[Comparative assessment of cryosurgical treatment results in allergic and non-allergic rhinitis].

Abstract

INTRODUCTION:

The aim of the work was to assess the treatment efficiency in patients with allergic and non-allergic vasomotor rhinitis after cryoablation procedures.

MATERIAL AND METHODS:

The study covered 60 patients, including 32 women and 28 men, aged 18-66. The patients were divided into two groups: I - 30 patients with chronic allergic rhinitis, II - 30 patients with non-allergic vasomotor rhinitis. The study methodology involved: an otorhinolaryngological interview with a questionnaire and an allergological interview, an objective otolaryngological and rhinomanometrical examination with Homoth apparatus, a subjective evaluation questionnaire for nasal blockage intensification (the scale ranging from 0 to 10), skin tests to aeorallergens and food allergens (Allergopharma Co.), nasal endoscopy with a straight rigid Eleps endoscope before the treatment and 3 months following it. The cryoablation of nasal conchas was performed under local infiltration anesthesia (1% Xylokaina solution) using the Cryo-S apparatus from CryoFlex Poland Company and a flat probe in a spatula shape (L-50) that was placed on the outer surfaces of the inferior nasal concha.

RESULTS:

The inferior nasal concha cryoablation resulted in a statistically significant improvement in the subjective assessment scale in group I by 82.6% and group II by 141.2%. In the endoscopic examination 3 months following the cryoablation a good nasal patency was achieved in 63.3% patients from group I and 76.7% patients from group II. The conducted studies show a better nasal passages patency in patients with non-allergic rhinitis than in those with allergic rhinitis.

CONCLUSIONS:

Cryoablation procedures on the inferior nasal conchas are not the primary therapy, but together with other methods they can immensely improve the life comfort of a rhinitis patient.

• Authors: Hanna Zielińska-Bliżniewska, Marcin Repetowski, Jarosław Miłoński, Jurek Olszewski
• Journal: Otolaryngologia polska = The Polish otolaryngology (Otolaryngol Pol) 2011 Jul-Aug Vol. 65 Issue 4 Pg. 276-80 ISSN: 0030-6657 [Print] Poland
• Vernacular Title: Porównawcza ocena wyników leczenia alergicznych i niealergicznych nieżytów nosa za pomocą kriochirurgii.
• PMID: 22000145 (Publication Type: Comparative Study, English Abstract, Journal Article)
• Copyright: Copyright © 2011 Polish Otolaryngology Society. Published by Elsevier Urban & Partner (Poland). All rights reserved.

Topics

• Adolescent
• Adult
• Cryosurgery (methods)
• Endoscopy
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Nasal Mucosa (surgery)
• Poland
• Rhinitis, Allergic, Perennial (pathology, surgery)
• Rhinitis, Vasomotor (pathology, surgery)
• Young Adult