원저

Coblator® 하비갑개 성형술의 장기적인 효과 분석

배우용1,*, 이태훈1, 이현직1, 안수용1, 구태우1, 김재룡1, 김동영2
Woo-Yong Bae1,*, Tae-Hoon Lee1, Hyun-Jik Lee1, Soo-Yong Ahn1, Tae-Woo Gu1, Jae-Ryong Kim1, Dong-Young Kim2
Author Information & Copyright
1동아대학교 의과대학 이비인후과학교실
2서울대학교 의과대학 이비인후과학교실
1Department of Otolaryngology-Head and Neck Surgery, Dong-A University College of Medicine1, Busan, Korea
2Department of Otolaryngology-Head and Neck Surgery, Seoul University College of Medicine, Seoul, Korea
*교신저자: 배우용, 603-102 부산광역시 서구 동대신동 3가 1번지 동아대학교 의과대학 이비인후과학교실 전화: (051) 240-5428·전송: (051) 253-0712 E-mail: doncamel@dau.ac.kr

© Copyright 2006 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Apr 21, 2006; Accepted: Jun 09, 2006

Published Online: May 31, 2020

ABSTRACT

Background and Objective: Surgical reduction of the hypertrophic inferior turbinate has been performed in patients who are refractory to medical treatment. Surgical procedures have associated morbidity including pain, bleeding, crusting, and dryness. Recently, Coblator® using high-frequency current has shown to be safe and effective in volumetric tissue reduction of the hypertrophic inferior turbinate. The aim of study is to evaluate the long term effect of turbinoplasty with Coblator®. Materials and Methods: Twenty patients with nasal obstruction due to inferior turbinate hypertrophy refractory to medical therapy were prospectively evaluated with a follow-up period of over 12 months. Postoperative changes in degree of severity and frequency of nasal obstruction on visual analogue scale (VAS) were assessed. And cross-sectional area of C-notch and volume of nasal cavity from the nostril to 7 cm posteriorly were assessed using acoustic rhinometry. Results: At postoperative 12 months, the severity and frequency of nasal obstruction significantly reduced in 51.2% and 52.4% respectively on VAS (p<0.05). And cross-sectional area of C-notch before shrinkage significantly increased from 0.54 cm2 preoperatively to 0.66 cm2 at postoperative 12 months (p<0.05). There were increases in the crosssectional area of C-notch after shrinkage and volume of nasal cavity at postoperative 12 months, but there were no statistical differences. Conclusions: Coblator® turbinoplasty may be useful for the relief of nasal obstruction in patients with inferior turbinate hypertrophy until 12 months. (J Clinical Otolaryngol 2006;17:79–82)

Keywords: 무선주파; 하비갑개 성형술
Keywords: Radiofrequency; Turbinoplasty