Two-year outcomes of radiofrequency device treatment of the nasal valve for nasal airway obstruction

被引:0
|
作者
Silvers, Stacey L. [1 ]
McDuffie, Chad M. [2 ]
Yen, David M. [3 ]
Rosenthal, Jon N. [4 ]
Davis, Steven E. [5 ]
Han, Joseph K. [6 ,7 ]
机构
[1] Madison ENT & Facial Plast Surg, New York, NY USA
[2] ENT Associates Texas, McKinney, TX USA
[3] Specialty Physician Associates, Bethlehem, PA USA
[4] ENT & Allergy Associates Florida, Coral Springs, FL USA
[5] Breath Clear Inst, Torrance, CA USA
[6] Eastern Virginia Med Sch, Dept Otolaryngol Head & Neck Surg, Norfolk, VA USA
[7] Eastern Virginia Med Sch, 600 Gresham Dr,Suite 1100, Norfolk, VA 23507 USA
关键词
nasal airway obstruction; nasal valve; radiofrequency; rhinoplasty; septal deviation; nasal obstruction symptom evaluation (NOSE);
D O I
10.4193/Rhin23.377
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Background: Temperature-controlled radiofrequency (TCRF) device treatment of nasal valve dysfunction (NVD) was superior to a sham procedure control in reducing the symptoms of nasal airway obstruction (NAO) in this randomised controlled trial (RCT). Methodology: Two-year outcomes for 108 patients actively treated in a prospective, multicenter, patient-blinded RCT were used to determine treatment effect durability and changes in medication/nasal dilator usage. A responder was defined as >= 20% reduction in NOSE score or >= 1 reduction in severity class. Results: The mean (SD) age of patients was 48.5 (12.3) years; 66 (61.1%) women. Baseline NOSE score was 76.3. The 2-year responder rate was 90.4% and NOSE score treatment effect was -41.7; 54.7% improvement. Of 57 patients using medications/nasal dilators at baseline, 45 (78.9%) either stopped all use (33.3%) or stopped/decreased (45.6%) use in >= 1 class at 2 years. Concurrent septal deviation, septal swell body, or turbinate enlargement did not significantly affect the odds of exhibiting a NOSE score of <= 25 at 2 years. Conclusions: TCRF device treatment of NVD resulted in significant and sustained improvements in the symptoms of NAO at 2 years, accompanied by a substantial reduction in medication/nasal dilator use.
引用
收藏
页数:13
相关论文
共 50 条
  • [1] Two-year outcomes of temperature-controlled radiofrequency device treatment of the nasal valve for patients with nasal airway obstruction
    Yao, William C.
    Pritikin, Jordan
    Sillers, Michael J.
    Barham, Henry P.
    [J]. LARYNGOSCOPE INVESTIGATIVE OTOLARYNGOLOGY, 2023, : 808 - 815
  • [2] Outcomes 12 Months After Temperature-Controlled Radiofrequency Device Treatment of the Nasal Valve for Patients With Nasal Airway Obstruction
    Han, Joseph K.
    Silvers, Stacey L.
    Rosenthal, Jon N.
    McDuffie, Chad M.
    Yen, David M.
    [J]. JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2022, 148 (10) : 940 - 946
  • [3] Effectiveness of Radiofrequency Device Treatment for Nasal Valve Collapse in Patients With Nasal Obstruction
    Kang, Yun Jin
    Kim, Do Hyun
    Stybayeva, Gulnaz
    Hwang, Se Hwan
    [J]. OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2024, 170 (01) : 34 - 44
  • [4] Temperature-controlled radiofrequency device treatment of the nasal valve for nasal airway obstruction: A randomized controlled trial
    Silvers, Stacey L.
    Rosenthal, Jon N.
    McDuffie, Chad M.
    Yen, David M.
    Han, Joseph K.
    [J]. INTERNATIONAL FORUM OF ALLERGY & RHINOLOGY, 2021, 11 (12) : 1676 - 1684
  • [5] Radiofrequency Treatment of Nasal Valve Obstruction
    van Ackeren, Konstantin
    Dazert, Stefan
    Seuthe, Inga
    Park, Jonas J. -H.
    [J]. LARYNGO-RHINO-OTOLOGIE, 2021, 100 (02) : 97 - 98
  • [6] In-office treatment of nasal valve obstruction using a novel, bipolar radiofrequency device
    Jacobowitz, Ofer
    Driver, Mark
    Ephrat, Moshe
    [J]. LARYNGOSCOPE INVESTIGATIVE OTOLARYNGOLOGY, 2019, 4 (02): : 211 - 217
  • [7] Regional Peak Mucosal Cooling Predicts Radiofrequency Treatment Outcomes of Nasal Valve Obstruction
    Wu, Zhenxing
    Krebs, Jillian P.
    Spector, Barak M.
    Otto, Bradley A.
    Zhao, Kai
    Farag, Alexander A.
    [J]. LARYNGOSCOPE, 2021, 131 (06): : E1760 - E1769
  • [8] Two-Year Outcomes After Radiofrequency Neurolysis of Posterior Nasal Nerve in Chronic Rhinitis
    Lee, Jivianne T.
    Abbas, Gregory M.
    Charous, Daniel D.
    Cuevas, Mandy
    Goektas, Oender
    Loftus, Patricia A.
    Nachlas, Nathan E.
    Toskala, Elina M.
    Watkins, Jeremy P.
    Brehmer, Detlef
    [J]. LARYNGOSCOPE, 2024, 134 (05): : 2077 - 2084
  • [9] The internal and external nasal valve: Role in nasal airway obstruction
    Constantian, MB
    Muzaffar, AR
    [J]. DALLAS RHINOPLASTY: NASAL SURGERY BY THE MASTERS, VOLS I AND II, 2002, : 635 - 642
  • [10] Nasal Obstruction: Radiofrequency Therapy Outcomes?
    Simon, Annika
    [J]. LARYNGO-RHINO-OTOLOGIE, 2021, 100 (09)