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183248

Objective Evaluation of Turbinate Mucosa after Reduction by Radiofrequency Ablation versus Diathermy

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Otorhinolaryngology

Abstract

Enlargement of inferior nasal turbinates is a common cause of nasal obstruction. Surgical methods used to treat hypertrophied inferior turbinates such as electrocautery, cryosurgery, partial turbinectomy, laser turbinoplasty, microdebrider reduction and radiofrequency thermal ablation (RFTA).The mucosal condition after surgery is an important factor that should be considered in evaluation of different techniques. This study aimed to examine the microstructural appearance of the ciliated epithelial tissues by light microscope.It was done by cytological examination of inferior turbinate mucosain patients treated by radiofrequency thermal ablation (RFTA) and bipolar electrocautery (BEC) of hypertrophied inferior turbinates. A prospective study included thirty six patients with hypertrophied inferior turbinates causing nasal obstruction not responding to medical treatment. Patients were divided into two groups: group(A) were managed with radiofrequency thermal ablation (RFTA)and group (B)were managed with bipolar electrocautery (BEC).Routine nasal examination was done with the aids of anterior rhinoscopy and nasal endoscopy. The postoperative follow up period wasthree months. cytological examination of nasal mucosa was done postoperatively. Results: there was no abnormalities in ciliated epithelial cells and only 12% of cases showed abnormalities in the form of damage in the ciliated cellswith anarchitectural rearrangement.While, the majority of sample showed abnormalities in cilia and epithelial cell damage. 78% of patients had abnormal ciliated epithelial cells im group B. Radiofrequency thermal ablation seems to be a good modality dealing with the problem of inferior turbinate hypertrophy. It showed minimal injury to turbinatemucosal tissues with good ciliary structure, along with an intact and functioning epithelium.

DOI

10.21608/zumj.2021.53558.2082

Keywords

Turbinate mucosa, Radiofrequency thermal ablation, Bipolar electrocautery and Nasal cytology

Authors

First Name

Mahmoud

Last Name

Altoumi

MiddleName

Al-Mokhtar

Affiliation

Otorhinolaryngology Department, Faculty of Medicine, Zagazig University, Egypt.

Email

mahmoudaltoumi7@gmail.com

City

-

Orcid

0000-0003-4248-515X

First Name

Mohamed

Last Name

Shora

MiddleName

Elsayed

Affiliation

Otorhinolaryngology Department, Faculty of Medicine, Zagazig University, Egypt

Email

shorashora12@gmail.com

City

zagazig

Orcid

09809765322987

First Name

Samir

Last Name

Sorour

MiddleName

Sorour

Affiliation

Otorhinolaryngology Department, Faculty of Medicine, Zagazig University, Egypt.

Email

samir.sorour60@yahoo.com

City

zagazig

Orcid

09809765323987

First Name

Naser

Last Name

Mohamed

MiddleName

Naguib

Affiliation

Otorhinolaryngology Department, Faculty of Medicine, Zagazig University, Egypt.

Email

nas-nagieb@yahoo.com

City

zagazig

Orcid

09809765341987

First Name

Ashraf

Last Name

Basha

MiddleName

Elhussiny

Affiliation

Otorhinolaryngology Department, Faculty of Medicine, Zagazig University, Egypt.

Email

ashraf.basha50@yahoo.com

City

zagazig

Orcid

09809765321987

First Name

Mai

Last Name

Abdelwahab

MiddleName

Mohamed

Affiliation

Pathology Department, Faculty of Medicine, Zagazig University, Egypt.

Email

abdelwahab345@gmail.com

City

zagazig

Orcid

09809765330987

First Name

Mohammed

Last Name

Albelbary

MiddleName

El Sayed

Affiliation

Otorhinolaryngology Department, Faculty of Medicine, Zagazig University, Egypt.

Email

moham.abelbary@gmail.com

City

zagazig

Orcid

09809765328787

Volume

30

Article Issue

2

Related Issue

45687

Issue Date

2024-03-01

Receive Date

2021-03-13

Publish Date

2024-03-01

Page Start

394

Page End

399

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_183248.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=183248

Order

12

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Objective Evaluation of Turbinate Mucosa after Reduction by Radiofrequency Ablation versus Diathermy

Details

Type

Article

Created At

30 Dec 2024