Effect of High-Intensity Focused Ultrasound Versus Plasma Radiofrequency Ablation on Recurrent Allergic Rhinitis

Bing Zhong, Lin-Ke Li, Di Deng, Jin-Tao Du, Ya-Feng Liu, Feng Liu, Shi-Xi Liu, Bing Zhong, Lin-Ke Li, Di Deng, Jin-Tao Du, Ya-Feng Liu, Feng Liu, Shi-Xi Liu

Abstract

BACKGROUND High-intensity focused ultrasound (HIFU) and plasma radiofrequency ablation (PRA) have been used to treat recurrent allergic rhinitis (AR); however, there is a lack of literature comparing the efficacy of these 2 methods. We assessed and compared the therapeutic effects of HIFU and PRA on recurrent AR. MATERIAL AND METHODS We enrolled 66 patients with recurrent AR at West China Hospital of Sichuan University. Visual analogue score (VAS), pain score, rhinoconjunctivitis quality of life questionnaire (RQLQ), and nasal endoscopy were performed to evaluate the therapeutic effect. RESULTS Nasal endoscopy showed that HIFU and PAR reduced the volume of the inferior turbinate, whereas HIFU reduced the amount of nasal secretions in patients. VAS scores showed that HIFU and PRA nasal congestion symptoms were significantly reduced (P<0.05). The preoperative VAS scores for nasal fluid and sneezing were significantly lower in patients receiving HIFU (P<0.05) than in those receiving PRA (P>0.05). HIFU-treated patients had significantly lower postoperative pain scores than those in the PRA group (P<0.05). RQLQ showed activity, sleep, and non-nasal or ocular symptoms, and both HIFU and PRA patients had significantly lower scores (P<0.05). Nasal symptom scores, actual problems, and mood in the HIFU group were significantly worse than those in the PRA group (P<0.05). However, neither treatment had a significant effect on ocular symptoms (P>0.05). CONCLUSIONS Compared with PRA, HIFU can significantly reduce the nasal symptoms of AR patients, improve the quality of life, and can be used as an adjuvant therapy with better therapeutic effect.

Figures

Figure 1
Figure 1
Preoperative and postoperative endoscopic examination. HIFU, (A–E). PRA, (F–J). (A, F) Preoperative nasal endoscopy. (B, G) The results of the endoscopic examination showed that both HIFU and PRA significantly reduced the secretion of turbinate edema and AR at 1 month. (C, H) Nasal endoscopy of 3 months. (D, I) The PAR group showed swollen turbinate and a small amount of secretion compared with the HIFU group at 6 months. (E, J) The swollen turbinates and secretions were seen in the PRA group compared with those in the HIFU group at 12 months. HIFU – high-intensity focused ultrasound; PRA – plasma radiofrequency ablation.

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