Radiofrequency volumetric tissue reduction (RFTR) is minimally invasive as a surgical option and can minimize tissue volume in a targeted and precise manner. The method utilizes radiofrequency to make lesions inside the submucosal tissue within the turbinate to reduce tissue volume with minimum impact on the surrounding tissue. This kind of surgery is fundamentally different from the usual methods that utilize low-powered radiofrequency energy to offer a fairly painless and quick procedure on the tissue coagulation.
Mucosal hypertrophy of the lower turbinate is a very common reason there is nasal obstruction, which is the reason for structural deformity along the nasal airways. Various interventions can be opted for treating nasal obstruction, which is second to turbinate hypertrophy. They include medical treatments like immunotherapy, use of intranasal corticosteroid sprays, taking of antihistamines and decongestants, and surgical choices like injections, corticosteroid turbinate injections, electrocautery, cryosurgery, microdebrider-assisted turbinoplasty, turbinate outfracture, submucous resection, and excision.
The goal of RFTR includes reduction of nasal obstruction, volume reduction, and maintaining of the nasal function to minimize complications. There is presently no designated most effective technique for doing this, and there have been a lot of studies done to analyze the results of radiofrequency-assited (RFA) turbinoplasty.
Additionally, there have been many reviews comparing RFA with microdebrider-assisted inferior turbinoplasty (MAIT). A number of experts find no significant differences in the results of the techniques within six months. But maintenance and improvement were significantly much better after three years. Results suggest that though MAIT and RFA both have statistically significant results in reducing nasal blockage, it has been discovered that MAIT is more efficient in reducing nasal volume.
Studies that focus on how RFA affects nasal histology discovered increases in mucociliary loss and times of nasal sensation. In spite of the unfavorable effects that have been reported, more research is still needed due to the short follow-ups during the early studies, which reported no bodily changes.