Selection of 1.94 µm Thulium Fiber Laser Parameters for Submucosal Coagulation of the Inferior Turbinates

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Abstract

Introduction:

Medical treatment often provides only short-term relief and is ineffective in many cases. Surgical interventions for vasomotor rhinitis, while effective, are associated with significant bleeding, nasal tamponade and hospitalization.

Objective:

To determine the optimal parameters for laser treatment using a 1.94 μm wavelength on nasal turbinates in vasomotor rhinitis.

Methods:

The coagulation potential of the 1.94 μm wavelength on calf kidney tissue was investigated to guide the selection of laser parameters for nasal turbinates. Interstitial coagulation was performed on calf kidney tissue at power levels ranging from 1 W to 5 W with a 1 W interval. The fiber movement speed was set at 4 mm per second. Each power level was tested five times for statistical analysis, and ten samples were obtained for histological assessment.

As a result of the research, it was found that with interstitial exposure, the largest area of coagulation is observed at a power of 3 W, and the overall diameter of the impact is on average 2.57 ± 0.1 mm.

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About the authors

Sergey А. Karpishchenko

Pavlov First Saint Petersburg State Medical University

Email: karpischenkos@mail.ru
ORCID iD: 0000-0003-1124-1937
SPIN-code: 1254-0263

D. Sc. (medicine), Professor, Head of department of Otorhinolaryngology with Clinic of Pavlov First Saint Petersburg State Medical University

Russian Federation, 197022, Saint Petersburg, Russia. L'va Tolstogo str. 6-8

Marina А. Ryabova

Pavlov First Saint Petersburg State Medical University

Email: marinaryabova@mail.ru
ORCID iD: 0000-0002-6714-9454
SPIN-code: 3951-7190

Doctor of Medical Sciences, Professor of the Department of Otorhinolaryngology with clinic of Academician I.P. Pavlov First St. Petersburg State Medical University

Russian Federation, 197022, Saint Petersburg, Russia. L'va Tolstogo str. 6-8

Mikxail Yu. Ulupov

Pavlov First Saint Petersburg State Medical University

Email: mike.ulupov@gmail.com
ORCID iD: 0000-0002-8460-9889
SPIN-code: 1851-8202

Candidate of medical sciences, associate professor of the Department of Otorhinolaryngology with clinic of
Academician I.P. Pavlov First St. Petersburg State Medical
University

Russian Federation, 97022, Saint Petersburg, Russia. L'va Tolstogo str. 6-8

Galina Yu. Yukina

Pavlov First Saint Petersburg State Medical University

Email: pipson@inbox.ru
ORCID iD: 0000-0001-8888-4135
SPIN-code: 2533-2084

Head laboratory of pathomorphology of the scientific and clinical center of pathomorphology 

Russian Federation, 197022, Saint Petersburg, Russia. L'va Tolstogo str. 6-8

Elena G. Sukhorukova

Pavlov First Saint Petersburg State Medical University

Email: len48@inbox.ru
ORCID iD: 0000-0001-5521-7248
SPIN-code: 2115-9041

Senior researcher of laboratory of pathomorphology, scientific and clinical center of pathomorphology.

Russian Federation, 197022, Saint Petersburg, Russia. L'va Tolstogo str. 6-8.

Jakhongir O. Rakhmonov

Pavlov First Saint Petersburg State Medical University

Author for correspondence.
Email: janik.27@mail.ru
ORCID iD: 0009-0005-9176-0156

Postgraduate student of the Department of Otorhinolaryngology with clinic of Academician I.P. Pavlov First St. Petersburg State Medical University

Russian Federation, 197022, Saint Petersburg, Russia. L'va Tolstogo str. 6-8

References

  1. Lopatin A. S. Vasomotor rhinitis: pathogenesis, diagnosis and principles of treatment. Clinical recommendations (edited by AS Lopatin). – 2014.
  2. Segboer C. et al. Intranasal corticosteroids for non‐allergic rhinitis //Cochrane Database of Systematic Reviews. – 2019. – №. 11.
  3. Abdullah B., Singh S. Surgical interventions for inferior turbinate hypertrophy: a comprehensive review of current techniques and technologies //International Journal of Environmental Research and Public Health. – 2021. – Т. 18. – №. 7. – С. 3441.
  4. Karpishchenko S.A., Ryabova M.A., Ulupov M.Y. Laser surgery in otolaryngology at the present stage // Consilium Medicum. - 2014. - Vol. 16. - N. 11. - P. 73-76.
  5. Karpishchenko SA, Riabova MA, Ulupov MYu, Shumilova NA, Portnov GV. The choice of parameters for the laser application in ENT surgery. Vestnik Oto-Rino-Laringologii. 2016;81(4):14 18.
  6. Lau K., Stavrakas M., Ray J. Lasers in Rhinology—An Update //Ear, Nose & Throat Journal. – 2021. – Т. 100. – №. 1_suppl. – С. 77S-82S.
  7. Kang S. H. et al. Clinical feasibility trial of 1,940-nm diode laser in Korean patients with inferior turbinate hypertrophy //Medical Lasers. – 2015. – Т. 4. – №. 2. – С. 60-64.
  8. Ryabova M.A., Ulupov M.Y., Shumilova N.A. et al.: Possibilities of sparing surgical treatment of vasomotor rhinitis in elderly. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae 2020; 26 (4): pp. 50-58. doi: 10.33848/foliorl23103825-2020-26-4-50-58
  9. Sroka R, Havel M, Betz C, Kremser T, Leunig A. Clinical feasibility trial on 1940 nm Tm: fiber laser intervention of hyperplastic inferior nasal turbinates. Photonics Lasers Med 2012; 1: 215–222.
  10. Anderson M, Liang J. Trends in inferior turbinate surgery: analysis of patients using the Medicare database. Int Forum Allergy Rhinol. 2018 Oct;8(10):1169-1174.
  11. Comparison of cutting and coagulation properties of 1.56 and 1.94 µm fiber lasers and 0.98 µm semiconductor laser Ryabova M.A., Ulupov M.Yu., Shumilova N.A., Portnov G.V., Tikhomirova E.K., Malkova M.E. Bulletin of Siberian Medicine. 2021;20(4):56–62.
  12. Shakhnazarov A.E., Lavrenova G.V., Gaskova P.I. Treatment of vasomotor rhinitis with liquid nitrogen. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae 2022; 28 (2): pp.72-78.
  13. Orhan I, Ayd1n S, Ormeci T, Y1ilmaz F. A Radiological Analysis of Inferior Turbinate in Patients with Deviated Nasal Septum by Using Computed Tomography. American Journal of Rhinology & Allergy. 2014;28(1): e68-e72. doi: 10.2500/ajra.2014.28.4007

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