Middle turbinate in endoscopic plastic surgery in the treatment of ethmoidal nerve syndrome.docVIP
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Middle turbinate in endoscopic plastic surgery in the treatment of ethmoidal nerve syndrome
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Middle turbinate in endoscopic plastic surgery in the treatment of ethmoidal nerve syndrome
[Keywords:] endoscopic plastic surgery of the middle turbinate ethmoid nerve syndrome
Department of ethmoidal ethmoidal nerve syndrome resulting pressure on nerve endings in a series of symptoms. Our department in February 2007 -2008 in December by Endoscopic plastic surgery in the treatment of inferior turbinate ethmoid nerve syndrome in 24 cases, follow-up March to 1 year and achieved better results. are as follows.
1 Clinical data
1.1 General information on the 24 cases, 14 males and 10 females, aged 18 to 54 years of age, duration of 1 to 16 years. The main symptoms: pain in 16 patients nasion, eyebrow pain in 12 cases, the amount of pain in 7 cases, temporal pain in 3 cases, 5 cases of hyposmia. paroxysmal or persistent symptoms were seizures, 12 cases of unilateral orbital upper corner of the discomfort, ocular foreign body sensation, visual fatigue, to mention a heavy eyelid, accompanied by nasal congestion, runny nose or dorsum tenderness. nasal endoscopy: 24 patients with olfactory groove has a narrow 1 to 2, 16 cases of unilateral, bilateral in 8 cases. with a small amount of 0.1% epinephrine plus 2% tetracaine in a narrow piece of cotton patching Department, headache disappeared in 18 cases, significantly reduced in 6 cases.
Horizontal position, and coronal sinus CT scan showed 24 patients with olfactory groove narrow reasons: gasification of 17 cases of middle turbinate, middle turbinate lower inward migration over 4 cases of spherical mucosa hypertrophy, hyperplasia in 3 cases. The performance gap between the soft tissue disappeared, severe turbinate and ethmoid bone perpendicular plate of the inter-free soft tissue, bone was narrow.
0.1% 1.2 surgical epinephrine (3 mL) plus 1% tetracaine (20 ml) piece of cotton after the intranasal topical anesthesia, carefully observed in endoscopic nasal structures. Gasification of
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