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Nasal nerve ablation, nasal swell body and inferior turbinate reduction for nasal obstruction and congestion relief

Published online by Cambridge University Press:  29 March 2022

Y P Krespi ,
K A Wilson  and
V Kizhner Open the ORCID record for V Kizhner [Opens in a new window]
Y P Krespi
Affiliation:
Otorhinolaryngology, Lenox Hill Hospital, Northwell Health, New York, USA
K A Wilson
Affiliation:
Otorhinolaryngology, Lenox Hill Hospital, Northwell Health, New York, USA
V Kizhner*
Affiliation:
Otolaryngology, Mount Sinai Morningside, New York, USA
*
Author for correspondence: Dr Y P Krespi, 110 E. 59th St, New York, NY 10022, USA E-mail: Ykrespi1@northwell.edu
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Abstract

Objective

Nasal obstruction and congestion can occur because of turbinate and septal variations with or without rhinitis. A combined treatment for nasal obstruction and congestion was examined retrospectively in cases where the nasal swell body was addressed with inferior turbinectomy, with or without posterior nasal nerve ablation.

Methods

A 940 nm laser was utilised for contact (nasal swell body, septum and inferior turbinate) and non-contact (posterior nasal nerve) ablation. Total Nasal Symptoms Score, visual analogue scale pain score, complications and procedure location (office vs operating theatre) were recorded.

Results

All 242 patients underwent nasal swell body reduction with inferior turbinate reduction, and 150 had posterior nasal nerve ablation also. No laser complications were observed. An 80 per cent reduction in medication usage was noted. Total Nasal Symptoms Score decreased by 73 per cent; rhinorrhoea and congestion scores decreased by 54 per cent and 81 per cent respectively. Crusting, epistaxis and infections were minimal, and resolved within two weeks.

Conclusion

Nasal swell body with inferior turbinate reduction, with or without posterior nasal nerve ablation, is a new method of treating nasal obstruction and congestion. Laser posterior nasal nerve ablation can be utilised as a complementary tool to deliver anatomical obstruction relief.

Keywords

Nasal SeptumTurbinatesLasersLaser AblationNasal ObstructionRhinitisNeurectomy
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 3 , March 2023 , pp. 270 - 272
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr Y P Krespi takes responsibility for the integrity of the content of the paper

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