Radiofrequency volumetric tissue reduction for treatment of turbinate hypertrophy in children

Summary Background Inferior turbinate hypertrophy is one of the most common causes of nasal airway obstruction in children. Medical treatment often produces very little improvement. Radiofrequency therapy has recently been shown to be safe and effective in volumetric tissue reduction of the turbinat...

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Published in:International journal of pediatric otorhinolaryngology 2007-04, Vol.71 (4), p.597-601
Main Authors: O’Connor-Reina, Carlos, Garcia-Iriarte, Maria Teresa, Angel, Diego Gomez, Morente, Juan Carlos Casado, Rodríguez-Diaz, Alfonso
Format: Article
Language:English
Subjects:
Child
Child, Preschool
Follow-Up Studies
Humans
Hypertrophy - complications
Hypertrophy - radiotherapy
Nasal Obstruction - etiology
Nasal Obstruction - pathology
Nasal Obstruction - radiotherapy
Organ Size - radiation effects
Otolaryngology
Pediatric
Pediatrics
Pilot Projects
Prospective Studies
Radiofrequency
Treatment Outcome
Turbinate hypertrophy
Turbinates - pathology
Turbinates - radiation effects
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Summary:Summary Background Inferior turbinate hypertrophy is one of the most common causes of nasal airway obstruction in children. Medical treatment often produces very little improvement. Radiofrequency therapy has recently been shown to be safe and effective in volumetric tissue reduction of the turbinates in adults, but no report has been published about its use in children. We prospectively evaluated the safety and effectiveness of radiofrequency volumetric tissue reduction (RVTR) for the treatment of nasal obstruction caused by inferior turbinate hypertrophy in children. Methods We followed up 93 children less than 9 years of age who underwent RVTR over 12 months. This surgery was performed with other procedures, such as tonsillectomy with or without grommet insertion (57 patients), tympanoplasty (10 patients), or grommet insertion alone (26 patients). Clinical examination, a medical questionnaire, and scores recorded pre- and postoperatively using Gertner–Podoshin plates were used to assess treatment outcomes 1 month, 6 months and 1 year after surgery. Results No adverse effects were encountered. One primary bleed due to tonsillectomy was the only complication in this group. Eighty-seven children (94%) had significantly improved nasal breathing postoperatively. Conclusions The results of this study demonstrate that RVTR is a safe, effective method for the treatment of turbinate hypertrophy in children. In addition, our data demonstrates good patient acceptance over a period of 1 year.
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2006.12.009