Rumen BENCHEV, Dilyana VICHEVA, George BOYADZHIEV

Surgical treatment of nasal polyposis with microdebriders evaluation of results by acoustic rhinometry

Amaç: Nazal polipozisin cerrahi tedavisi çok eski zamanlardan beri uygulanmaktadır. Zaman içinde gelişmiş ve endoskopik sinüs cerrahisi ile birlikte nazal polipozisin tam olarak çıkarılması mümkün olmuştur. Yirminci yüzyılın sonunda bu cerrahi teknik, ortopedide eklemlerin endoskopik tedavisinde kullanılan mikrodebriderlerin de eklenmesiyle daha da önem kazanmıştır. Bu çalışmanın amacı nazal polipoziste gelişmiş cihazların kullanımıyla edindiğimiz cerrahi tedavi deneyimizi paylaşmaktır. Hastalar ve Yöntemler: Bu çalışmada nazal polipozisli elli dört hasta mikrodebrider ile ameliyat edildi. Hastalar bir yıl takip edildi. Değerlendirmede, klinik muayene, burun solunumunun subjektif ve objektif ölçüm yöntemleri kullanıldı. Cerrahi teknik, tekniğin avantajları ve etkinliği anlatıldı. Bulgular: Beş hastada nazal polipozis rekürrensi görüldü. Sonuç: Bu teknikteki minimal kanama, temiz cerrahi görüş, kısa ameliyat süresi ve yöntemin artmış güvenirliği, tekniği günlük rinolojik pratikte uygun kılmaktadır.

Anahtar Kelimeler:

Kulak-burun-boğaz cerrahi işlemleri, Otorinolaringolojik hastalıklar, Nazal polipler, Rinometri, akustik, Tekrarlama

Nazal polipozisin mikrodebrider ile cerrahi tedavisi: akustik rinometri ile kontrollü sonuçlar

Objectives: The surgical treatment of nasal polyposis has occupied physicians since antiquity. Through the ages it has improved and with the introduction of endoscopic sinus surgery, the removal of nasal polyposis is accomplished with great precision. At the end of XX. century, this surgical technique was completed with the use of microdebriders, as in the endoscopic treatment of the joints in orthopedics. The aim of the study is to share our experience with the surgical treatment of nasal polyposis with powered equipment. Patients and Methods: Fifty four patients with nasal polyposis were operated with microdebriders. The patients were followed for a period of 1 year. The assessment included clinical examination and subjective and objective methods of measuring nasal breathing. The surgical technique, its advantages and precision are described. Results: Recurrence of the nasal polyposis was found in five patients. Conclusions: Minimal bleeding, clear operative field, reduced operative time and enhanced security of this method make it very convenient in everyday rhinological practice.

Keywords:

Otorhinolaryngologic Surgical Procedures, Otorhinolaryngologic Diseases, Nasal Polyps, Rhinometry, Acoustic, Recurrence,

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