Selection of 1.94-µm thulium fiber laser parameters for the submucosal coagulation of the inferior turbinates
- Autores: Karpishchenko S.А.1, Ryabova M.А.1, Ulupov M.Y.1, Yukina G.Y.1, Sukhorukova E.G.1, Rakhmonov J.O.1
-
Afiliações:
- Academician I.P. Pavlov First Saint Petersburg State Medical University
- Edição: Volume 30, Nº 1 (2024)
- Páginas: 27-33
- Seção: Original study
- ##submission.dateSubmitted##: 17.02.2024
- URL: https://journals.eco-vector.com/2310-3825/article/view/627056
- DOI: https://doi.org/10.33848/fopr627056
- ID: 627056
Citar
Resumo
BACKGROUND: Medical treatment often provides only short-term relief and is ineffective in many cases. Although surgical interventions for vasomotor rhinitis are effective, they are also associated with significant bleeding, nasal tamponade, and hospitalization.
AIM: This study aimed to determine the optimal parameters for laser treatment using a 1.94-µm wavelength on nasal turbinates in vasomotor rhinitis.
MATERIALS AND 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 to 5 W, with an interval of 1 W. The fiber movement speed was set at 4 mm/s. Each power level was tested five times for statistical analysis, and 10 samples were obtained for histological assessment.
RESULTS: With interstitial exposure, the largest coagulation area was observed at 3 W, and the overall diameter of the effect was on average 2.57 ± 0.1 mm.
CONCLUSIONS: The optimal balance between coagulation and ablation was achieved at a power level of 3 W during interstitial exposure.
Texto integral

Sobre autores
Sergey Karpishchenko
Academician I.P. Pavlov First Saint Petersburg State Medical University
Email: karpischenkos@mail.ru
ORCID ID: 0000-0003-1124-1937
Código SPIN: 1254-0263
MD, Dr. Sci. (Medicine), Professor
Rússia, Saint PetersburgMarina Ryabova
Academician I.P. Pavlov First Saint Petersburg State Medical University
Email: marinaryabova@mail.ru
ORCID ID: 0000-0002-6714-9454
Código SPIN: 3951-7190
MD, Dr. Sci. (Medicine), Professor
Rússia, Saint PetersburgMikxail Ulupov
Academician I.P. Pavlov First Saint Petersburg State Medical University
Email: mike.ulupov@gmail.com
ORCID ID: 0000-0002-8460-9889
Código SPIN: 1851-8202
MD, Cand. Sci. (Medicine), Assistant Professor
Rússia, Saint PetersburgGalina Yukina
Academician I.P. Pavlov First Saint Petersburg State Medical University
Email: pipson@inbox.ru
ORCID ID: 0000-0001-8888-4135
Código SPIN: 2533-2084
Assistant Professor
Rússia, Saint PetersburgElena Sukhorukova
Academician I.P. Pavlov First Saint Petersburg State Medical University
Email: len48@inbox.ru
ORCID ID: 0000-0001-5521-7248
Código SPIN: 2115-9041
Rússia, Saint Petersburg
Jakhongir Rakhmonov
Academician I.P. Pavlov First Saint Petersburg State Medical University
Autor responsável pela correspondência
Email: janik.27@mail.ru
ORCID ID: 0009-0005-9176-0156
Postgraduate student
Rússia, Saint PetersburgBibliografia
- Aref’eva NA, Vishnyakov VV, Karpishchenko SA, et al. Vasomotor rhinitis: pathogenesis, diagnosis and principles of treatment. Clinical recommendations. Moscow, 2014. 25 p. (In Russ.) EDN: SBUFCA
- Segboer C, Gevorgyan A, Avdeeva K, et al. Intranasal corticosteroids for non-allergic rhinitis. Cochrane Database Syst Rev. 2019;2019(11):CD010592. doi: 10.1002/14651858.CD010592.pub2
- Abdullah B, Singh S. Surgical interventions for inferior turbinate hypertrophy: a comprehensive review of current techniques and technologies. Int J Environ Res Public Health. 2021;18(7):3441. doi: 10.3390/ijerph18073441
- Karpishchenko SA, Ryabova MA, Ulupov MY. Laser surgery in otolaryngology at the present stage. Consilium Medicum. 2014;16(11):73–76. EDN: TESNBT
- Karpishchenko SA, Riabova MA, Ulupov MYu, et al. The choice of parameters for the laser application in ENT surgery. Russian Bulletin of Otorhinolaryngology. 2016;81(4):14–18. EDN: WHZZXR doi: 10.17116/otorino201681414-18
- Lau K, Stavrakas M, Ray J. Lasers in rhinology: an update. Ear Nose Throat J. 2021;100(1_suppl):77S–82S. doi: 10.1177/0145561320940115
- Kang SH, Lim S, Oh D, et al. Clinical feasibility trial of 1,940-nm diode laser in Korean patients with inferior turbinate hypertrophy. Medical Lasers. 2015;4(2):60–64. doi: 10.25289/ML.2015.4.2.60
- Ryabova MA, Ulupov MY, Shumilova NA, et al. Possibilities of sparing surgical treatment of vasomotor rhinitis in elderly. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2020;26(4):50–58. EDN: BLEEVM doi: 10.33848/foliorl23103825-2020-26-4-50-58
- Sroka R, Havel M, Betz C, et al. Clinical feasibility trial on 1940 nm Tm: fiber laser intervention of hyperplastic inferior nasal turbinates. Photonics Lasers Med. 2012;1(3):215–222. doi: 10.1515/plm-2012-0021
- Anderson M, Liang J. Trends in inferior turbinate surgery: analysis of patients using the Medicare database. Int Forum Allergy Rhinol. 2018;8(10):1169–1174. doi: 10.1002/alr.22169
- Ryabova MA, Ulupov MYu, Shumilova NA, et al. Comparison of cutting and coagulation properties of 1.56 and 1.94 µm fiber lasers and 0.98 µm semiconductor laser. Bulletin of Siberian Medicine. 2021;20(4):56–62. EDN: TIMMAW doi: 10.20538/1682-0363-2021-4-56-62
- Shakhnazarov AE, Lavrenova GV, Gaskova PI. Treatment of vasomotor rhinitis with liquid nitrogen. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2022;28(2):72–78. EDN: AOHCDY doi: 10.33848/foliorl23103825-2022-28-2-72-78
Arquivos suplementares
