High-frequency rhinitis surgery has many benefits. It can eliminate nasal congestion and reduce sneezing in many cases. However, the surgery can damage postnasal nerve fibers. In general, this method has been found to reduce the severity of rhinitis and reduce the amount of sneezing and rhinorrhea in patients with allergies.
Outcomes
The high-frequency rhinitis surgery outcomes study aimed to determine the long-term efficacy of the procedure for patients with chronic rhinitis. Participants were eligible if they were dissatisfied with medical management and had received at least four weeks of intranasal steroids. Patients were also required to have a current allergy test on file and to complete it during the study.
The study enrolled 16 patients who underwent PNN with ST from January 2010 to December 2011. The data collected before and after the surgery were compared with data collected at the three-month and eight-year follow-up visit. The outcome data were assessed using the Japan Rhinoconjunctivitis Quality of Life Questionnaire No. 1 and the Classification of Severity of Allergic Rhinitis Symptoms I and II.
Results showed that the procedure has good long-term efficacy and safety, compared to traditional medical therapies. Moreover, it is easy to perform and has a low cost. In addition, patients can undergo the treatment in outpatient clinics. Overall, 80% of patients responded to the therapy for their main complaint.
High-frequency rhinitis surgery patients’ symptoms improved significantly, according to the outcomes of the study. The mean (SD) VAS score for nasal obstruction decreased from 6.65 (1.92) to 4.45 (2.54). The scores for sneezing and rhinorrhea improved as well.
The study also revealed that patients with chronic rhinitis experienced significant improvements in their symptoms and quality of life. Additionally, it showed that these results lasted for up to 24 months.
Complications
There are several common complications associated with high-frequency rhinitis surgery. These include poor wound healing, scarring, and allergic reactions to surgical materials. Patients with allergies should discuss these risks with their surgeon before having the procedure. Some patients may also experience altered nasal sensation, but this is generally temporary.
Surgical treatment will not cure the condition. However, it can help to reduce the number of episodes. Some patients may require several surgeries to resolve their problems. Surgical treatment may not be suitable for patients who experience only one or two episodes of recurring sinusitis each year. Surgical treatment should be considered only if medical therapy fails to reduce the severity or frequency of infections.
Allergies are one of the most common causes of rhinitis. While it was once considered a localized condition, it is now considered a component of systemic airway disease. Patients suffering from allergic rhinitis have goblet cells and ciliated epithelium that secrete mucous to protect the structures in the airway. In addition to goblet cells, the submucosa of the upper and lower airways contains blood vessels, nerves, and mucous glands.
In addition to undergoing a surgical procedure, patients can also undergo radio-wave therapy at a medical center. This treatment can relieve nasal congestion and can have a positive effect on the patient’s quality of life. Moreover, radio-wave frequency therapy can be used in outpatient clinics as well. The cost of radio-wave therapy is low, and the recovery period is short.
Despite the numerous complications associated with high-frequency rhinitis surgery, there are also several options for resolving this condition. One option is a posterior nasal neurectomy, which severs the nerve network from the sphenopalatine foramen into the nasal cavity. This type of surgery has fewer risks than the standard vidian neurectomy. However, the procedure is associated with a higher risk of trigeminal neuralgia and numbness.
Cost
The Cost of High-Frequency Rhinitis Surgery: What You Should Expect to Pay for the Surgery. The study used market data from the IBM MarketScan Research Database. The database enrolls nearly 50% of Medicare and commercial insurance plans. Its data includes patient diagnoses, medication prescriptions, and insurance claims.
In the United States, about 40 to 50 million people suffer from allergies. They can be debilitating and limit a patient’s quality of life. But with the help of an allergist-immunologist, patients can find a cure and live a normal life. Inflammation and irritation of the nasal passages cause rhinitis, which can manifest as runny nose, stuffy nose, or blocked nose. The body’s natural response to inflammation is to produce mucus to clear the blockage.
Radio-wave frequency therapy
Radio-wave frequency therapy (RWFT) is a low-cost procedure used for patients with intractable rhinitis. It is a non-invasive procedure and can be performed in an outpatient clinic. The procedure can be very effective for nasal congestion, particularly for patients with chronic vasomotor rhinitis.
The method is performed using an active electrode that emits radio waves when energized. There are a variety of electrode configurations and shapes available. The type of electrode used depends on the type of tissue being incised and the surgeon’s preference. For instance, a wire electrode with a large diameter can incise the subcutaneous layers. Its larger diameter allows it to disperse more heat laterally and seal small blood vessels.
The study included 59 patients who had radio-wave treatment between June 2000 and January 2002. They were followed for a minimum of 21 months and a maximum of 33 months. Another subgroup of 92 patients underwent surgery in two different time periods. After treatment, the patients were asked to complete a questionnaire at three, six, and nine months.
Patients’ subjective well-being was assessed at the first, third, and sixth month following surgery. The assessment included endoscopic examination of the lower shells of the nose, as well as subjective parameters (VAS and VPS). The study found that 90% of patients reported worsening symptoms during the first week. Symptoms included nasal congestion, rhinorrhea, nasal secretion, and mild local pain.
After treatment, 80% of patients reported an improvement in symptoms, and the majority of them reported significant relief. After one to three months, most patients experienced only minor nasal obstruction, and their nasal obstruction became significantly less persistent as time went by. They also reported an improvement in odor threshold and no need for nasal drops.
Cold technique for rhinitis surgery
The Cold technique for high-frequency rhinitis surgery is an outpatient, non-invasive procedure that improves nasal function. The procedure is also relatively painless and requires local anesthesia. The surgeon inserts a laser fiber under local anesthesia, which vaporizes connective tissue beneath the mucous membrane. This healing creates space in the nose, allowing unrestricted breathing. The Cold technique requires minimal recovery time, and the patient can usually return to work and normal activities the day after surgery. Older methods of rhinoplasty involved further interventions in the nasal cavity and the potential for crust formation.
The Cold technique for high-frequency rhinoplasty is the most conservative procedure. The procedure is the same as a coblation, but does not use saline. The Cold technique for high-frequency rhinitis surgery is based on the concept of intraturbinoplasty. The procedure uses energy that varies in temperature from 60 to 90 degrees Celsius, limiting the amount of tissue injury and heat dissipation.
This surgical technique is performed with an endoscopic device that allows for more control over the outcome. It is characterized by endoscopic guidance, and is done with a 4-mm diameter 0deg endoscope. The endoscope is attached to a microdebrider that consists of a blunt-ended rotating blade. The surgeon moves the blade along the inferior medial edge of the nose, moving the blade twice in each pass in a posteroanterior direction. The procedure takes only one to two minutes for each nasal cavity.
Professional level articles are intended for medical professionals and are usually complex and lengthy. They contain multiple references to support the research. They are the best choice for those who are familiar with medical terminology and wish to read materials similar to those used by doctors. Hellings and the European Academy of Allergy and Asthma are two excellent sources for this type of material.