General turbinate mucosal resection

General nasal mucosa resection is the most common method for the treatment of nasal mucosa hyperplasia. Treatment of diseases: chronic hypertrophic rhinitis Indication Nasal mucosa hyperplasia. Contraindications 1, with systemic diseases, can not tolerate surgery. 2, local infection, not suitable for surgery. Preoperative preparation Antibiotics are routinely used before surgery. Surgical procedure According to the degree of mucosal hypertrophy, there are two surgical methods. If the hypertrophy is serious, the mucosa can not be retained, and the inferior turbinate is partially resected; if the turbinate hypertrophy is mainly based on bone hyperplasia, it can be used for submucosal partial resection: (A) partial inferior turbinate resection: take a semi-recumbent position or sitting position. Cut the hypertrophic mucosa at the front of the inferior turbinate with a turbinate scissors, and then use a snare to cover the back end of the thick inferior turbinate, and cut it together with the cut portion. After stopping bleeding with an adrenaline cotton sheet, the nasal cavity was blocked with an iodoform gauze strip. (B) submucosal partial resection of the inferior turbinate: a small incision in the front of the left inferior turbinate, deep into the inferior turbinate bone, thereby inserting a nasal scissors, cutting the lower edge of the inferior turbinate to form the inner and outer side flaps, and separating the inferior turbinate Bone, using bone scissors to remove hyperplastic bone. And press the degree of turbinate hypertrophy, the lateral flap is cut off as a strip wedge. After hemostasis, the inner and outer flaps of the lower turbinate are closed and sutured. If suturing is not possible, it can be directly blocked with Vaseline gauze or iodoform gauze, allowing it to heal itself.

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