- and postoperative rhinomanometric evaluations were performed in 29 patients and were compared with paired
t-test.
Results: Significant reduction of nasal obstruction was obtained from assessment by the patient (
P<0.000) and by the investigator (
P<0.000). The symptoms of sneezing, itching and rhinorrhea were significantly reduced postoperatively (
P<0.000). The cure and improvement rate of nasal obstruction were at 70.8 and 100% (assessed by the patient) and at 77.1 and 100% (assessed by the investigator) respectively, and they showed a moderate correlation (Kw=0.65). Rhinomanometrically, the total airway resistance decreased but of not statistic significance (
P=0.219), however, the inspired nasal airflow at 150 Pa and the volume of nasal cavities were significantly increased (
P<0.00 and
P<0.001, respectively).
Conclusion: KIP was shown to effectively reduce the symptom and sign of nasal obstruction as well as other nasal symptoms without any significant complications. It should be an alternative method in treating the patients with nasal obstruction resulting from hyperplastic inferior turbinate.</description><identifier>ISSN: 0385-8146</identifier><identifier>EISSN: 1879-1476</identifier><identifier>DOI: 10.1016/S0385-8146(02)00104-9</identifier><identifier>PMID: 12589852</identifier><language>eng</language><publisher>Netherlands: Elsevier Ireland Ltd</publisher><subject>Adolescent ; Adult ; Child ; Female ; Humans ; Hypertrophy - complications ; Hypertrophy - surgery ; Laser ; Laser Therapy - methods ; Male ; Middle Aged ; Nasal Obstruction - classification ; Nasal Obstruction - etiology ; Nasal Obstruction - surgery ; Nose ; Prospective Studies ; Rhinitis, Allergic, Perennial - complications ; Rhinitis, Allergic, Perennial - surgery ; Rhinitis, Vasomotor - complications ; Rhinitis, Vasomotor - surgery ; Rhinomanometry ; Surgery ; Treatment ; Treatment Outcome ; Turbinates - pathology ; Turbinates - surgery</subject><ispartof>Auris, nasus, larynx, 2003-02, Vol.30 (1), p.59-64</ispartof><rights>2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-3f48fe0cbf8a62becb0a13aa357724aa253d1b7d6ef6f109d4603441bac8b5cf3</citedby><cites>FETCH-LOGICAL-c451t-3f48fe0cbf8a62becb0a13aa357724aa253d1b7d6ef6f109d4603441bac8b5cf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0385-8146(02)00104-9$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12589852$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Supiyaphun, Pakpoom</creatorcontrib><creatorcontrib>Aramwatanapong, Phooripan</creatorcontrib><creatorcontrib>Kerekhanjanarong, Virachai</creatorcontrib><creatorcontrib>Sastarasadhit, Veerapong</creatorcontrib><title>KTP laser inferior turbinoplasty: an alternative procedure to treat the nasal obstruction</title><title>Auris, nasus, larynx</title><addtitle>Auris Nasus Larynx</addtitle><description>Objective: Nasal obstruction resulting from inferior turbinate hypertrophy (ITH) was treated with KTP laser inferior turbinoplasty (KIT). The effectiveness of the procedure was assessed.
Methods: A prospective clinical trial was carried out in King Chulalongkorn Memorial Hospital from October 1, 1998 to September 30, 2000. Forty-eight patients with chronic nasal obstruction underwent KIT. Nasal obstruction was pre- and postoperatively assessed, based on 4-point scale, by the patient and investigator. The scores were compared by paired
t-test. The correlation of assessment by the patient and investigator was also demonstrated by weighted
κ test. Pre- and postoperative rhinomanometric evaluations were performed in 29 patients and were compared with paired
t-test.
Results: Significant reduction of nasal obstruction was obtained from assessment by the patient (
P<0.000) and by the investigator (
P<0.000). The symptoms of sneezing, itching and rhinorrhea were significantly reduced postoperatively (
P<0.000). The cure and improvement rate of nasal obstruction were at 70.8 and 100% (assessed by the patient) and at 77.1 and 100% (assessed by the investigator) respectively, and they showed a moderate correlation (Kw=0.65). Rhinomanometrically, the total airway resistance decreased but of not statistic significance (
P=0.219), however, the inspired nasal airflow at 150 Pa and the volume of nasal cavities were significantly increased (
P<0.00 and
P<0.001, respectively).
Conclusion: KIP was shown to effectively reduce the symptom and sign of nasal obstruction as well as other nasal symptoms without any significant complications. It should be an alternative method in treating the patients with nasal obstruction resulting from hyperplastic inferior turbinate.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertrophy - complications</subject><subject>Hypertrophy - surgery</subject><subject>Laser</subject><subject>Laser Therapy - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nasal Obstruction - classification</subject><subject>Nasal Obstruction - etiology</subject><subject>Nasal Obstruction - surgery</subject><subject>Nose</subject><subject>Prospective Studies</subject><subject>Rhinitis, Allergic, Perennial - complications</subject><subject>Rhinitis, Allergic, Perennial - surgery</subject><subject>Rhinitis, Vasomotor - complications</subject><subject>Rhinitis, Vasomotor - surgery</subject><subject>Rhinomanometry</subject><subject>Surgery</subject><subject>Treatment</subject><subject>Treatment Outcome</subject><subject>Turbinates - pathology</subject><subject>Turbinates - surgery</subject><issn>0385-8146</issn><issn>1879-1476</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkElrHDEQRkVIiMdOfoKDTiE-dFJaesvFBOONGGywfchJlNQlrNDTmkhqg_992p4hOfpUULyvlsfYoYCvAkTz7RZUV1ed0M0XkEcAAnTVv2Er0bV9JXTbvGWrf8ge28_5NwCoVvXv2Z6Qddd3tVyxXz_vbviImRIPk6cUYuJlTjZMcbO0y9N3jhPHsVCasIRH4psUHQ1zIl4iL4mw8PJAfMKMI482lzS7EuL0gb3zOGb6uKsH7P7s9O7korq6Pr88-XFVOV2LUimvO0_grO-wkZacBRQKUdVtKzWirNUgbDs05BsvoB90A0prYdF1tnZeHbDP27nLYX9mysWsQ3Y0jjhRnLNpFSjZa7mA9RZ0KeacyJtNCmtMT0aAeXZqXpyaZ2EGpHlxavol92m3YLZrGv6ndhIX4HgL0PLmY6Bksgs0LZZCIlfMEMMrK_4Ctk-IKQ</recordid><startdate>20030201</startdate><enddate>20030201</enddate><creator>Supiyaphun, Pakpoom</creator><creator>Aramwatanapong, Phooripan</creator><creator>Kerekhanjanarong, Virachai</creator><creator>Sastarasadhit, Veerapong</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20030201</creationdate><title>KTP laser inferior turbinoplasty: an alternative procedure to treat the nasal obstruction</title><author>Supiyaphun, Pakpoom ; Aramwatanapong, Phooripan ; Kerekhanjanarong, Virachai ; Sastarasadhit, Veerapong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-3f48fe0cbf8a62becb0a13aa357724aa253d1b7d6ef6f109d4603441bac8b5cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Child</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertrophy - complications</topic><topic>Hypertrophy - surgery</topic><topic>Laser</topic><topic>Laser Therapy - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nasal Obstruction - classification</topic><topic>Nasal Obstruction - etiology</topic><topic>Nasal Obstruction - surgery</topic><topic>Nose</topic><topic>Prospective Studies</topic><topic>Rhinitis, Allergic, Perennial - complications</topic><topic>Rhinitis, Allergic, Perennial - surgery</topic><topic>Rhinitis, Vasomotor - complications</topic><topic>Rhinitis, Vasomotor - surgery</topic><topic>Rhinomanometry</topic><topic>Surgery</topic><topic>Treatment</topic><topic>Treatment Outcome</topic><topic>Turbinates - pathology</topic><topic>Turbinates - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Supiyaphun, Pakpoom</creatorcontrib><creatorcontrib>Aramwatanapong, Phooripan</creatorcontrib><creatorcontrib>Kerekhanjanarong, Virachai</creatorcontrib><creatorcontrib>Sastarasadhit, Veerapong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Auris, nasus, larynx</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Supiyaphun, Pakpoom</au><au>Aramwatanapong, Phooripan</au><au>Kerekhanjanarong, Virachai</au><au>Sastarasadhit, Veerapong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>KTP laser inferior turbinoplasty: an alternative procedure to treat the nasal obstruction</atitle><jtitle>Auris, nasus, larynx</jtitle><addtitle>Auris Nasus Larynx</addtitle><date>2003-02-01</date><risdate>2003</risdate><volume>30</volume><issue>1</issue><spage>59</spage><epage>64</epage><pages>59-64</pages><issn>0385-8146</issn><eissn>1879-1476</eissn><abstract>Objective: Nasal obstruction resulting from inferior turbinate hypertrophy (ITH) was treated with KTP laser inferior turbinoplasty (KIT). The effectiveness of the procedure was assessed.
Methods: A prospective clinical trial was carried out in King Chulalongkorn Memorial Hospital from October 1, 1998 to September 30, 2000. Forty-eight patients with chronic nasal obstruction underwent KIT. Nasal obstruction was pre- and postoperatively assessed, based on 4-point scale, by the patient and investigator. The scores were compared by paired
t-test. The correlation of assessment by the patient and investigator was also demonstrated by weighted
κ test. Pre- and postoperative rhinomanometric evaluations were performed in 29 patients and were compared with paired
t-test.
Results: Significant reduction of nasal obstruction was obtained from assessment by the patient (
P<0.000) and by the investigator (
P<0.000). The symptoms of sneezing, itching and rhinorrhea were significantly reduced postoperatively (
P<0.000). The cure and improvement rate of nasal obstruction were at 70.8 and 100% (assessed by the patient) and at 77.1 and 100% (assessed by the investigator) respectively, and they showed a moderate correlation (Kw=0.65). Rhinomanometrically, the total airway resistance decreased but of not statistic significance (
P=0.219), however, the inspired nasal airflow at 150 Pa and the volume of nasal cavities were significantly increased (
P<0.00 and
P<0.001, respectively).
Conclusion: KIP was shown to effectively reduce the symptom and sign of nasal obstruction as well as other nasal symptoms without any significant complications. It should be an alternative method in treating the patients with nasal obstruction resulting from hyperplastic inferior turbinate.</abstract><cop>Netherlands</cop><pub>Elsevier Ireland Ltd</pub><pmid>12589852</pmid><doi>10.1016/S0385-8146(02)00104-9</doi><tpages>6</tpages></addata></record> |
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subjects | Adolescent Adult Child Female Humans Hypertrophy - complications Hypertrophy - surgery Laser Laser Therapy - methods Male Middle Aged Nasal Obstruction - classification Nasal Obstruction - etiology Nasal Obstruction - surgery Nose Prospective Studies Rhinitis, Allergic, Perennial - complications Rhinitis, Allergic, Perennial - surgery Rhinitis, Vasomotor - complications Rhinitis, Vasomotor - surgery Rhinomanometry Surgery Treatment Treatment Outcome Turbinates - pathology Turbinates - surgery |
title | KTP laser inferior turbinoplasty: an alternative procedure to treat the nasal obstruction |
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