Laser cautery of the inferior turbinates for the treatment of rhinitis
has been shown to be as effective as sub-mucosal diathermy in the sho
rt-term and to produce less morbidity. However, the long-term effects
are unknown. A cohort of patients who were treated by either of these
methods were reviewed 1 year after treatment. Subjective and objective
measurements of airway obstruction were performed using a linear anal
ogue scale and a nasal peak inspiratory flowmeter. The results obtaine
d were compared with those recorded pre-operatively, 3 days post-opera
tively and 6 days post-operatively. In contrast to the results of sub-
mucous diathermy of the inferior turbinates for the treatment of rhini
tis, the reduction in subjective nasal airway obstruction obtained by
laser cautery to the inferior turbinates is maintained 1 year after su
rgery. Neither method of turbinate reduction was associated with a sus
tained objective improvement in nasal airway patency as measured by pe
ak nasal inspiratory flow rate determinations.