Diode laser treatment in therapy-resistant allergic rhinitis: impact on nasal obstruction and associated symptoms.

Lasers in Medical Science
Philipp P CaffierAndreas Haisch

Abstract

The ideal treatment in severe obstructive allergic rhinitis unresponsive to standard therapy is lacking. This study aimed to evaluate the efficacy of endonasal corrective laser surgery in perennial (pAR) and seasonal (sAR) allergic rhinitis. Forty subjects (20 pAR, 20 sAR) underwent videoendoscopic diode laser surgery. Examinations were performed preoperatively and at follow-ups 1, 12, and 24 months after surgery, including objective parameters (rhinomanometry, videoendoscopy, allergy tests) and subjective visual analog scales (evaluation of surgery, satisfaction, allergic symptoms). Of all patients, 95% received inferior turbinate, 40% septal, and 15% middle turbinate surgery. Postoperatively, two subjects showed considerable residual symptomatology (95% response rate). Throughout follow-up, objective rhinomanometry and subjective scores for nasal obstruction, rhinorrhea, sneezing, itching, and overall satisfaction improved significantly with time (p < 0.0005). The improvement was greatest for nasal obstruction, initially higher in pAR but more sustained in sAR. After 2 years, 30% sAR and 40% pAR subjects had been receiving pharmacotherapy due to recurrent symptoms. The allergic condition remained unchanged (skin and in-vitro ...Continue Reading

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Citations

Jan 10, 2014·Lasers in Medical Science·Hyun Wook Kang
Jan 11, 2014·Current Allergy and Asthma Reports·Arthur W Wu, Jonathan Y Ting
May 31, 2011·Otolaryngologic Clinics of North America·Nipun Chhabra, Steven M Houser
Sep 4, 2014·International Forum of Allergy & Rhinology·Nipun Chhabra, Steven M Houser
Apr 11, 2012·Current Opinion in Otolaryngology & Head and Neck Surgery·Nipun Chhabra, Steven M Houser
Feb 14, 2018·International Forum of Allergy & Rhinology·Sarah K WiseMark Zacharek
Jun 28, 2018·Allergy, Asthma & Immunology Research·Lei ChengLuo Zhang
May 27, 2020·Ear, Nose, & Throat Journal·Anna KankaanpääJura Numminen
Oct 7, 2021·The Annals of Otology, Rhinology, and Laryngology·Teemu Harju, Jura Numminen
Jun 4, 2011·Current Opinion in Otolaryngology & Head and Neck Surgery

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