[en] [en] OBJECTIVE: turbinate surgery in pediatric patients is gradually increasing in popularity amongst pediatric otolaryngologists. However, despite this, there is scarce information regarding this surgical procedure in children. The present research is designed with the aim of assessing changes in nasal resistance, nasal airflow and quality of life in pediatric patients undergoing turbinate radiofrequency ablation.
METHODS: A prospective uncontrolled intervention clinical trial design was followed. Children between 4 and 15 years old undergoing turbinate radiodiofrequency ablation (TRA) were consecutively selected. Children were examined preoperatively and 1, 3, 6 and 12 months after turbinate surgery. Anterior active rhinomanometry with and without nasal decongestant and examination of the turbinates and adenoid size were carried out in each follow-up visit. The SN5 quality of live survey was answered by parents.
RESULTS: 81 children were included, 28 with associated adenoidectomy. A significant improvement in quality of life was demonstrated since the first month after TRA. Regarding nasal resistance, there was an improvement 1 month after surgery, but it only reached statistical significance for the whole sample (p < 0.001)) and for the cohort of isolated turbinate surgery (p < 0.001) at 3 months, while the values for the cohort of children who underwent adenoidectomy reached significance at 6 months after surgery (p = 0.04). The difference in nasal resistance before and after decongestant was compared to the change in nasal resistance after surgery. It demonstrated a strong correlation with the change in nasal resistance at 1 month (R = 0.985; p < 0.001), 3 months (R = 0.995; p < 0.001), 6 months (R = 0.98; p < 0.001) and 12 months (R = 0.98; p < 0.001) after surgery.
CONCLUSIONS: turbinate surgery in pediatric patients seems to be a safe procedure which objectively and subjectively improves the symptoms of children suffering from nasal obstruction.
Disciplines :
Otolaryngology
Author, co-author :
Calvo-Henriquez, Christian ; Rhinology Study Group of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Paris, France, Service of Otolaryngology, Rhinology Unit. Hospital Complex of Santiago de Compostela. - Santiago de Compostela, Spain. Electronic address: christian.ezequiel.calvo.henriquez@sergas.es
Lechien, Jérome ; Université de Mons - UMONS > Faculté de Psychologie et des Sciences de l'Education > Service de Métrologie et Sciences du langage
Méndez-Benegassi, Iván; Service of Otolaryngology, Rhinology Unit. University Hospital Rey Juan Carlos, Madrid, Spain
Benoliel, Alejandro Lowy; Service of Otolaryngology, Pediatric Otolaryngology Unit. Gregorio Marañol University Hospital, Madrid, Spain
Faraldo-García, Ana; Rhinology Study Group of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Paris, France, Service of Otolaryngology, Pediatric Otolaryngology acUnit. Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain
Martínez-Capoccioni, Gabriel; Rhinology Study Group of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Paris, France, Service of Otolaryngology, Rhinology Unit. Hospital Complex of Santiago de Compostela. - Santiago de Compostela, Spain
Neves, J Carlos; Rhinology Study Group of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Paris, France, MyFace Clinics and Academy. Lisbon, Portugal
Martin-Martin, Carlos; Service of Otolaryngology, Rhinology Unit. Hospital Complex of Santiago de Compostela. - Santiago de Compostela, Spain
Language :
English
Title :
Pediatric turbinate radiofrequency ablation improves quality of life and rhinomanometric values. A prospective study.
Publication date :
March 2022
Journal title :
International Journal of Pediatric Otorhinolaryngology
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