Synopsis on Comparison of cryosurgery with submucosal diathermy in management of inferior turbinate hypertrophy
|Introduction / Background
Chronic nasal obstruction is a common complaint often result of inferior turbinate enlargement.Its cause is usually allergic rhinitis or non allergic rhinitis. Inferior turbinate hypertrophy prevents transmission of topical steroids and antihistamines to superior nasal cavity. Surgical reduction of hypertrophied turbinates is recommended when medical treatment fails.Various techniques have been described as turbinectomy,submucosal resection,cryosurgery,submucosal diathermy and laser turbinectomy. Submucosal diathermy was popularized in 1989 although reported in 1970.Coagulation current produces tissue necrosis and the ensuing fibrosis causes shrinkage of soft tissues of turbinates. Cryosurgery causes necrosis of treate nasal mucosa with subsequent regeneration in next one month. many surgeons use SMD as treatment of choice because of its relative lack of complications.Cryosurgery provides significant results when proper patient selection and techniques are used. significance of this study is to find out efficacy of cryosurgery and submucosal diathermy in treatment of chronic nasal obstruction and compare the effects of these techniques.
the objective is this study is to compare SMD with cryosurgery in management of hypertrophied inferior turbinates.
|Material and Methods|
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