Title: Role of Cryosurgery in Allergic Rhinitis- A Study of 50 Cases
Authors: Dr Dimple Sahni, Dr Jaswinder Singh, Dr S. K. Verma
DOI: http://dx.doi.org/10.18535/jmscr/v4i9.88
Allergic rhinitis is one of the commonest diseases that otolaryngologist treat. Aims and objectives; 1.To evaluate the role of cryo surgery as one of the alternative modalities in management of chronic allergic rhinitis and its benefits in the symptoms of nasal blockade, rhinorrhoea, and sneezing. 2. To study the nature and incidence of immediate and late morbidity following cryosurgery Material methods: Detail study of 50 cases of chronic allergic rhinitis patients was done over a period of two years and they were treated with cryosurgery and were followed up at monthly intervals for a period of one year and the response was evaluated in terms of relief of symptoms. Results: Obstructive symptoms were eliminated in 93% and rhinorrhoea was relieved in 81%, cases and sneezing in 70% cases. Complications were minor; mild postoperative pain, head ache and slight bleeding were encountered in immediate post operative period. Three patients developed synechia after one month of cryosurgery which removed and patient regained good nasal patency. Conclusion: This cryotherapy technique provides significantly improved results in the treatment of chronic allergic rhinitis. Cryoablation procedures on the inferior nasal concha are not the primary therapy, but together with other methods they can immensely improve the life comfort of a rhinitis patient. Keywords: cryosurgery, chronic allergic rhinitis, nasal obstruction, sneezing, nasal discharge. 1. Aller 125 Dykewicz MS, Hamilos DL (February 2010). "Rhinitis and sinusitis". The Journal of (2 Suppl 2): S103-15. doi: 10. 1016/j.jaci.2009.12.989. PMI Dgy and Clinical Immunology. 2. Bicknell P.G.()1979):Cryosurgery of allergic and vasomotor rhinitis technique and patient selection for improved results: Laryungo scope 94:539-544. 3. Voorhost R. Spieksma Boezeman MI A and Spieksman F.T.M. (1967): Identify with the houst-dust allergen Jornal of allergy 39, 325 4. Schacter J. Higgin M.W (1976): 4. Mabry RZ. Inferior turbinoplasty patient selection technique and long term consequences. Otolaryngol and Head Neck Surg. 1988;98:60-66. 5. Cahan WG and Montesa AF. Cryotonsill-ectomy in dogs. Arch Oto-Laryngol 1965; 81:372-87. 6. Ozenberg JM. Cryosurgery in chronic rhinitis. The Laryngoscope 1970;80:723-34. 7. Lezinski A, Jurkienwicz D and Hermanowski M. N20 cryotherapy in treating allergic rhinitis. Pneumonol Alergol Pol 1993;61L7-8)405-8. 8. Tuli BS and Parar TL. A review of 731 cases of inferior turbinaectoies. Ind J. Otolaryngol and Head and Neck 1992;1(3):129. 9. Vasundhara P Varute, Pratap A Varute, Rutuja More, Prajktha Patil. A study of chronic allergic rhinitis in rural International Journal of Recent Trends in Science and Technology. September 2015; 16(2): 366-370. 10. James JA. Diseases of ear, nose and throat. Butterworth & Co. Ltd. London, 2nd Ed; 1965:353-73. 11. Shigehito M and Shingehaw F. Long term effect of submucus turbinnnnectomy in patients with perennial allergic rhinitis. The Laryngoscope 2002;112-:805-69. 12. Charles L Hill et al. Symposiu on cryo-surgery Pathophysiology effect of cryos-urgery. The Laryngoscopy 78;620-22,663. 13. Saurabh Varshnney (1997): Cryosurgery in Allergic Rhinitis. Indian Journal of Otolaryngology and HNS/Volumen49 No.1 Jan-March 1997. 14. Kakkar PK. Arora et al. Adrenergic funct-ion in nasal allergy Ind J Otol 1976;2:81. 15. Rakover Y and Rosen G. A Comparison of partial inferior turbinectomy and cryosurg-ery of hypertropic inferior turbinate. J Laryngol Otolo 1996;110:732-35. 16. Dhingra PL. Allergic rhinitis. Disease of Ear, Nose and Throat, 3rd edn; 2004:205. 17. Holden H.B and Mc Kelvie P (1972): Application of freezing to the inferior turbinates. Journal of Laryngology 86, 821 18. Poswillo 1971: Cryosurgery by H.B. Holden Recent advances of otolaryngo-logy vol no.4 (1973) 335-344. 19. Mary Y.K (1987): A study of use cryo in the management of Allergic rhinitis. A Paper 20. Frader J and Gill W. Cryosurgery in ENT Practice. Br J Surg 1967;54:770Abstract
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