Effects of radiofrequency thermal ablation on the nasal cycle measured using rhinomanometry

Ann Otol Rhinol Laryngol. 2014 Nov;123(11):771-7. doi: 10.1177/0003489414538763. Epub 2014 Jun 18.

Abstract

Objective: This study was designed to research the effects of radiofrequency thermal ablation (RFTA) surgery on the nasal cycle, with anterior rhinomanometry being used for assessment.

Methods: Thirty patients with inferior concha hypertrophy and 13 healthy volunteers were included in this study. An anterior rhinomanometry was performed on each of the patients before surgery and at 1 month and 6 months after surgery, and on the volunteers in the control group, simultaneously.

Results: Nineteen of the 30 patients and 8 of the 13 healthy participants showed a distinct type of nasal cycle at different periods of measurement. The mean of the total nasal airflow of the patients was lower before RFTA surgery but increased at a rate of 71.07%, closer to the value of the control group, after RFTA surgery. After RFTA, the unilateral nasal airflow (fmin and fmax) values increased at ratios of 22.36% and 94.44%, respectively. The amplitude (fmax-fmin) showed a statistically significant decrease in the postoperative period (108.43 ± 54.37), when compared with that of the preoperative period (202.80 ± 81.24) (P < .01).

Conclusion: We conclude that the RFTA is a useful method for treating inferior concha hypertrophy, because it positively affects the nasal physiology, increasing the total nasal airflow without changing the nasal cycle time.

Keywords: RFTA; anterior rhinomanometry; inferior concha hypertrophy; nasal cycle; total nasal airflow; unilateral nasal airflow.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Case-Control Studies
  • Catheter Ablation*
  • Female
  • Humans
  • Hypertrophy / surgery
  • Male
  • Middle Aged
  • Nasal Cavity / physiology*
  • Nasal Obstruction / etiology
  • Nasal Obstruction / surgery
  • Rhinomanometry*
  • Turbinates / pathology*
  • Turbinates / surgery*
  • Young Adult