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Otolaryngology, ENT & Sinus News Provided by the California Sinus CentersLong-term Results of Radiofrequency Turbinoplasty for Allergic Rhinitis Refractory to Medical Therapy [Original Article]July 19, 2010, 12:00 pm by Archives of Otolaryngology Head & Neck SurgeryObjective To study the long-term outcomes of radiofrequency (RF) turbinate surgery for the treatment of allergic rhinitis refractory to medical therapy.Design A retrospective review of a prospective data set.Setting Tertiary referral center.Patients A total of 146 patients with allergic rhinitis refractory to medical therapy undergoing RF turbinoplasty were included.Main Outcome Measures A standard 0 to 10 visual analog scale (VAS) was used to assess the allergic symptoms including nasal obstruction, rhinorrhea, sneezing, itchy nose, and itchy eyes prior to RF turbinoplasty and at 6 months and 5 years postoperatively. The long-term clinical benefits and complications were reviewed. Statistical analysis was determined by repeated measures of analysis of variance.Results No adverse reactions such as bleeding, infection, adhesions, or olfactory change were encountered. Of the 146 patients, 119 were followed up at least 5 years postoperatively. Five years after treatment, 101 patients had complete data available for analysis. They reported improvement of nasal obstruction, with the mean (SD) VAS score decreasing from 6.65 (1.92) to 4.45 (2.54). The mean (SD) VAS score changed from 5.90 (2.79) to 3.79 (2.97) for rhinorrhea; from 5.15 (2.77) to 3.50 (2.77) for sneezing; from 3.67 (3.03) to 2.41 (2.30) for itchy nose; and from 2.94 (3.02) to 2.02 (2.42) for itchy eyes (all P < .001, paired t test with Bonferroni correction).Conclusion This long-term study has demonstrated that the RF turbinoplasty for allergic rhinitis appears to be an effective and safe tool for treating allergic rhinitis refractory to medical therapy.Published online July 19, 2010 (doi:10.1001/archoto.2010.135).
More from Archives of Otolaryngology Head & Neck Surgery Professional Burnout Among Microvascular and Reconstructive Free-Flap Head and Neck Surgeons in the United States [Original Article] Archives of Otolaryngology Head & Neck Surgery: August 16, 2010, 12:00 pm Objectives To determine the prevalence of professional burnout among microvascular free-flap (MVFF) head and neck surgeons and to identify modifiable risk factors with the intent to reduce MVFF surgeon burnout.Design A cross-sectional, Iguazu Falls [About the Cover] Archives of Otolaryngology Head & Neck Surgery: August 1, 2010, 12:00 pm About This Journal [About This Journal] Archives of Otolaryngology Head & Neck Surgery: August 1, 2010, 12:00 pm The Learning Curve of Sialendoscopy With Modular Sialendoscopes: A Single Surgeon's Experience [Original Article] Archives of Otolaryngology Head & Neck Surgery: August 1, 2010, 12:00 pm Objective To assess the learning curve of sialendoscopy with modular endoscopes based on operative parameters and a postoperative performance rating. Design Prospective study, case series. Setting Tertiary referral hospital. Patients The study included 50 consecutive Dexamethasone Administration and Postoperative Bleeding Risk in Children Undergoing Tonsillectomy [Original Article] Archives of Otolaryngology Head & Neck Surgery: August 1, 2010, 12:00 pm Objective To assess whether administration of dexamethasone during tonsillectomy is associated with a dose-dependent increased rate of postoperative tonsillectomy hemorrhage. Design Retrospective review of 2788 children and adolescents who underwent tonsillectomy with or
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