title: Coblation nasal septal swell body reduction for treatment of nasal obstruction: a preliminary report.
abstract: In this paper, we present the results of coblation nasal septal swell body (NSB) reduction for the treatment of nasal obstruction in patients with abnormally thickened NSB. The study design was a retrospective clinical series conducted at a single tertiary medical center. Eight patients underwent coblation NSB reduction. Pre-operative and post-operative nasal functions were evaluated by acoustic rhinometry and subjective symptom scales. We also analyzed pre-operative CT scan images and nasal endoscopic findings. The mean maximal NSB width was 16.4 ± 2.2 mm on pre-operative coronal CT scan images. The mean visual analog scale score for nasal obstruction was decreased from preoperative 7.63 ± 0.99 points to 3.88 ± 0.92 points (postoperative 3 months), 4.16 ± 0.78 points (postoperative 6 months), and 4.63 ± 0.69 points (postoperative 1 year). Six out of the eight patients were satisfied with the clinical outcome at 1 year after the procedure. To the best of our knowledge, coblation NSB reduction has not yet been reported in the medical literature. Our results show that it can be an effective treatment modality for nasal valve narrowing in patients with abnormally thickened NSB.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Ewha Womans University School of Medicine, 911-1 Mok-Dong, Yang Cheon-Ku, Seoul, 158-710, Korea.
authors.forename: So Jeong
authors.initials: SJ
authors.lastname: Kim
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Ewha Womans University School of Medicine, 911-1 Mok-Dong, Yang Cheon-Ku, Seoul, 158-710, Korea.
authors.forename: Hee Tae
authors.initials: HT
authors.lastname: Kim
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Ewha Womans University School of Medicine, 911-1 Mok-Dong, Yang Cheon-Ku, Seoul, 158-710, Korea.
authors.forename: Yun Hwi
authors.initials: YH
authors.lastname: Park
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Ewha Womans University School of Medicine, 911-1 Mok-Dong, Yang Cheon-Ku, Seoul, 158-710, Korea.
authors.forename: Ju Yeon
authors.initials: JY
authors.lastname: Kim
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Ewha Womans University School of Medicine, 911-1 Mok-Dong, Yang Cheon-Ku, Seoul, 158-710, Korea. jhent@ewha.ac.kr.
authors.forename: Jung Ho
authors.initials: JH
authors.lastname: Bae
mesh_terms: D055011:Ablation Techniques / Q000009:adverse effects / Q000379:methods; D000328:Adult; D004724:Endoscopy / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D015508:Nasal Obstruction / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D009300:Nasal Septum / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D059747:Nasal Surgical Procedures / Q000009:adverse effects / Q000379:methods; D011184:Postoperative Period; D020127:Recovery of Function; D056910:Republic of Korea; D012189:Retrospective Studies; D023842:Rhinometry, Acoustic / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
keywords: Coblation; Nasal obstruction; Nasal valve; Radiofrequency; Septal swell body