Semiconductor laser treatment of severe nasal septum

Keywords:Semiconductor laser treatment of severe nasal septum

Treatment of severe nasal septal deviation, the surgical method used in the past, cristae of the nasal septum, surgical correction of condylar moment difficult, prone to mucosal perforation. We used high-power semiconductor laser in the treatment of nasal septum peculiar form cristae, moment-like protrusion 95 patients received satisfactory results. These are as follows.

1.1 General information: 

The group of 95 cases, 61 males and 34 females, aged 18 to 58 years, average 35.7 years old. The main symptoms were 27 cases of unilateral head pain, unilateral nasal obstruction in 54 cases, 8 cases of unilateral epistaxis, hyposmia in 6 patients. History of minimum 3 months, up to 40 years, average 7.4 years. Cristae of all cases of nasal septum, deformity distal condyle moment are in contact with the inferior turbinate, which embedded in the depression inferior turbinate deformity caused by inferior turbinate of 59 cases. Preoperative nasal endoscopy and coronal CT examination of nasal septum, according to prominent ridge, rectangular-shaped protrusion patterns can be classified as "building along the type" 21 cases, "plow-type" 57 cases "osteoma type" in 17 cases.

1.2 Treatment:

All patients with 1% tetracaine hydrochloride in 10ml amount of epinephrine solution plus a piece of cotton soaked anesthesia 2 mucosal surface, the full contraction of the inferior turbinate, and on the surface of latex skin pad. Semiconductor laser output power 6 ~ 8W, pulse method, interval 0. 4s, pulse duration 0. 8 ~ 1. 0s, contact treatment. Guidance in endoscopic sinus surgery, carried out under the TV screen, generally in accordance with the from front to back, bottom-up order, until the cristae of the nasal septum, the basic formation until the moment condyle. Surgery is necessary to observe the contralateral mucosa, so as to not color or change color as the most desirable congestive, note change of white, yellow to prevent change. The group of 79 cases of the former case, change the white in 16 cases, no change in yellow. Laser surgery is generally not as filling, oral Cefradine 3 days, 3 times a day, each time 0. 5g; compound mint Ocean Nasal Spray nasal spray 3 times a day, use for 3 weeks.

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