Volumetric Reduction of the Inferior Turbinate

Rhinitis represents the inflammation of the mucous membrane inside the nasal cavity. The main causes of the inflammation are viruses, bacteria or allergens. The treatment of this pathology has two stages. The first option is the conservative treatment followed by surgical treatment if the patient does not respond well to medication. In this paper, we will present coblation turbinate reduction method and its benefits.

Download Full-text

Prevention and conservative treatment of nasopharyngeal tonsil hypertrophy

Russian otorhinolaryngology ◽

10.18692/1810-4800-2021-1-56-60 ◽

2021 ◽

Vol 20 (1) ◽

pp. 56-60

Author(s):

G. I. Markov ◽

◽

A. L. Klochikhin ◽

V. A. Romanov ◽

M. G. Markov ◽

...

Keyword(s):

Conservative Treatment ◽

Nasal Cavity ◽

Mucous Membrane ◽

Conservative Therapy ◽

Pediatric Patients ◽

Surgical Intervention ◽

Whole Body ◽

Fungal Flora ◽

Sparing Effect ◽

Pharyngeal Tonsil

The aim of this work is to draw the attention of otorhinolaryngologists to the advantages of early conservative treatment of children with hypertrophy of the nasopharyngeal tonsil - adenoids. In childhood, a significant part of the protective and informational functions lies on the pharyngeal tonsil, since it is in the path of inhaled air. Unfavourable environmental conditions exacerbate its functional failure. Pathology of the lymphopharyngeal ring is highly prevalent and occupies a leading place among ENT diseases in children. Each person has a certain own microflora on the nasal mucosa from birth. In most cases, monoflora is determined on the mucous membrane of the nasal cavity, and only 2-3% is due to the combination of two types of microbial and fungal flora. For more than twenty years, we have been using the tactics of a sparing effect on the mucous membrane when using medicinal mixtures on a protective basis. Conservative treatment of 245 children aged 3 to 6 years with grade 1 – 2 adenoiditis was carried out, which made it possible to avoid surgical intervention in this group of children. When choosing a drug mixture, the sensitivity of the microflora of the patient’s nasal cavity was considered according to the results of a smear from the mucous membrane. Adenoidectomy is an operation with potentially undesirable consequences for the whole body, therefore, effective timely conservative therapy can reduce the risks and harms of surgery for pediatric patients.

Download Full-text

Allergic rhinitis complicated by hypertrophy of the mucous membrane of nasal turbinates in patients of Northern Vietnam

Biomedical Research and Therapy ◽

10.15419/bmrat.v7i6.609 ◽

2020 ◽

Vol 7 (6) ◽

pp. 3813-3818

Author(s):

Kryukov Andrei Ivanovich ◽

Galina Petrovna Bondareva ◽

Nguyen Thi Phuong Thao

Keyword(s):

Allergic Rhinitis ◽

Nasal Cavity ◽

Mucous Membrane ◽

House Dust ◽

Inferior Turbinate ◽

Specific Ige ◽

House Dust Mites ◽

Moderate Degree ◽

Dust Mites ◽

Northern Vietnam

Introduction: Constant contact with allergens contributes to the formation of allergic rhinitis and swelling of the mucous membrane of the nasal cavity. Moreover, constant inflammation stimulates hypertrophy of the mucous membrane of the nasal turbinates and paranasal sinuses. This study aimed to assess the clinical features of hypertrophic rhinitis (HR) in combination with allergic rhinitis (AR) in patients from Northern Vietnam to improve the effectiveness of treatment and quality of life of patients with this pathology of the nasal cavity. Methods: The study was conducted from June to September 2018 by the Department of Otorhinolaryngology, Thai Nguyen Central General Hospital, Vietnam. A total of 158 patients with symptoms of chronic rhinitis, aged 5–70 years, were examined. All patients with allergic rhinitis were subjected to standard, specific allergological tests, such as the determination of specific IgE in the blood, and statistics were assessed according to the otorhinolaryngology examination and CT scan. All patients were also examined by otolaryngologists. Results: According to the results of our study, among 64 patients with a diagnosis of AR, a total of 45 (70.31%) patients were diagnosed as AR in combination with a hypertrophy of the mucous membrane of the nasal turbinate, with an average duration of morbidity of 5.8 ±1.6 years. Moreover, 17 (37.78%) patients were diagnosed with severe hypertrophy of the mucous membrane of the nasal inferior turbinate (the nasal inferior turbinate is 50% or more of nasal cavity and with nasal polyps). The sensitization to house dust mites and fungi was high. Conclusion: The peculiar findings of AR in combination with HR detected in patients of Northern Vietnam was associated with the onset of the disease at the age of 20-40 years, the predominance in men, the predominance of the disease in smokers, and the predominance in residents of cities and industrial areas (71.1%). Indeed, there was an observed combination of AR with severe and moderate degree of HR. The sensitization of patients with AR in combination with HR in Northern Vietnam are similar to those in Asia, with predominant allergy to house dust mites.

Download Full-text

Morpho-functional state of the mucous membrane of the nasal cavity after surgical treatment

Vestnik of Vitebsk State Medical University ◽

10.22263/2312-4156.2018.5.66 ◽

2018 ◽

Vol 17 (5) ◽

pp. 66-73

Author(s):

M.I. Hreben ◽

◽

Y.E. Yaromenka ◽

V.A. Karnialiuk ◽

Н.N. Kаtovich ◽

...

Keyword(s):

Surgical Treatment ◽

Nasal Cavity ◽

Mucous Membrane ◽

Functional State

Download Full-text

Surgical treatment of extensive perianal hidradenitis

Perspectives in Surgery ◽

10.33699/pis.2020.99.9.409-413 ◽

2020 ◽

Vol 99 (9) ◽

Keyword(s):

Surgical Treatment ◽

Hidradenitis Suppurativa ◽

Soft Tissues ◽

Case Reports ◽

Radical Excision ◽

Skin Flaps ◽

Perianal Area ◽

Apocrine Glands ◽

Patient Preparation ◽

Two Stages

Introduction: Perianal hidradenitis suppurativa is a chronic recurrent inflammatory, suppurative, and fistulising disease of apocrine glands, adjacent anal canal and soft tissues. Perianal area is the second most common affected area after axilla. There are three grades of the disease. Hidradenitis suppurativa represents a chronic, recurrent, deep-seated folliculitis resulting in abscesses, followed by the formation of sinus tracts and subsequent scarring. Perianal hidradenitis suppurativa is the last and the most serious grade of the disease and a specific access is needed for patient preparation and surgical treatment alone. The currently preferred method of treatment for patients with extensive perianal hidradentitis is excision and closure with combination of skin flaps, primary suture and skin graft in one or two stages. Case reports: There are three case reports of perianal hidradenitis suppurativa in this article. The local and overall initial treatment of patients followed by a radical excision and closure with a rotation skin flaps and skin grafts is described. The final results were satisfactory, with no recurrence or serious complication.

Download Full-text

Chemical Ablation in Adenoid Surgery

Revista de Chimie ◽

10.37358/rc.18.10.6610 ◽

2018 ◽

Vol 69 (10) ◽

pp. 2722-2724

Author(s):

Teodora Ioana Ghindea ◽

Alexandru Dumitras Meius ◽

Dragos Cristian Stefanescu ◽

Catalina Pietrosanu ◽

Irina Ionita ◽

...

Keyword(s):

Surgical Treatment ◽

Conservative Treatment ◽

Chronic Inflammation ◽

Lymphatic Tissue ◽

Tissue Mass ◽

Surgical Method ◽

Endoscopic Control ◽

Chemical Ablation ◽

Pharyngeal Tonsil

The pharyngeal tonsil is a lymphatic tissue mass located in the roof of the nasopharynx. The function of the pharyngeal tonsil is to prevent infections with the help of antibodies. Chronic inflammation and allergies lead to hyperplasia of the adenoids that is found almost exclusively in children. The treatment of choice is surgical treatment; conservative treatment is only indicated preoperatively or if surgery is contraindicated. In this paper, we will present a new surgical method for adenoidectomy performed trans-orally with coblation, under endoscopic control.

Download Full-text

Efficacy of inferior turbinate reduction in pediatric patients: a prospective analysis

International Forum of Allergy & Rhinology ◽

10.1002/alr.22849 ◽

2021 ◽

Author(s):

Rachel L. Whelan ◽

Amber D. Shaffer ◽

Amanda L. Stapleton

Keyword(s):

Pediatric Patients ◽

Inferior Turbinate ◽

Prospective Analysis ◽

Turbinate Reduction

Download Full-text

Efficacy and safety of condylectomy with minimally invasive surgery in the treatment of interdigital corns of the lesser toes compared to conservative treatment

Journal of Foot and Ankle Research ◽

10.1186/s13047-021-00460-0 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Luis M. Marti-Martinez ◽

Rubén Lorca-Gutierrez ◽

Salvador Pedro Sánchez-Pérez ◽

Jonatan Garcia-Campos ◽

Nadia Fernández Ehrling ◽

...

Keyword(s):

Minimally Invasive Surgery ◽

Surgical Treatment ◽

Treatment Group ◽

Conservative Treatment ◽

Minimally Invasive ◽

Functional Status ◽

Invasive Surgery ◽

Joint Stiffness ◽

Efficacy And Safety ◽

Clinical And Functional Status

Abstract Background Minimally invasive surgery (MIS) procedures cause less trauma to the patient and might improve recovery. This study aimed to determine the efficacy and safety of condylectomy with MIS to treat interdigital corns of the lesser toes. Methods This prospective cohort study was conducted in seven podiatry centers. Patients with interdigital corns of the lesser toes, progressing for more than a year, with one or more recurrences in the last year following conservative treatments were eligible. The recruited patients were classified according to their treatment: conservative or surgical (condylectomy with MIS) and were compared. Patient satisfaction, pain, the clinical and functional status of the foot and the appearance of sequelae were assessed at 3 and 6 months after treatment. Results At 6 months, patients in the surgical treatment group showed no pain on pressure, which significantly differed from the conservative treatment group (p < 0.001). They also improved clinical and functional status of the foot, reaching values comparable to those of the standard population. No paresthesia, joint stiffness or instability, toe malalignment, or corn transfer to a contiguous site resulted from the surgical treatment. Conclusions Condylectomy with MIS is effective and safe to treat interdigital corns of the lesser toes.

Download Full-text

Effect of childhood overweight on distal metaphyseal radius fractures treated by closed reduction

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-021-02336-2 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Yu Liu ◽

Chunjie Liu ◽

Dongmei Guo ◽

Ning Wang ◽

Ying Zhao ◽

...

Keyword(s):

Risk Factors ◽

Surgical Treatment ◽

Conservative Treatment ◽

Closed Reduction ◽

Pediatric Population ◽

Normal Weight ◽

Medical Community ◽

Overweight Children ◽

Radius Fractures

Abstract Background The medical community has recognized overweight as an epidemic negatively affecting a large proportion of the pediatric population, but few studies have been performed to investigate the relationship between overweight and failure of conservative treatment for distal radius fractures (DRFs). This study was performed to investigate the effect of overweight on the outcome of conservative treatment for DRFs in children. Methods We performed a retrospective study of children with closed displaced distal metaphyseal radius fractures in our hospital from January 2015 to May 2020. Closed reduction was initially performed; if closed reduction failed, surgical treatment was performed. Patients were followed up regularly after treatment, and redisplacement was diagnosed on the basis of imaging findings. Potential risk factors for redisplacement were collected and analyzed. Results In total, 142 children were included in this study. The final reduction procedure failed in 21 patients, all of whom finally underwent surgical treatment. The incidences of failed final reduction and fair reduction were significantly higher in the overweight/obesity group than in the normal-weight group (P = 0.046 and P = 0.041, respectively). During follow-up, 32 (26.4%) patients developed redisplacement after closed reduction and cast immobilization. The three risk factors associated with the incidence of redisplacement were overweight/obesity [odds ratio (OR), 2.149; 95% confidence interval (CI), 1.320–3.498], an associated ulnar fracture (OR, 2.127; 95% CI, 1.169–3.870), and a three-point index of ≥ 0.40 (OR, 3.272; 95% CI, 1.975–5.421). Conclusions Overweight increases the risk of reduction failure and decreases the reduction effect. Overweight children were two times more likely to develop redisplacement than normal-weight children in the present study. Thus, overweight children may benefit from stricter clinical follow-up and perhaps a lower threshold for surgical intervention.

Download Full-text