Total or partial turbinate removal
This procedure is feasible for partial or total resection of the turbinate. Treatment of diseases: nasal malignant granuloma Indication The turbinate hypertrophy is hypertrophied and is ineffective when other treatments are ineffective. Preoperative preparation Trim the nose hair and clean the nose. The lower turbinate mucosa of the lesion was sprayed with 1% ephedrine, and the surgical method was determined according to the degree of mucosal contraction. 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, for partial excision of the turbinate, such as turbinate hypertrophy, mainly for submucosal resection. (1) Partial resection of the turbinate takes a semi-recumbent position or a 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) partial submucosal resection of the lower nasal turbinate for a small incision, deep into the turbinate bone, thereby inserting the nasal scissors, cut the lower edge of the turbinate to form the inner and outer side flaps, and separate the inferior turbinate bone, with Bone shears 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. complication Clinically, in the case of a turbinate resection, if the turbinate is removed excessively, there may be a sequelae - empty nose syndrome.
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