Ultrasonic disintegration of the inferior turbinate: reviews
What is ultrasonic disintegration of the inferior turbinate?
The upper respiratory tract are compensation mechanisms providing adaptation of organ systems to the effects of pathogenic organisms, changes in environmental conditions. The development of nasal obstruction is that it may reduce gas exchange, venous stagnation in the lower parts of the brain, disorders of the Central nervous system in children with deformity of facial bones and chest.
Treatment of ENT-pathologies provides a wide variety of therapeutic interventions. Increasingly important in otolaryngology becoming a method for ultrasonic azotemia. Surgery such patients not experiencing pain, and the risk of complications is minimal.
Morphological features of the nasal cavities
Turbinate are present on the sides of the nasal cavity in the anatomy of adults and children. Are paired bones, the space between which is divided by the nasal passages. Depending on the localization distinguish lower, middle and upper basins.
They are designed to support respiratory function, conversion of oxygen (moisturizing and cleansing) prior to contact with the inner shell.
The reason for surgical treatment is mucosal hypertrophy of the inferior turbinates, where the education is completely or partially block the message of the nasal cavity with the outside world.
The main reason for the growth of paired bone structures, dysfunction of the vascular plexus are the following factors:
- vasomotor rhinitis;
- hormonal imbalance;
- excessive physical load;
- a deviated septum;
- allergic reaction;
- proliferative inflammation.
In the process of pathological changes occurs swelling of the cavernous sinuses of the nasal projection, which reduces the airway. The clinical picture is completed by the secretion of copious amounts aconselho secret that accumulates in the paranasal sinuses, contributing to the growth and propagation of pathogenic agents.
What is vagotomy turbinates can be found here.
The concept of «ultrasound of the lower nasal turbinate»
In 1978 L. A. Ferkelman with a group of biophysicists from the Rostov State medical Institute under the leadership of V. M. Loubet has patented a working instrument for ultrasonic action on biological tissue.
What is ultrasonic disintegration of the inferior turbinate (abbreviated as USD NNR)? The procedure involves surgical effects on paired bone structure, but rather on the epithelial tissue and the nasal septum between the upper and lower nasal turbinates.
Under the influence of ultrasound is the destruction of choroid microvasculature of the mucosa, the site of which formed the new combination.
Nuance! Procedure ultrasound is prescribed when resistance to medical drugs, the lack of positive dynamics in the vasomotor and allergic rhinitis, chronic rhinitis different etiologies.
The reduction of the mucus layer provides the patency of the nasal passages, improving the quality of aeration of the paranasal sinuses. Patient testimonials confirm instant relief of masterstroke, restore natural breathing.
The duration varies from 5 minutes to quarters of an hour depending on the complexity of the clinical picture.
Is performed under local or General anesthesia in an outpatient setting in three stages:
- Training. The feasibility of ultrasonic azotemia defines audiologist on the basis of a diagnostic examination and blood test. Strong focus on the level of platelets responsible for blood clotting. The condition of the nasopharynx was evaluated using instrumental methods. In the absence of contraindications the doctor appoints the date of operation.
- The progress of the operation. Through microprotol in the lower submucosa of the turbinates introduced a special volnovod with spokes. Ultrasonic waves with the amplitude of vibrations 20-100 kHz are sent focal, exerting a destructive effect on soft tissue. The frequency and amplitude of the ultrasonic generator automatically adapts to the anatomical features of the upper body. Completes the manipulation of the introduction of cotton-gauze turundae in the nose.
- Recovery. To leave a medical facility the patient after 10 to 15 minutes after therapeutic interventions. However, requires medical surveillance for 7-10 days. On average, full recovery nasal function takes about 6 days. For the operating characteristic of minor bleeding, which is normal. In the absence of complications the attending physician removes the tampons for 2-3 days.
For reference! To reduce the sensitivity of upper body the doctor uses lidocaine in equal proportions with adrenaline, or Xylometazoline.
The advantage of ultrasonic azotemia is the long-term preservation of the quality of nasal breathing, minimal rehabilitation period. Among the possible complications include atrophy of the mucosa with blood circulation, followed by the addition of bacterial infection.
Pricing forms the reputation of the clinic, the complexity of the surgery. The procedure cost starts from 3000 rubles to 30,000.
Larissa. I have a chronic form of vasomotor rhinitis. The attending physician made complex regimen of pharmaceutical drugs of different groups. A positive result was not. Nasal congestion retreated only after irrigation of the nasal passages vasoconstrictor drops. When after 6 hours they stopped to act, the quality of breathing worsened again. Otolaryngologist appointed ultrasound of the lower turbinates.
From «fly in the ointment». Want to refute the statement that the procedure is quite painless. The discomfort was, though short 5-10 seconds can be tolerated. It was hard the first 2 days, when nose put cotton swabs. Breathe had a mouth that for me is extremely difficult, so for 2 nights lost sleep. From advantages I will note long-lasting results, for 11 month, not relapse. Besides, the operation is minimally invasive, with minimal chance of bleeding, does not require special preparation and prolonged recovery.
Gentle technique effects, high therapeutic efficacy can recommend ultrasound paired bone structures for a wide outpatient practice.
To prevent postoperative complications in the minimally invasive surgery must be carried out by a qualified doctor. Required from the patient and regular visits to the doctor during the rehabilitation period, the implementation of its recommendations.