Turbinotomy nasal conchae: what is it, laser turbinotomy, operation
What is turbinotomy nasal conchae?
Difficulty in nasal breathing often leads to complications and significantly reduces the quality of life of the patient. Turbinotomy is a surgical procedure for complete removal of the lower and middle turbinates of the nose or holding their resection. The goal of surgery is restoration of normal nasal breathing of the patient.
The need for surgical intervention is caused by the development of hypertrophic changes, resulting from a pathological increase in the size of turbinates, which ultimately leads to impaired breathing through the nose. We are talking about deformation processes leading to hypertrophy of the nasal mucosa and a proliferation of connective tissue. In some cases, changes are bone and cartilage.
The need for conchotomy
The conduct of conchotomy can be due to several reasons. Most often, the need for the surgery arises when hypertrophic changes of the turbinates occurred on the background of rhinitis, when it is established the rapid expansion of the epithelial tissue of the nasal mucosa. The same can be said about the deformation of the nasal septum, when the pathological process leads to the overlap of the nasal passages and the development of active inflammation.
Absolute indications for conchotomy are:
- breathing through the nose, protracted nature;
- sinusitis, which is characterized by a chronic process due to the increase in sinks is a violation of the outflow secretion of secretions from the sinuses, leading to closure of the anastomosis;
- otitis, sinusitis, passed into the chronic form;
- hypertrophy on the background of rhinitis;
- nasal atresia;
- congenital disorders of the anatomical structure of the nose;
- narrowed nasal passages.
Pathological proliferation of the nasal mucosa, in addition to chronic diseases, can contribute to long-term use of drugs with vasoconstrictor effect.
If conservative therapy has failed to normalize nasal breathing is possible only through radical measures – the resection of the walls of the nose. In some cases there is a necessity for rhinoplasty, produced with the aim of correcting nose shape.
Sometimes hypertrophic processes affect not only the mucosa of the nose, and part of the periosteum and bone.
Hyperplasia can grow on all parts of the turbinates, and manifest in the form of centers. In this case, the hypertrophic processes are subject to either the rear or front end of the turbinates. Often, chronic rhinitis entails a growth of the mucosa of the rear ends of the lower shells, respectively, of patients prescribed rear lower conchotomy.
It is worth noting that early in the disease rhinitis can be cured with drug therapy. If the disease is mild, can help treatments such as moxibustion, cryodestruction, ultrasound therapy.
In the case where States expressed the activated hypertrophy, in which there is an increase in mucous membrane and bone tissue, without surgery to do will be impossible.
Hypertrophic processes can be subjected to both the lower and middle basins. Most often patients are prescribed conchotomy bilateral inferior turbinates.
Contraindications to surgery
Turbinotomy is not simple manipulation, but it is a surgery, and quite serious, which in some cases may lead to the development of the consequences and complications. In addition, there are a number of contraindications, when such intervention is prohibited conduct.
These include the following:
- infectious disease characterized by acute course;
- the development of inflammation in the nasal cavity;
- diseases of the blood;
- endocrine disorders;
- functional disorders of cardiac activity;
- hepatic pathology;
- epileptic seizures.
Resection of the sinuses, as complete removal can not be done by pregnant women.
Methods of conchotomy
Surgery of the nose with the purpose of elimination of land with hypertrophied mucosa can be performed by means of resection and excision of modified epithelial tissue. It uses a special surgical instrument, called congocom.
In addition, there are other methods of conchotomy:
- correction laser;
- criodistruction — the use of liquid nitrogen at a low temperature;
- turbinotomy electrocoagulation — cauterizing the epithelium of current, it is advisable at the initial stage of hypertrophy;
- the use of cutting the bow loops;
- operation by exposure to ultrasound;
- radiosurgical technique;
Surgery using the wire loop is extremely rare. This is due to the fact that the operation is quite complex and in almost every case leads to increased morbidity. The intervention is performed under General anesthesia and recovery period you have several months. In addition, the probability of complications and the formation of residual scar formation.
In most cases, the prognosis after surgery to remove hypertrophic mucosa are favorable.
Laser turbinotomy nasal conchae
The most popular method is turbinotomy nasal conducted using laser. At the present stage is isolated and the contact surface of turbinectomy. As a rule, local anaesthesia, this intervention is sufficient. Surgery is done on an outpatient basis.
Cauterization the epithelium a laser is performed to the subsequent destruction of the excess breast tissue, formed in the nasal turbinates. Laser technique does not cause bleeding, is famous for its lack of trauma and does not cause inflammation. In addition, the recovery period after surgery is quick and painless.
Surgical ultrasound treatment is carried out using a special device called the disintegrator. The apparatus is introduced into the nasal cavity to influence on the epithelium.
Before surgery, the nasal mucosa is treated with a solution of lidocaine. The procedure is painless, has a small degree of trauma and well tolerated by patients.
One of the most modern techniques that are used successfully in the treatment of hypertrophic rhinitis, is an easy-to-turbinotomy. In this case, endoscopic equipment.
The operation is performed using a shaver is a special medical instrument, equipped with a blade and suction. During the surgery is endometry control: the image is displayed at a larger size.
Using this method can be done as a gentle front or back conchotomy and submucosal resection.
How is turbinotomy
The operation is performed either sitting in a surgical chair or in a reclining position in which the head should be slightly raised.
The essence of intervention is the excision sites with hypertrophied tissue. Turbinotomy provides an increase in the nasal passages and to facilitate breathing through the nose.
The duration of surgical procedures depends on the method of treatment and degree of neglect of the disease. Normally, the duration of surgery is about two hours.
In many cases the growth of fibrous tissue causes the development of deformation processes in the nasal septum.
In the circumstances conchotomy can be done in parallel with the resection of the bone and cartilage of the nasal septum.
The only way to achieve full recovery of nasal breathing.
Immediately after the operation is necessarily performed tamponade of the nose. For this purpose gauze turundy soaked in hemostatic solution. Swabs recovered from sinus 24 hours after surgical procedures.
Period after surgery
Immediately after conchotomy should avoid drinking too of hot and cold food and drinks. Recommended to drink as much as possible. In addition, should minimize physical exertion, to take it easy and not lift heavy things.
During the period of rehabilitation after surgery should strictly follow medical advice and strictly adhere to them.
Rehabilitation techniques involve the use of drugs by applying them to the areas of resection, and lavage of the nose softening solutions.
In the case of a successful operation nasal breathing is quickly restored, the swelling is removed, and a stuffy nose disappears. Normally, the duration of this period can vary from 7 to 21 days.
It is worth considering that turbinotomy nasal turbinate is a serious surgical procedure, this measure is caused by necessity of restoration of impaired breathing through the nose and remove excessively overgrown fibrous tissue of the turbinates. In some cases, it is expected that correction of the nasal septum.
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