nasal polyp removal

Nasal polyps are common diseases of otolaryngology, single or multiple, from the nasal cavity or sinus, mostly bilateral; the primary site is ethmoid sinus, it is multiple. The cause of the disease may be infection or allergy. According to Bermouill's theory, air passes through a narrow nasal cavity (such as a curved septum), which creates a negative pressure in the adjacent tissue, which reduces the extravascular fluid pressure, increases tissue edema, and excessive fluid in the ethmoid sinus or maxillary sinus loose mucous membrane. And the formation of polyps. Children with multiple polyps should consider cystic fibrosis, also known as gel thick mucus. The best treatment time: general surgery is recommended to be treated after the initial diagnosis of the disease, special surgery should be prescribed. Treating diseases: nasal polyps Indication Suitable for nasal polyps or posterior nostril polyps. Contraindications Patients with poor cardiac function compensation, high blood pressure, bleeding disorders, and recent upper respiratory tract infections should be suspended. Preoperative preparation 1, the preoperative day to check the nasal cavity for inflammation and secretions, and determine the range of the inferior turbinate to be removed, while cutting off the nose hair, clean the nasal cavity. 2, preoperative night service Xixi (Anding) 5mg. Surgical procedure 1. Use a snare to cover the lower end and the back end of the nasal polyp, move the snare up to the base of the polyp, then tighten the wire, and pull the snare slowly and outwardly. The polyps were removed from the roots. If multiple polyps are present, they should be removed one by one from the front to the back with a snare until the nasal cavity is completely ventilated (Figure 1). 2, after the nostril polyps can be removed according to the above method, but the snare should be deep to the posterior nostrils. If it is difficult to remove, the nasal polyp snare can be placed into the nasal polyp forceps, and when the nasal cavity is deep in exhalation or snoring, the polyp will be clamped, and then the polyp will be placed on the snare from the bottom of the snare. The part is cut off and taken out. 3. After the operation is completed, check for residual polyps or cotton leaves. Use a gelatin sponge, antibiotic-containing oil gauze or iodoform gauze to stop bleeding. complication Can cause postoperative infection.

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