下鼻甲肥大儿童微清刷辅助鼻甲成形术

Ashraf Khalid, Mohamed Abdel Monaem, Khalid Abdelmoaty, Abdelrhman Mouhamed
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引用次数: 0

摘要

本研究是一项前瞻性队列系列研究,旨在评估微除尘器辅助下鼻甲成形术在长期缩小鼻甲大小、保存鼻甲粘膜表面、维持鼻甲功能和并发症方面的作用。该研究在贝尼-苏韦夫专科医院和贝尼-苏韦夫大学进行。本研究包括40例儿童时期(9 ~ 15岁)诊断为下鼻甲肥大的患者,所有患者均采用Microdibreder辅助下鼻甲成形术治疗。本研究发现,鼻甲清创最长时间为30分钟,最短时间为20分钟,平均22.5分钟。术中粘膜撕裂5例(25%),仅2例(5%)采用吸电止血。4例骨甲骨厚(10%),36例骨甲骨薄(90%)。鼻塞和其他肥厚症状明显改善。本研究得出结论,显微清鼻器是改善儿童下鼻甲肥大引起的鼻塞的最佳技术,因为它减少了下鼻甲的大小,并能够保留整个鼻黏膜,除了鼻甲前极的一个缺口。保持其功能结构完整,手术后鼻甲可以保持完全正常。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Microdebrider-Assisted Turbinoplasty in Children with Hypertrophic Inferior Turbinate
: This study was conducted to is to assess the role of microdebrider assisted turbinoplasty in children with hypertrophic inferior turbinate in the long-lasting reduction of the turbinate size, preservation of the turbinate mucosal surface, maintenance of the function and complications, the study was designed as a prospective cohort series study. The study was held in Beni-Suef specialized hospital and in Beni-Suef university. This study included 40 patients in childhood period of (9 to 15) years old with hypertrophic inferior turbinate were diagnosed and all patients were be treated by Microdibreder assisted turbinoplasty. This study revealed that the maximum time for debriding the turbinate was 30 minutes and the minimum time was 20 with an average 22.5 minutes. During the operation 5 patients had mucosal tears (25%) and only in 2 patients (5%) suction electrocautery was used to achieve hemostasis. In 4 patients, bony turbinate was thick (10%) and n 36 patients it was thin (90%). There was a significant improvement of the nasal obstruction and other symptoms of hypertrophy. This study concluded that Microdebrider is the best technique used to improve nasal obstruction caused by hypertrophic inferior turbinate in children by decreasing its size with the ability to preserve the entire turbinal mucosa, except for a notch in the anterior pole of the turbinate. Keeping its functional structures intact, the turbinate can remain fully normal after the procedure.
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