Vasotomy of the nasal turbinates
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The main indication for vasotomy is allergic rhinitis. This is an inflammatory disease of the nasal cavity caused by the body's immune response to allergens (pollen, dust, animal dander). This condition is characterized by frequent sneezing, nasal congestion, itching, and excessive secretion of clear mucus.
It is also prescribed for vasomotor rhinitis (breathing disorder caused by dysfunction of the regulation of vascular tone in the nasal cavity). This non-allergic condition causes intermittent nasal congestion, mucus, and difficulty breathing. The pathology is provoked by weather changes, emotional stress and chemical irritants.
Vasotomy is also performed against the background of hypertrophic rhinitis. This is a chronic inflammation of the nasal mucosa, which results in thickening (hypertrophy) of the mucosa. The main symptoms are difficulty breathing through the nose, constant congestion, increased secretion and (often) decreased sense of smell.
General information about the procedure
How is vasotomy performed?
During the preparation process, the patient is given local anesthesia in the nasal area. First of all, tampons soaked in a 10% lidocaine solution are placed in the nasal passages. It provides initial surface anesthesia.
After a few minutes, when the effect of anesthesia begins, an additional anesthetic (2% solution of lidocaine or ultracaine) is injected into the area of the future operation. It is administered using a syringe with a thin needle. This stage allows you to completely eliminate pain during vasotomy. In some cases, sedation is additionally used to maximize patient relaxation.
Further steps:
- Access to the nasal turbinates. The doctor inserts special instruments through the nasal passages. This allows you to reach the turbinates
- Vasotomy procedure. The doctor carefully cauterizes or cuts the blood vessels on the turbinates. In doing so, he uses the selected method (laser, radiofrequency or electrocautery). This reduces blood flow and reduces swelling
- Completing the procedure. After processing the shells, the doctor removes the instruments and the patient recovers from anesthesia
After the intervention, the doctor gives the patient recommendations for nose care. In particular, to relieve pain and reduce swelling, it is necessary to take analgesics and antihistamines.
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What is vasotomy?
Vasotomy is prescribed in cases where traditional treatment of chronic runny nose does not bring the desired effect, and the constant use of nasal drops and other medications is undesirable.
This solution allows patients to avoid long-term complications and significantly improve their quality of life.
Vasotomy is performed using different methods. Often the doctor decides to perform electrocoagulation. In this case, a special heated electrode is inserted into the nasal concha. The procedure usually takes place without blood loss, but at the same time there is a risk of damage to the mucous membrane and a decrease in its functions.
In some cases, a vasotomy is performed using surgical instruments. With this method, an incision is made with a scalpel, then the doctor inserts an instrument to destroy the vessels of the nasal concha. Considering that this method provokes significant blood loss and pain after surgery, the specialist installs a tamponade in the nasal cavity.
Many clinics use laser coagulation. In this case, a laser is injected under the nasal mucosa, which destroys blood vessels without blood loss or pain. The main advantages of this method are a short recovery period and minimal risk of damage to surrounding tissue.
Another modern method is radio wave vasotomy. In this case, high-frequency radio waves are used to heat and destroy tissue.
The most gentle method of exposure is ultrasonic destruction. Ultrasound is used to destroy tissue.