Diode laser treatment in therapy-resistant allergic rhinitis: impact on nasal obstruction and associated symptoms

The ideal treatment in severe obstructive allergic rhinitis unresponsive to standard therapy is lacking. This study aimed to evaluate the efficacy of endonasal corrective laser surgery in perennial (pAR) and seasonal (sAR) allergic rhinitis. Forty subjects (20 pAR, 20 sAR) underwent videoendoscopic...

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Bibliographic Details
Published in:Lasers in medical science 2011-01, Vol.26 (1), p.57-67
Main Authors: Caffier, Philipp P., Scherer, Hans, Neumann, Konrad, Lück, Sven, Enzmann, Harald, Haisch, Andreas
Format: Article
Language:English
Subjects:
Adult
Aged
Allergies
Dentistry
Female
Humans
Laser surgery
Lasers
Lasers, Semiconductor - therapeutic use
Male
Medicine
Medicine & Public Health
Middle Aged
Nasal Obstruction - pathology
Nasal Obstruction - physiopathology
Nasal Obstruction - surgery
Nasal Septum - pathology
Nasal Septum - surgery
Nose
Optical Devices
Optics
Original Article
Photonics
Quantum Optics
Rhinitis, Allergic, Perennial - pathology
Rhinitis, Allergic, Perennial - physiopathology
Rhinitis, Allergic, Perennial - surgery
Rhinitis, Allergic, Seasonal - pathology
Rhinitis, Allergic, Seasonal - physiopathology
Rhinitis, Allergic, Seasonal - surgery
Rhinomanometry
Treatment Outcome
Turbinates - pathology
Turbinates - surgery
Young Adult
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Summary:The ideal treatment in severe obstructive allergic rhinitis unresponsive to standard therapy is lacking. This study aimed to evaluate the efficacy of endonasal corrective laser surgery in perennial (pAR) and seasonal (sAR) allergic rhinitis. Forty subjects (20 pAR, 20 sAR) underwent videoendoscopic diode laser surgery. Examinations were performed preoperatively and at follow-ups 1, 12, and 24 months after surgery, including objective parameters (rhinomanometry, videoendoscopy, allergy tests) and subjective visual analog scales (evaluation of surgery, satisfaction, allergic symptoms). Of all patients, 95% received inferior turbinate, 40% septal, and 15% middle turbinate surgery. Postoperatively, two subjects showed considerable residual symptomatology (95% response rate). Throughout follow-up, objective rhinomanomety and subjective scores for nasal obstruction, rhinorrhea, sneezing, itching, and overall satisfaction improved significantly with time ( p  
ISSN:0268-8921
1435-604X
DOI:10.1007/s10103-010-0813-x