Document Detail


Argon plasma coagulation for inferior turbinate reduction.
MedLine Citation:
PMID:  11007087     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Surgical reduction of the inferior turbinate remains a widely used therapy for nasal obstruction caused by hyperplastic turbinates. Current methods are costly and time-consuming, require nasal packing, and cause extended postoperative swelling. Argon plasma coagulation (APC) is a new, innovative technique in otorhinolaryngological surgery that is based on high-frequency electrical current. The current is transmitted through ionized argon gas (plasma) contact-free to the tissue surface and creates a coagulation and devitalization zone with limited penetration. Forty-five patients with nasal obstruction were treated under local anesthesia for reduction of the inferior turbinates with APC. Seventy-six percent of the patients reported an improvement of postoperative swelling within the first week. After 3 months, 86% reported having better nasal airflow than they had before the operation. Macroscopically, after 4 weeks the turbinate was covered by normal mucosa in 51% of the patients. Crust formation was minimal, and no bleeding occurred. Turbinate reduction with APC is an alternative technique with many advantages, and the results are comparable to those of standard techniques. Ninety-five percent of the patients were satisfied with the operation.
Authors:
W Bergler; F Riedel; K Götte; K Hörmann
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  109     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:  2000 Sep 
Date Detail:
Created Date:  2000-10-17     Completed Date:  2000-10-17     Revised Date:  2006-05-15    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  839-43     Citation Subset:  AIM; IM    
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital Mannheim, Germany.
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MeSH Terms
Descriptor/Qualifier:
Argon
Electrocoagulation / instrumentation*
Equipment Design
Female
Humans
Male
Nasal Obstruction / surgery*
Patient Satisfaction
Turbinates / surgery*
Chemical
Reg. No./Substance:
7440-37-1/Argon

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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