Cauterization of the turbinates

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Cauterization of the nasal mucosa

Cauterization of the nasal mucosa is the colloquial name for such surgical interventions as conchotomy and vasotomy.

During the process of conchotomy, partial removal of the mucous membrane of the nasal cavity occurs.

Table of contents:

The essence of vasotomy is that during the operation the mucous membrane and the numerous blood vessels located in it are cauterized.

Types of cauterization of the nasal mucosa

Such manipulation is carried out only in cases where all conservative methods have been tried and failed, and restoration of the nasal mucosa can only be carried out in this way.

Currently, there are several methods of similar operations on the nasal cavity. Each of them has a large army of supporters and opponents. They differ in patient reviews, prices and degree of effectiveness. One thing they have in common is that today there is no leading and completely safe method for cauterizing the nasal mucosa.

Therefore, do not be surprised if, while undergoing parallel examinations with several otolaryngologists in different medical centers and clinics, you receive referrals from them for different operations.

So, currently there are such operations for cauterization of the nasal mucosa:

  • laser exposure (laser conchotomy or vasotomy);
  • exposure to silver nitrate solution 40%;
  • radiosurgery;
  • ultrasonic disintegration.

All of the above operations have their pros and cons. When reading reviews posted on various online medical portals, you will come across both positive and negative for each of them.

We won’t be surprised if you still have a question: “How to choose the right type of cauterization of the nasal mucosa?” There can only be one answer. Find a qualified doctor whose opinion you can trust, and strictly follow his recommendations.

Indications for surgery

It is quite natural that only a doctor can prescribe such an operation.

Cauterization of the nasal mucosa is practiced for the following chronic diseases and pathological conditions:
  • vasomotor rhinitis (runny nose);
  • drug-induced rhinitis;
  • chronic hypertrophic rhinitis;
  • regular nosebleeds;
  • severely difficult nasal breathing.

Like any other operation, cauterization of the nasal cavity is a last resort. Before resorting to it, the attending ENT doctor will try out the entire available arsenal of conservative treatment methods. Only if the use of medications and physiotherapeutic procedures do not produce a positive effect, surgical intervention is prescribed.

Many patients are very worried that they will be forced to undergo cauterization of the nasal mucosa. Yes, the operations are ambiguous, but often there is no other choice and they have to be done.

To be fair, it should be noted that negative reviews on Internet portals are still somewhat exaggerated. Yes, side effects from cauterization of the nasal mucosa are possible, but they are not obligatory. And they can almost always be overcome.

But refusal to undergo surgery clearly threatens with serious consequences for the patient’s health. Difficulty in nasal breathing negatively affects the general condition and well-being of an adult or child. Unfortunately, not all people understand why it is important to breathe through the nose.

Laser vasotomy and conchotomy

Currently, cauterization of the mucous membrane with a laser is used more often than other operations mentioned above.

The operation must be performed under local or general anesthesia.

The essence of such an operation is to expose the nasal mucosa to a directed beam of light. Laser exposure can be either constant or pulsed.

There are three types of such operations:

Let's look at the advantages of laser cauterization of the nasal mucosa:

  • high accuracy - only planned areas of the nasal mucosa are exposed to the light beam;
  • as a result of surgical intervention, the cause of the disease is eliminated, not its symptoms;
  • short duration of surgical intervention (20-35 minutes);
  • absence of any pain during such cauterization;
  • healthy areas of the nasal mucosa are not affected or in any way damaged;
  • after its completion there are no open wounds;
  • fairly rapid regeneration of damaged nasal tissues.

Remember, your doctor will never prescribe cauterization of the nasal mucosa if it is not necessary. If this cannot be avoided, then when choosing a technique, he will take into account the individual characteristics and stage of the disease, and select the most suitable and safe technique in your case.

Thank you for the article! I’m currently collecting information on this matter, so it was very helpful.

When I had hypertrophic rhinitis, my ENT said that I needed to do such a mini operation. I was terribly worried. I can’t speak for other methods, but laser treatment turned out to be not scary at all. It's done quickly and you recover quickly. So whoever has to do it, don’t be afraid.

Initially, I was afraid - but problems with a runny nose and a constantly stuffy nose were above all - the medications did not help (they tried to approach it more than once), before the operation to straighten the nasal septum, I was dripping drops for 5 years, and after the operation for 7 years, I was blaming everything on the septum and even thought that The doctor performed the operation poorly, it turned out to be rhinitis and enlarged turbinates - as I understand, one of the reasons for the drop. Today they did this operation, which is basically a trifle, they stuck pieces of gauze in some kind of yellow anesthesia solution and then they adjusted some kind of device on wheels from which some tweezers or something come off on a wire, but with a handle similar to that of a file - only smaller in circumference, they stuck these tweezers into the nostril and began to perform cauterizing manipulations; at the same time, the sound of an electric discharge was heard, and smoke came out of the mouth, as I understood - because there was a desire to exhale and the doctor, ahead of me (apparently understanding), said exhale. When we climbed deep into the nasal concha, pain was felt after anesthesia and the doctor added anesthesia. The result is that at the moment the nose is not breathing, there is a slight permanent swelling around the nose. Expect full results in about a month. But at the first stage, even with a stuffy nose, it doesn’t feel so bad - since snot and various snot-clumps interfered more! After the operation I had a severe runny nose, but after 3 hours it was almost gone. The hospital was a day hospital and after the operation I went home.

Yes, you will breathe after this operation...always....drops are no longer needed....only when passing by homeless people or people with different specific odors, your body will not be able to fight the infection because the mucous membrane is damaged. I have been suffering for many years... it would be better if I dropped drops...

Let's see, my problem is much more complicated than yours and I can tell you I never dreamed of it. The drops are not easy for me and I went through 2 operations on the nasal septum and in general on all the bones of the nose, somehow I ended up in a trauma center and my nose was set by a maxillofacial surgeon out of necessity in the absence of ENT skills, and after a while a crooked septum was discovered and I was already breaking the lore, but the point is that for now this Yasha - they were pulling on Yasha, I was suffocating and in drops I burned everything I needed. The point is that everything was so “screwed up” that the ENT doctor did what he could, calling my partition criminal. And now I made a computer where they saw that, in principle, there is still a curvature, but not of the septum, but of the bones or cartilage that are below the septum, but the ENT (already new) based on miscalculations voiced that if one nostril breathes 100%, and the second 80% - for example, this is quite enough, or you need to pay 3000 euros and crush your entire nose, collecting everything bit by bit + one of the reasons is rhinitis, which we corrected, in principle, now I can breathe, but not so easily, more like sniffling, I’ll wait until the end after the operating period and if the result If it doesn’t make me happy, I’ll go with the disk to the capital to see the professor who once signed me up for an operation and gave a subordinate to the ENT specialist a job. But at the moment, when the nose closes and the two nostrils breathe evenly, it means that the septum is normal and the nostrils have no errors when inhaling. I'm afraid that there are some irregular bones in the nose and they, like a filter, do not allow the whole mother to inhale. On the other hand, the drops cause the shells to swell and maybe after throwing the drops everything will return to normal. In general, you have to wait a month anyway!

I hasten to share, 2 days ago I had a vasotomy and conchotomy.

In consultation with a doctor, we decided that we would do it using the classic method, that is, with a scalpel; the effect of such an operation would last much longer than cauterization with cold plasma or laser. To say that I was very afraid is to say almost nothing, since the operation is quite traumatic, compared to others, the healing period is longer. In the morning I went to the hospital, at lunchtime they operated on me, under general anesthesia, they gave me an injection into a vein and I fell asleep. I woke up when they were already taking me back to the room. Of course, the first day after the operation and the first night is the worst thing you have to endure, your mouth is dry, your nose hurts, you were bleeding a little, you were still hungry all day. After the operation, they pushed a fingertip with some kind of sponge inside my nose. Apparently it will not dry out or stick from the blood, by the way, then everything was removed without pain at all. But the next morning they took everything out of my nose, washed it out and LOOK, I can breathe.

To everyone who cannot decide to have this operation, DO IT!! It’s worth waiting for 1 day, but then breathing through your nose without drops.

By the way, the operation was performed under voluntary medical insurance at the 1st clinical hospital for the management of the president’s affairs, on Starovolynskaya street 10, they call it Baglynka. A very good hospital, clean, good rooms, TV, own toilet with shower in the room.

Garlic, ginger tea, no infection.

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Before using the information received, consult your doctor.

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Source: http://rinitanet.ru/obolochka-v-nosu/prizhiganie-slizistoy.html

Cauterization of the nasal mucosa with a laser

Conchotomy – cauterization of the nasal mucosa with a laser. This is a surgical operation during which the nasal mucosa is completely or partially removed. To be precise, the middle and inferior turbinates are exposed to the laser. The main goal of surgery is to clear the patient's airway.

Knhotomy is often called turbinectomy. There are a number of other methods for treating enlarged turbinates: ultrasonic disintegration or cryodestruction, using a diatarmocoagulator, etc. But they always have edematous reactions, bleeding, and microcirculation disorders.

When is cauterization of the nasal mucosa necessary?

The main indications for surgery are diseases that interfere with the patient’s breathing and make his life uncomfortable. The most common diseases:

• pathology of nasal breathing;

Sinusitis, commonly known as sinusitis, is the most common reason for laser cauterization of the nasal mucosa. The nasal turbinates grow greatly and close the openings for the maxillary sinuses in the nose.

A clogged chamber is formed in which infections and bacteria begin to actively multiply, leading to inflammatory processes. Of course, sinusitis can be treated in various ways. Laser conchotomy is a radical method that can restore the physiology of the respiratory process through the nasal cavity.

Conchotomy methods

Until recently, Killian’s technique was widespread in many clinics. It appeared in 1904 and became a popular method of surgical operation of the nasal mucosa. The procedure consists of removing most of the support of the nasal septum - bone and cartilage, and simultaneously destroying the hypertrophied nasal turbinates. As a result, the mucous membrane on the septum was completely destroyed, and in its place a “nasal void” was formed. The operation later had unpleasant consequences.

The air that the person inhaled was not sufficiently warmed and purified. A crust began to form on the nasal cavity. After just a couple of months, the nose had a modified shape: the front part of the septum was retracted, the back was lowered, forming a saddle shape. The resulting crusts began to bleed. The nasal passages became narrower. Nasal breathing became difficult, and it was impossible to eliminate the causes.

Today's surgeons remove overgrown nasal turbinates using the latest technology, using a laser. Laser conchotomy is the most effective method of surgical treatment of sinusitis.

There are several types of laser removal of hypertrophied mucosa:

The essence of laser mucous removal

The operation uses a diode laser that emits beams of a certain power. Operation can occur in pulse mode or continuous mode. The changed surface of the nasal mucosa is exposed to light.

Why does this work? The cells of the human body are 2/3 water. High energy radiation affects them and leads to a slow “evaporation of tissues”. The hypertrophied mucous membrane is subjected to local removal.

In addition to tissue removal, a coagulation film is formed. It completely covers the mucous membrane and prevents bleeding from occurring and does not allow infection to enter the site of injured tissue.

Advantages of laser exposure

Laser mucosal removal has gained widespread use for a number of advantages:

• the mucous membrane is not injured or is completely removed, only the necessary areas are exposed;

• the main causes of runny nose are eliminated, not the symptoms;

• the operation takes only minutes and does not require special preparation;

• surgical intervention occurs under local or general anesthesia, which completely eliminates pain during surgery;

• there are no open wounds, and the vessels do not bleed;

• local impact preserves the mucosa;

• high efficiency, which copes with chronic runny nose and preserves the result for a long time;

• sterility due to the formed crust, which does not allow germs and bacteria to enter the nasal mucosa;

• simplicity – the operation is quite simple and does not require temporary restrictions on performance or lifestyle changes;

• damaged tissues are quickly restored.

Source: http://aibolita.ru/uho-gorlonos/421-prizhiganie-slizistoy-nosa-lazerom.html

Is it dangerous to burn the nose?

The medical name for cauterization is conochotomy or turbinectomy. Despite the wide variety of treatment methods, it is most often performed using a laser. Conochotomy does not have such consequences as impaired microcirculation, bleeding, or severe swelling.

Indications and contraindications

Nasal breathing helps warm and clean the air. Therefore, its violation leads to a decrease in the quality of life and an aesthetic defect. Conchotomy is indicated in the following cases:

  • vasomotor, allergic, medicinal rhinitis;
  • chronic sinusitis;
  • obstruction of one or both nasal passages;
  • adhesions;
  • synechia;
  • neoplasms (cysts, polyps, fibromas, papillomas).

    • The method has undeniable advantages, since only deformed areas are removed. Healthy tissues are not affected, which ensures rapid recovery. Conchotomy immediately eliminates the cause of nasal breathing disorders, and improvement occurs within the first day. The effect of such therapy lasts for a long time.

    Laser treatment is not recommended during menstruation, in the acute phase of respiratory diseases, or in cases of blood clotting pathology. Relative contraindications are mental disorders, heart failure, respiratory system.

    Cauterization is used in cases where drug treatment does not help. The procedure helps to expand the nasal passages and improves the outflow from the maxillary sinuses. The treatment method is determined by an otolaryngologist. To do this, you need to undergo an examination and take blood tests, urine tests, a swab from the nasal mucosa and pharynx for pathogenic microflora.

    Stages and types

    A diode laser is used to remove mucous membranes. The device can operate in pulsed and continuous mode. The rays emitted by it affect the vessels located between the cells. They evaporate, thereby destroying the nasal epithelium. A coagulation film is formed at this site, protecting the wound surface from infections and bleeding. As a result, only deformed epithelial cells are destroyed. Other structures of the nose remain intact.

    Preparation for the operation is simple: blood tests, examination by an otolaryngologist, a conversation about the procedure and subsequent nose care. If the examination results do not reveal any contraindications, the doctor determines the date of the next visit. Before the intervention, you should not take stimulants (psychostimulants, caffeine), alcoholic beverages, or blood thinners. Conchotomy is performed in the operating room within minutes.

    It has the following stages:

    • blood pressure measurement;
    • changing into a sterile gown;
    • placing the patient on a table with the head end raised;
    • use of painkillers (local or general anesthesia);
    • facial treatment with antiseptic (70% ethyl alcohol);
    • applying methylene blue to the mucous membrane;
    • cauterization of affected areas;
    • completion of the procedure and observation of the patient for min.

    During the procedure, you need to breathe through your mouth, as vapors can enter the lungs. You also can’t move, so you need to immediately take a comfortable position. Methylene blue is used to stain the areas to be removed. Anesthesia is carried out using 10% lidocaine in the form of a spray. During cauterization, an endoscope or a surgical mirror is used. The tools allow precise control of the laser's movements.

    Conchotomy has the following types:

    In addition, laser cauterization can be point or linear. The method can be carried out once or in two stages (with an interval of 7 days). The choice of method depends on the pathology and its location in the nasal cavity.

    Rehabilitation

    After the procedure, you can go home immediately. Healing of the wound surface lasts from one to 2 weeks. After cauterization, you should not go to the sauna, bathhouse, stay in an inclined position for a long time, perform heavy physical activity, or intense workouts. It is not recommended to take medications that increase blood pressure. Hypertension can cause nosebleeds. You should also not drink alcohol. It is forbidden to drip vasoconstrictor drugs. If the cause of laser treatment was drug-induced rhinitis, the disease will recur.

    To heal the nasal mucosa, the following medications are prescribed:

    Complications

    Conchotomy has virtually no complications. The intervention is easy and quick. If you do not follow the doctor's recommendations, atrophy of the mucous membrane may occur. If hygiene rules are not followed, an inflammatory process develops. Atrophy and inflammation interfere with wound healing and the process is delayed for several weeks. Long-term consequences include difficulty breathing, as hypertrophic rhinitis may recur.

    Cauterization of the nasal mucosa is one of the best options for treating hypertrophic rhinitis. This method allows you to improve nasal breathing for a long time without pain and huge costs.

    Source: http://moylor.ru/nos/prizhiganie/

    How is laser cauterization of the nasal mucosa performed?

    Laser vasotomy (coagulation)

    Turbinate vasotomy is performed to reduce the lining of the nasal passages. Laser coagulation, as it were, evaporates the vascular network, which is located between the lining epithelium and bone tissue.

    The ENT doctor will perform surgical intervention on the patient for a runny nose that has become chronic and provoked the development of hypertrophy of the nasal mucosa.

    The purpose of laser vasotomy is:

    1. Return a person to breathe as intended by Mother Nature, the Nose!
    2. Get rid of medicinal rhinitis (vasoconstrictor drops), allergic and vasomotor rhinitis.

    The main rule is to make sure during the study that the cause of breathing problems is enlarged nasal turbinates, and not a deviated nasal septum, for example.

    To treat a deviated septum, we recommend using the articles: laser and endoscopic septoplasty.

    Before and after laser vasotomy

    What is laser vasotomy (coagulation)?

    Laser vasotomy (coagulation) of the inferior turbinates is the cauterization of the mucous membrane of the nasal passages using a laser beam, which is directed to the entire affected area, evaporating pathological cells.

    It is carried out in case of obstruction of the nasal passages, with the development of neoplasms or adhesions. According to statistics, most often surgery is performed when the membrane of the nasal conchae bulges and the formation of polypous adhesions, which grow in the form of vasomotor rhinitis. This method of surgical treatment reduces the risk of infection of the nasal passages.

    Vasomotor rhinitis is a chronic disease, during the development of which changes occur in the functioning of the vessels of the mucous membrane of the nasal passages, as a result of which changes occur in the nose, causing difficulty breathing.

    Indications and contraindications for surgery

    Indications for surgical intervention:

    1. Laser vaporization is prescribed for patients with chronic rhinitis.
    2. Hypertrophy of the nasal mucosa, which can be combined with rhinitis and is caused by the constant use of vasoconstrictor drugs.
    3. Long-term use of nasal drops, without which it is impossible to achieve free breathing. Surgical intervention will help get rid of drug addiction and overcome drug-induced rhinitis.

    Contraindications to laser reduction:

    1. Acute respiratory disease at the time of surgery.
    2. Blood clotting disorder.
    3. Presence of menstruation in women at the time of surgery.

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    Preparing for surgery

    The doctor gives recommendations during the consultation

    Before laser conchotomy of the nasal turbinates

    The specialist prescribes a consultation for the patient, during which he explains the step-by-step procedure of the surgical intervention and the possible consequences.

    Before laser destruction, women are limited in cosmetic procedures and do not use decorative cosmetics for several days.

    He also prescribes a number of diagnostic studies and necessary tests. After which he schedules a second consultation to determine the date and time of laser coagulation. Patients are prohibited from using medications that thin the blood and drinking alcohol. to contents ↑

    Progress of the operation

    Before laser disintegration is performed, the patient’s blood pressure is measured, and the course of the upcoming procedure is explained once again. In private clinics, you may be asked to wear disposable clothing.

    1. Before laser destruction, the patient must undress down to his underpants, put on a gown and shoe covers and proceed to the operating room.
    2. The doctor calms the patient. In case of severe anxiety, he may offer mild sedatives.
    3. Positions the patient with the head end elevated. During the operation, it is important not to perform even the slightest movement, so the patient must initially take a position that is comfortable for the whole body. A blindfold is put on the eyes, and the arms and legs can be secured with bandages if desired. If there is a slight burn, don’t worry, it will go away in a week.

    Consequences of a laser burn due to patient restlessness

    Anesthesia in the nose before laser vasotomy

    Laser touching the inferior turbinate

    The doctor looks at the monitor using an endoscope and controls the laser

    Benefits of laser vasotomy

    After surgery, tight tamponade of the nasal passages is not performed. Laser vasotomy does not cause bleeding. The operation is carried out by sealing and cauterizing the vessels; they do not rupture.

    If the course of laser coagulation is good, it takes no more than 10 minutes, leaving behind 1-2 wounds no more than 1-2 mm in size.

    According to statistical studies, after laser coagulation, healing and restoration of the mucous membrane of the nasal turbinates occurs in ninety-six cases out of a hundred operations performed.

    Rehabilitation period

    Follow your doctor's recommendations exactly

    The rehabilitation period after laser vasotomy of the nasal turbinates lasts no longer than one week. After the operation is completed, the patient is under the supervision of a specialist for half an hour and is sent home.

    Fact! In most patients, breathing is restored within 3 days.

    At home, it is prohibited to lead an active lifestyle, bend over, visit hot places, steam rooms, baths and saunas, as well as drink alcoholic beverages that can raise blood pressure, disperse blood through the vessels and cause nosebleeds.

    Forbidden! The use of vasoconstrictor drops during the recovery period after laser vasotomy. By doing this you will start the reverse process and the whole operation will come to naught.

    The doctor prescribes the use of nasal sprays that can regenerate tissue, as well as instillation of olive and peach oil. In individual cases, the patient may be prescribed additional manipulations.

    Consequences of laser vasotomy

    Like any surgical operation, laser conchotomy of the nasal turbinates can develop some pathological changes if the recommendations of the operating specialist are not followed:

    1. Atrophy of the nasal mucosa. This pathology entails disruption of the work and functioning of the mucous epithelium. When performing laser vasotomy of the nasal turbinates, it is observed extremely rarely.
    2. Inflammatory process. It also occurs during disintegration extremely rarely. The laser device and surgical instruments are subject to disinfection and have a sterile surface.
    3. Decreased or complete loss of sense of smell. This pathological feature is temporary. It is associated with the presence of soft tissue swelling after surgery.
    4. Feeling of nasal congestion and difficulty breathing. In rare cases, these problems do not go away after laser conchotomy, due to an allergic reaction or repeated hypertrophy.

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    The cost of laser vasotomy is determined by the following criteria:

    1. Primary diagnosis
    2. Anesthesia used
    3. Surgeon's qualifications
    4. Popularity of the clinic
    5. Geographic location of the city where the operation is performed

    The price varies from thousands of rubles.

    Video of laser vasotomy (coagulation, destruction, conchotomy) of the inferior turbinates

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    I had a laser turbinate vasotomy two years ago. Before this, I constantly walked around with nasal drops in my pocket; only the powerful Naphthyzin helped. I thought I would never get rid of it, but the operation, which lasted forty minutes, relieved me of my breathing problems. I forgot once and for all what difficulty breathing is.

    I had hypertrophic rhinitis. I never knew what free breathing was in my life until I made an appointment with a doctor for laser conchotomy of the nasal turbinates. I was very afraid, but on the appointed day I gathered my strength and crossed the threshold of the hospital. After a short consultation, I was placed on a couch and my face and nose were treated. Afterwards, the doctor administered anesthesia in the form of an injection. I didn't feel anything. Igor Olegovich, using a device similar to a heated long knitting needle, burned areas of the mucous membrane in the nose. It didn't hurt at all. There was a smell of burnt meat, but it was bearable. I don’t know how deep the laser was inserted, but I didn’t feel any pain. I sat in the office for another ten minutes and was sent home. They prescribed nasal drops to come back in a week. I was walking down the street with an incomprehensible sensation in my nose, despite the swelling, after the operation I feel much better and I’m breathing great too.

    I am writing for those who suffer from lack of air, constant nasal congestion and suffer from side effects of nasal drops, do not be afraid to change your life for the better and have your turbinates reduced. In terms of sensation and perception, this manipulation is comparable to the removal of an aching tooth. I decided to undergo this mini operation, and my life changed for the better. I forgot once and for all what it’s like to have trouble sleeping, waking up at night to clear my nose and put in nasal drops.

    After laser vaporization of the nasal turbinates, my breathing was restored before the first acute respiratory infection. At the consultation, the doctor said that if after complete recovery there is still snot, or my sinusitis wakes up, we will operate again. But I don’t want to do that. I am a complete coward; during the operation the entire medical staff held me. I don’t want to experience such horror anymore, although it wasn’t painful at all, it was just very scary.

    Did! Now I breathe like a real person!

    I've been using sprinklers for about five years now. And at night I spray. ENT said that we would do a vasotomy, but not a laser one, with some kind of radio knife. At first I was overjoyed, but I read the reviews and the consequences and somehow felt uneasy. Any operation is something for me. Even the dentist’s heart is pounding so hard it jumps out! And here under local anesthesia. UHS. Maybe with milk in the forehead, and let them pick while they are unconscious..)))

    Where did they do it? I can’t find where I can make it high quality and inexpensive!

    On Friday I had laser cauterization done. I practically didn’t sleep for two nights; I couldn’t breathe through my nose at all. Today is the fifth day - Wednesday, and if it has become better to breathe, it is only a little. I read that complete recovery takes place within a month. I’m terrified, everyone at work sympathizes, they think it’s the flu.

    I start snotting all the time when I tilt my head down and bend over. At the same time, at night my nose is not stuffy, I breathe and sleep normally. Vasotomic rhenitis (or whatever it is called). The doctor advised me to do a laser vasotomy. Did. A week passed - the result was zero, everything was as it was before the operation. No better and no worse. The doctor said to wait another second week and the snot will go away, they say the blood vessels should tighten. I have vague doubts that the snot will go away.

    I did cauterization, now I’ll do without drops. This is not the first time I’ve done it, it’s a painless procedure. But cauterization lasts me for a year, then I go to the doctor again

    In 2015, in the hospital named after. S.P. Botkina, head of the ENT department, A.E. Zagorodniy performed laser correction on my right inferior turbinates. After the operation he said: “Breathe.” I couldn’t breathe, not right away, not later. Bottom line!, the right side of the nose does not let air in AT ALL! Left - a little. The result is constant dizziness and problems due to lack of oxygen.

    Copying site materials is possible without prior approval if you install an active indexed link to our site.

    Source: http://nos-zdorov.com/operacii/lazernaya-vazotomiya-nosovyx-rakovin

    Advantages of laser cauterization of the nasal mucosa for chronic runny nose

    • Are nasal drops really harmful?
    • How to cure a chronic runny nose and part with the spray?
      • How does laser cauterization work?

    Is it true that cauterization of the nasal mucosa will help get rid of a chronic runny nose? This question is asked quite often by those who cannot do without the constant use of vasoconstrictor drops and sprays, especially in the autumn-spring period. Patients of ENT doctors are concerned about the safety of surgical methods for treating chronic runny nose and the widespread opinion about the harmfulness of nasal sprays and drops.

    Are nasal drops really harmful?

    Addiction to nasal medications is indeed noted by all otolaryngologists. When starting to use them for a severe runny nose, a person can become dependent.

    Everything is explained by the structure of the nasal concha: they are penetrated by many small blood vessels, which normally do not bother a person. When there is a viral infection, dust in the air or the presence of some impurities in it, the vessels in the nose dilate, the porous tissue increases in volume and secretes mucus. Its main function is to protect the lungs from dust and impurities by binding them. And in case of infection, a certain number of pathogens are eliminated in this way. The process is natural, but swelling of the turbinates makes it difficult to breathe through the nose, and the secretion of mucus creates the need to blow the nose and bothers the person. In acute respiratory viral infections, obstructed outflow and retention of contents in the maxillary sinuses can also cause the addition of a secondary infection, which leads to complications in the form of sinusitis, sinusitis, etc.

    To reduce these phenomena, a number of drugs are used in the form of drops and sprays: naphthyzin, sanorin, galazolin, ephedrine and others. When they get on the swollen nasal mucosa, they penetrate into the blood and have an effect on the body similar to adrenaline, that is, they narrow the lumen of the blood vessels. But their effect is limited to 2-2.5 hours, after which breathing through the nose becomes difficult again.

    Doctors recommend using such drugs no more than 5-6 days in a row during illness. Habituation does not occur over such a period of time or passes very unnoticed. Those who start using nasal sprays constantly, at the slightest nasal congestion, acquire not only physiological, but psychological dependence on the drug. There are even cases where a person, suddenly remembering a forgotten bottle of medicine, immediately begins to feel the symptoms of a severe runny nose.

    How to cure a chronic runny nose and part with the spray?

    Cauterization of the mucous membrane with silver nitrate has been used for a long time as an effective treatment for chronic runny nose without dependence on the drug. This procedure is quite unpleasant and traumatic, so it is increasingly being replaced by more modern methods:

    Submucosal vasotomy and conchotomy are most often called laser cauterization. In the first case, we are talking about destroying the mucous membrane and stopping the capillaries that supply blood to the cavernous bodies of the nasal turbinates. This procedure lasts about 5 minutes under local anesthesia. The operation is low-traumatic, recovery after it occurs within a few days and does not require hospitalization. The doctor can cauterize the mucous membrane with a laser beam or a beam of radio waves, depending on the technique adopted in a given clinic.

    Conchotomy is the removal of the mucous membrane (in whole or in part) using a cutting instrument. This operation is performed inpatiently, under general anesthesia and requires quite a lot of recovery time.

    A modern variation is cauterization of the nasal passages with a laser beam. In this case, the blood vessels are immediately closed, which eliminates the penetration of infection and bleeding during and after surgery. The operation is performed on an outpatient basis, under local anesthesia and without subsequent hospitalization.

    A similar method is the exposure of the mucosa to high (electric and thermocoagulation) and ultra-low (cryodestruction) temperatures and radio waves during coblation.

    How does laser cauterization work?

    To cauterize the nasal mucosa with a laser, a diode apparatus is used, the beam of which has a strictly defined power. This allows you not to injure surrounding tissues, affecting only surfaces that require adjustment and removal. The laser can operate pulsed, sending short flashes, or in continuous mode. The need for this is determined by the specialist performing the operation.

    When exposed to a laser beam, mucosal cells heat up to high temperatures and lose moisture, dying and burning.

    The blood vessels are immediately blocked, eliminating bleeding immediately after laser exposure. A coagulation film is formed on the surface of the wound, which prevents the penetration of infection and sterilizes the wound.

    The advantages of laser treatment compared to instrumental surgery or medications are obvious:

    • only changed areas of the mucosa are removed;
    • there is no bleeding or open wounds;
    • rapid tissue restoration due to low trauma and sterility of wounds;
    • there is no need for complex preoperative preparation;
    • the operation takes place on an outpatient basis, under local anesthesia and does not require subsequent hospitalization;
    • The treatment is not symptomatic, but rather the cause of the chronic runny nose is eliminated.

    Before deciding to have surgery, you should consult your doctor to determine the cause of your persistent breathing difficulties. If the cause is some disease, then surgery will be the best solution to the problem. But with normal dependence on drugs, you just need to pull yourself together and endure a little until the body gets used to doing without their support.

    • Angina
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    The article is very professional, gives information about a variety of things.

    Please help me figure it out. My husband has tinnitus.

    Antibiotics do not need to be taken too often, Nozzle patch.

    Source: http://lor03.ru/drugoe/prizhiganiya-lazerom-slizistoj-nosa.html

    Cauterization of the inferior turbinates for vasomotor rhinitis?

    Registered: 12 Jan 2012, 18:12

    How is it worse/better than laser and other methods?

    Due to this diagnosis, I am having surgery next week.

    Registered: 19 Feb 2004, 23:57

    From: Kazan, Russia

    Registered: 25 Jun 2008, 10:11

    Tell me why the blood vessels and nerve endings must be destroyed; is there really no way to return their work to “normal”?

    What are the symptoms of subatrophy? If it does develop after surgery, is it treated in any way?

    Registered: 19 Dec 2011, 17:38

    Registered: 25 Jun 2008, 10:11

    So I ask the ENT specialist what he thinks about this.

    Registered: 19 Feb 2004, 23:57

    From: Kazan, Russia

    I have a counter question for you. What exactly do you, as a patient, not like about this fairly reliable and safe method of treatment?

    One of the important functions of the nose is to humidify and warm the inhaled air. It is this function that can suffer if the common nasal passage is too wide. Treatment methods, of course, exist.

    Registered: 12 Jan 2012, 18:12

    -humoral and cellular protection

    Registered: 25 Jun 2008, 10:11

    The fact is that once I was given cauterization, it almost didn’t help. And a couple of years ago I also had a vasotomy, it worked, but not for long, as I understand it, the vessels were restored and everything went back to normal.

    Can I ask another question? The fact is that after the operation, my sense of smell in my right nostril almost completely disappeared (subjectively, 10% remained). Could this be subatrophy syndrome? Are there any methods that allow us to establish the cause of this or should I contact a neurologist about this?

    Registered: 12 Jan 2012, 18:12

    Registered: 12 Jan 2012, 18:12

    Registered: 01 Mar 2008, 00:32

    Registered: 19 Jan 2012, 23:34

    I had galvanocaustics performed in 1996 (the diagnosis was the same - vasomotor rhinitis), the method is now considered archaic, since the upper layer of the mucous membrane is burned out by electric current. And now everyone is trying to do it “submucosally.” It was painful. The effect - the improvement in percentages disappeared 9 months after ARVI.

    Although, I can say that three more modern operations performed not so long ago also did not produce any effect. The only good thing about galvanocaustics is that they didn’t insert those damn tampons into the nose, as with submucosal vasotomy.

    How to learn to dodge the gifts of fate

    Registered: 19 Jan 2012, 23:34

    I had galvanocaustics performed in 1996 (the diagnosis was the same - vasomotor rhinitis), the method is now considered archaic, since the upper layer of the mucous membrane is burned out by electric current. And now everyone is trying to do it “submucosally.” It was painful. The effect - the improvement in percentages disappeared 9 months after ARVI.

    Although, I can say that three more modern operations performed not so long ago also did not produce any effect. The only good thing about galvanocaustics is that they didn’t insert those damn tampons into the nose, as with submucosal vasotomy.

    How to learn to dodge the gifts of fate

    Registered: 20 Dec 2011, 09:53

    Registered: 19 Jan 2012, 23:34

    How to learn to dodge the gifts of fate

    Registered: 19 Feb 2004, 23:57

    From: Kazan, Russia

    Relapse is, of course, possible, since peripheral nerves and small vessels have the ability to regenerate. However, in terms of restoring breathing, surgery on the nasal turbinates (vasotomy and its variants) is quite effective and, as a rule, allows you to get rid of dependence on vasoconstrictor drops.

    The effectiveness against rhinorrhea is somewhat less.

    As for the unilateral decrease in the sense of smell, one of the reasons is adhesions or deviation of the septum in the upper sections, blocking the flow of air into the olfactory fissure.

    Registered: 25 Jun 2008, 10:11

    I think the adhesions would have been visible on a CT scan, and I also saw a doctor for almost two weeks after the operation. And as for deviation. So it seems like they “aligned my septum”, was it really bent again, and so much so that it closed the olfactory fissure((((((((((((So I did septoplasty.

    Registered: 30 Sep 2009, 19:49

    Registered: 25 Jun 2008, 10:11

    Everything you listed, it would be more correct to call it, methods for eliminating the symptoms of hypertrophic rhinitis. Are there methods for identifying its causes and eliminating them?

    Registered: 30 Sep 2009, 19:49

    Registered: 25 Jun 2008, 10:11

    Is there any way to diagnose and treat them? Why, having visited more than a dozen ENT doctors, in various clinics, NOT ONE mentioned this, most of them were interested in the presence of allergies. Do any technologies today allow us to accurately identify the cause of chronic vasomotor rhinitis?

    Registered: 19 Feb 2004, 23:57

    From: Kazan, Russia

    Allergic rhinitis is a separate nosology and is treated mainly with medication. That's why doctors are interested.

    Vasomotor rhinitis refers to forms of non-allergic rhinitis, together with rhinitis of pregnant women, drug-induced rhinitis, rhinitis due to hypothyroidism and other rarer forms. The etiology is not entirely clear, and the pathogenesis is associated with disorders in the autonomic nervous system. Namely, with the hyperreactivity of the parasympathetic system, which leads to vasodilation, congestion of the vessels of the inferior turbinates and hypersecretion of the mucous membrane.

    Hence the complaints of a runny nose, difficulty in nasal breathing and, often, mucus running down the back wall of the throat.

    Treatment is both medicinal and surgical.

    To improve breathing, operations are performed on the inferior turbinates.

    Rhinorrhea (runny nose), if it cannot be relieved by turbinate surgery or medication, can be relieved by cutting the Vidian nerve. There are problems there, but gentle endorhinoscopic approaches to the Vidian nerve have already been described, for example, along its path on the lower wall of the sphenoid sinus, so this technique may also deserve attention.

    Registered: 25 Jun 2008, 10:11

    Very interesting. How is hyperactivity diagnosed? If this is the case, then why has no one tried to prescribe any normalizing procedures, if such are even possible?

    Registered: 21 Oct 2017, 20:04

    Since the operation did not help, then nothing else will help?

    27 Jan 2006, 23:53

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    14 Mar 2007, 11:22

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    19 Nov 2012, 15:31

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    Cauterization of nasal vessels: indications, types, complications

    The essence of the method

    Breathing problems occur when mucous grows in the lower and middle turbinates. By cauterization, it is removed completely or partially - it all depends on the degree of its growth. Along with the mucous membrane, numerous blood vessels located in it are also cauterized.

    Indications for cauterization of vessels in the nose

    Cauterization is used in certain cases:

    • nosebleeds that cannot be treated conservatively;

    Although cauterization is a low-traumatic procedure, it is still an operation. The otolaryngologist prescribes it after all possible methods of conservative treatment have been tried, but have not borne fruit.

    Contraindications

    Like any other intervention, albeit minor, cauterization of blood vessels has certain contraindications:

    • acute infections of the nose or upper respiratory tract;

    Types of cauterization of nasal vessels and their features

    Several methods are used for cauterization:

    • laser conchotomy;

    Laser conchotomy

    Laser conchotomy means exposure to laser beams. Cauterization of vessels in the nose with a laser can be pulsed or continuous. The effect of the laser slowly evaporates the liquid, and the mucous membrane, like other cells of the body, mainly consists of water. Thanks to the laser, not only hypertrophied tissue is removed, but also a coagulation film is formed. This coating protects the mucous membrane from infection and bleeding.

    • removal of only damaged areas;

    Laser conchotomy is performed according to a specific algorithm:

    • The patient changes into a special gown.

    Cutting nose loop

    Today, this technique is rarely used, since the operation is a very complex process. With such an intervention, the risk of severe blood loss is very high, and rehabilitation takes a long time.

    Chemical cauterization

    For the purpose of chemical cauterization, silver nitrate is often used - the optimal strength of the solution is 40-50%. This method is optimal for bleeding in the anterior parts of the nose. The procedure is quite simple:

    • Vasoconstriction. Adrenaline or Ephedrine are usually used for this.

    Thermocoagulation

    Thermocoagulation is also called electrocoagulation or electrocautery. This technique is based on the action of direct electric current. The mucosal tissue is cauterized by introducing an electrode under its shell, which heats up and causes a burn. The tissue treated with cauterization is scarred, and as a result, the volume of the nasal concha decreases.

    Ultrasonic disintegration

    The use of this technique implies a disruption of the established blood supply system in hypertrophied tissues. This is achieved by the action of an ultrasonic waveguide. In the vessels of hypertrophied tissue, the processes of sclerotization and desolation begin. As a result, the mucous membrane contracts and nasal breathing normalizes.

    When ultrasound disintegration is carried out correctly, the mucous membrane is not injured and no complications arise. The procedure is performed under local anesthesia in an ENT office.

    Lateralization

    This method is mechanical damage to tissue. This happens with the help of a surgical instrument. The specialist breaks the concha in the area of ​​its attachment and moves it to the side wall of the nasal cavity. This procedure allows you to increase the space for air entering the body.

    Cryodestruction

    This method of cauterizing vessels in the nose is based on the action of low temperatures. They are provided by a special cryoprobe. When it comes into contact with the mucous membrane, ice crystals form. As a result, the cell walls of the hypertrophied tissue are destroyed.

    Radio wave method

    Radio wave (radio frequency) coagulation is a method discovered almost a hundred years ago. It consists of inserting a probe under the mucous membrane of the nasal concha. This probe provides an alternating current that produces radio waves. They heat the surrounding tissues, which leads to their destruction. The venous vessels in the layer under the mucosa become empty, and the shell shrinks in volume.

    Recovery period

    Recovery after cauterization of the vessels in the nose is fairly quick. The duration of rehabilitation is influenced by the method in which the procedure was performed.

    • you cannot visit baths, saunas, swimming pools, or swim in ponds;

    As a rule, after cauterization of the vessels, certain treatment of the nose is necessary:

    • Saline solutions for rinsing. Typically, experts recommend saline solution, Aquamaris, Dolphin or Aqualor.

    Possible complications

    Despite the capabilities of modern medicine, complications can occur after any operation. Cauterization of nasal vessels is no exception. After such manipulations, the following may appear:

    • Nasal congestion. This complication does not occur often, but it does happen. Symptoms may not only not disappear, but also appear even stronger. The cause is often an allergic reaction or repeated hypertrophy.

    Cauterization of vessels in the nose is a necessary measure when conservative treatment does not bring the desired result. Thanks to a sufficient selection of methods for such intervention, specialists can find an individual approach in each case.

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