Volume : 7, Issue : 6, June - 2018

ROLE OF CRYOCAUTERIZATION IN VASOMOTOR RHINITIS

Dr Sujata Maini, Dr. Anusha Shukla

Abstract :

<p style="margin-top:3.75pt;margin-right:0in;margin-bottom:12.0pt;margin-left:&#10;0in;line-height:115%;background:white"><b><span style="color:#1C1D1E">Objective</span></b><span style="color:#1C1D1E">&nbsp;To assess the efficacy and morbidity of<span style="mso-spacerun:yes">&nbsp; </span>cryocauterization of the turbinates in patients with nasal obstruction caused by turbinate hypertrophy.<o:p></o:p></span></p> <p style="margin-top:3.75pt;margin-right:0in;margin-bottom:12.0pt;margin-left:&#10;0in;line-height:115%;background:white"><b><span style="color:#1C1D1E">Methods</span></b><span style="color:#1C1D1E">&nbsp;Sixty patients (age range, 23&ndash;67 y; median age, 42 y) enrolled in the study. All the patients had nasal blockage.30 were given <span style="mso-spacerun:yes">&nbsp;</span>medical treatment .In other 30 ,Cryocauterization <span style="mso-spacerun:yes">&nbsp;</span>of the turbinates done . The preoperative and postoperative nasal functions were investigated by immediate and long</span><span style="font-family:&quot;Camia Math&quot;,&quot;serif&quot;;color:#1C1D1E">‐</span><span style="color:#1C1D1E">term visual analogue scale (VAS) scores of symptom parameters, saccharine transit time <span style="mso-spacerun:yes">&nbsp;</span>and acoustic rhinometry. The follow</span><span style="font-family:&quot;Camia Math&quot;,&quot;serif&quot;;&#10;color:#1C1D1E">‐</span><span style="color:#1C1D1E">up was conducted at 1 week and 3 months.<o:p></o:p></span></p> <p style="margin-top:3.75pt;margin-right:0in;margin-bottom:12.0pt;margin-left:&#10;0in;line-height:115%;background:white"><b><span style="color:#1C1D1E">Results</span></b><span style="color:#1C1D1E">&nbsp;The VAS scores of subjective complaints (nasal discharge, itching, sneezing, crusting) decreased, and the VAS scores of evaluation of the effectiveness (frequency of nasal obstruction, and patient satisfaction) increased statistically significantly in the 3</span><span style="font-family:&quot;Camia Math&quot;,&quot;serif&quot;;color:#1C1D1E">‐</span><span style="color:#1C1D1E">month follow</span><span style="font-family:&quot;Camia Math&quot;,&quot;serif&quot;;&#10;color:#1C1D1E">‐</span><span style="color:#1C1D1E">up without relapses. There were no adverse effects on olfactory functions. In acoustic rhinometry the change in the sum of both nasal cavity volumes from nostril to 5 cm was statistically significant 3 months after the treatment. <o:p></o:p></span></p> <p style="margin-top:3.75pt;margin-right:0in;margin-bottom:12.0pt;margin-left:&#10;0in;line-height:115%;background:white"><b><span style="color:#1C1D1E">Conclusion</span></b><span style="color:#1C1D1E">&nbsp;The cryocauterization of turbinates is a promising alternative, which should be considered when planning<span style="mso-spacerun:yes">&nbsp; </span>turbinate interventions. The cryocauterization of turbinates is a promising alternative, which should be considered when planning<span style="mso-spacerun:yes">&nbsp; </span>turbinate interventions. Newer trends also recommend<span style="mso-spacerun:yes">&nbsp; </span>diathermy ablation of<span style="mso-spacerun:yes">&nbsp; </span>turbinates as a promising alternative.<o:p></o:p></span></p>