The disintegration of the lower nasal turbinate in the treatment of hypertrophic vasomotor-allergic rhinitis

HOME » ENT
zapustevanie and vascular hypertrophic mucosa, and as a consequence of its reduction and normalization of nasal breathing.

Ultrasonic vibration tool coagulate vessels destroyed and virtually eliminates bleeding.
Local anesthesia is carried out on the nasal mucosa

First step: the translational motion is introduced ultrasound waveguide in the lower nasal turbinate mucosa - in the front end of it - the entire length of the shell. To control the second channel is parallel to the ultrasonic waveguide into the interior of the front end of the shell.
Mucosa treated patients are recommended anti-inflammatory ointments oil droplets (olive, soybean, corn, sunflower), histamine dasgs, hyposensitization therapy.
Control the next day, it relies toilet nasal mucosa, removed necrotic mass.

Second stage: after 3 weeks a ultrasonic disintegration medium (and, if possible, back) end of the lower nasal concha.

The results are very favorable.

Patient Z. 37 years. DS: vasomotor rhinitis, hypertrophy of the posterior end of the lower nasal concha.
Complaints about the lack of nasal breathing 18 years, sneezing in the morning, light watery nasal discharge (gidroreya). Naphazoline enjoys 15 years 2-3 times a day a month - 7-8 bottles.
Rinoskopicheski: nasal septum in the midline, stagnation in the front end of the lower nasal turbinate, edema, cyanosis, sinks in the form of a raspberry, rear ends bullosa thickened, cover hoany 1 / 3, nasal breathing is absent.

18/03/1998 made ultrasonic disintegration of the ZNG, the second - 05/04/1998, the third - 05.18.1998. Nasal breathing is fully restored. The patient is observed every six months.

On 14/12/2000 rinoskopicheski: mucosa pink, nasal passages free, nasal breathing is not impeded.

Treatment Results

      
    
    
    
    
    
  
      
    
    
    
    
    
  
      
    
    
    
    
    
    
    
    
  
      
    
    
    
    
    
    
    
    
  
      
    
    
    
    
    
    
    
    
  
      
    
    
    
    
    
    
    
    
  
      
Year
    
      
Prov. Sessions
    
      
number of patients
    
      
With the improvement of
    
      
unchanged.
    
      
With deterioration
    
      
abs.
    
      
%
    
      
abs.
    
      
%
    
      
abs.
    
      
%
    
      
1998
    
      
24
    
      
9
    
      
8
    
      
88,9%
    
      
1
    
      
11,1%
    
      
0
    
      
0,0%
    
      
1999
    
      
46
    
      
12
    
      
9
    
      
75,0%
    
      
3
    
      
25,0%
    
      
0
    
      
0,0%
    
      
2000
    
      
62
    
      
26
    
      
24
    
      
92,3%
    
      
2
    
      
7,7%
    
      
0
    
      
0,0%
    
      
Total
    
      
132
    
      
47
    
      
41
    
      
87,2%
    
      
6
    
      
12,8%
    
      
0
    
      
0,0%
    

rsrezult

Kopchenkova Natalya

|Views: 601