surgical removal of a portion of the concha or complete removal of the concha. This allows improved air flow and removes concha bullosa. The remaining tissue is then cauterized and nasal secretion is placed to reduce bleeding. turbinoplasty: cutting turbinate and removing tissue and a small amount of bone. After the tissue is sufficiently removed, the incision is closed.
Endoscopic Septoplasty and Endoscopic Turbinoplasty
In these patients, following the local anesthesia, the inferior turbinate is inserted through an incision close to the anterior end of the inferior turbinate and the mucosa of the turbinate is elevated. Hypertrophic soft tissues and surplus bone structures under the mucosa are removed with microdebrider or forceps and then placed into the mucosal flap. Although corrected, hypertrophic inferior turbinates are usually inserted through an incision through the nose of the patient and the mucosa of the turbinate is elevated. Hypertrophic soft tissues and surplus bone structures under the mucosa are minimized by microdebrider or forceps and deposited into the mucosal flap. Endoscopic septoplasty and endoscopic turbinoplasty can be performed successfully in selected cases because it provides excellent vision during surgery and allows the removal of intranasal pathologies without disturbing the normal anatomy.
surgery was defined in the 1970s and became widespread in a short time.
This surgical method was very effective due to its suitability to physiology and completely changed the treatment approach of chronic sinusitis.
Therefore, almost all of the old surgical methods used in the treatment of sinusitis were abandoned in a short time. In this surgical approach, the basic logic is based on preserving the mucosa covering the bone structures as much as possible while removing the osteitic tissue by exposing the natural openings of the sinuses by visualizing the inside of the nose with tiny camera tips. As the sinus mucosa is preserved, over time the transport of mucus resumes and a normal physiological cycle can be achieved. The problem of chronic sinusitis, especially due to anatomical disorders, can thus be completely eliminated.Nasal endoscopic surgery has been described primarily for the treatment of chronic sinusitis. However, with the development of radiological and digital imaging and increased experience with time, tumor surgery of the sinuses and skull base, encephalocele excision, repair of cerebrospinal fluid leaks from the nose, treatment of tear duct obstruction, surgical treatment of some eye diseases, endoscopic way to open a large endoscopic surgery. spread. With the collective method applied by endoscopic skull base teams, the treatment of many tumors located in the skull base can be performed through the nose without craniotomy. Since the image is of higher quality and larger in the operations performed with this method, the entire tumor can be removed with minimal damage to the patient and the duration of hospitalization and recovery is significantly reduced.