코블레이터와 회전식 흡입기를 이용한 하비갑개 수술의 장기적 효과에 대한 비교 연구

이승원; 신재민; 김효진; 김기현; 변장열; 조성훈; 이재용

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자료유형: 학술저널

저자정보: 이승원 신재민 김효진 김기현 변장열 조성훈 이재용

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제49권 제5호

발행연도: 2006.1

수록면: 510 - 516 (7page)

이용수

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연구주제

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연구배경

🔬

연구방법

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연구결과

초록· 키워드

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Background and Objectives：Various surgical methods have been tried to relieve the symptoms of nasal obstruction in patientswith inferior turbinate hypertrophy. Recently, coblators that use radiofrequency and microdebriders are increasingly usedin turbinate surgery. The aim of this study was to compare the long-term postoperative outcome between the coblator-assistedand microdebrider-assisted partial turbinoplasty. Subjects and Method：We selected 60 patients who had nasal obstruction andhypertrophied turbinate mucosa that was refractory to medical treatment. Thirty patients were treated with coblator (group 1)and 30 patients were treated with microdebrider (group 2). Postoperative changes in degree of nasal obstruction were evaluatedprospectively at 3, 6 and 12 months after the procedure. Cross-sectional area of second notch and volume of nasal cavity werecompared at 12 months after operation. Operation time, duration of crust formation, postnasal drip and postoperative bleedingwere also compared. Results：Nasal obstruction was improved significantly in both groups. However, statistical significance ofimprovement and rate of patient’s satisfaction at 12 months after surgery was higher in group 2. There were no significant differencesin the degree of postnasal drip, operation time and duration of crust formation between two groups. Conclusion：Thisstudy suggests that microdebrider-assisted partial turbinoplasty is more effective and satisfactory in long-term relief of nasalobstruction and reduction of mucosal volume in the anterior head of inferior turbinate. (Korean J Otolaryngol 2006;49:510-6)

#하비갑개 성형술·회전식 흡입기·무선주파. #Turbinoplasty·Microdebrider·Radiofrequency.

참고문헌 (11)

참고문헌 신청

/ 1999 / A safe, alternativetechnique for inferior turbinate reduction 109 : 1834 ~ 1837

/ 1999 / Endoscopic partial inferior turbinoplasty 121 : 406 ~ 409

/ 1999 / Treatment of hypertrophyof the inferior turbinate:Long-term results in 382 patients rand-omly assigned to therapy 108 : 569 ~ 575

/ 2000 / Treatment of inferior turbinate pathology:Areview and critical evaluation of the different techniques 38 : 157 ~ 166

/ 2002 / Laser-assisted versus collation-assisted partial turbinoplasty:Comparisonby their postoperative outcome 45 : 589 ~ 593

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