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Nasal polyps resulting from chronic rhinosinusitis affect approximately 4.3% of the population. [6] Nasal polyps occur more frequently in men than women and are more common as people get older, increasing drastically after the age of 40. [6] Of people with chronic rhinosinusitis, 10% to 54% also have allergies.
It can be caused by anatomical factors such as a deviated septum or nasal polyps (growths), as well as infection. Symptoms include difficulty breathing through the nose, swelling and pain around the nose and eyes, postnasal drainage down the throat, and difficulty sleeping. [10] CRS is a common condition in children and young adults. [11]
Nasal surgery is a specialty including the removal of nasal obstruction that cannot be achieved by medication and nasal reconstruction. Currently, it comprises four approaches, namely rhinoplasty, septoplasty, sinus surgery, and turbinoplasty, targeted at different sections of the nasal cavity in the order of their external to internal positions.
•Krause's nasal snare: used to remove nasal polyps •Glegg's nasal polyp snare: used to remove nasal polyps •Aural snare: used to remove aural polyps: Tonsil knife: used in tonsillectomy.incission of anterior pillar of tonsil in the beginning of operation Yorke's tonsil haemostatic clamp: haemostatic clamps: Negus' ligature slipper/knot tier
Age: Below the age of 3 years, as the size of the sinus is small due to underdeveloped Maxillary Sinus. [10] Bleeding disorders: May lead to epistaxis. [10] Fracture of maxilla: Antral Lavage may result in escape of the fluid through fracture lines. [10] Febrile stage of acute maxillary sinusitis: May cause osteomyelitis of Maxilla. [10]
A turbinectomy or turbinoplasty (preserving the mucosal layer) is a surgical procedure, that removes tissue, and sometimes bone, of the turbinates in the nasal passage, particularly the inferior nasal concha. The procedure is usually performed to relieve nasal obstructions. [1]
The most commonly used crystalloid fluid is normal saline, a solution of sodium chloride at 0.9% concentration, which is close to the concentration in the blood . [3] Ringer's lactate or Ringer's acetate is another isotonic solution often used for large-volume fluid replacement. The choice of fluids may also depend on the chemical properties of ...
The pressure difference causes the mucosal lining of the sinuses to become swollen and submucosal bleeding follows with further difficulties ventilating the sinus, especially if the orifices are involved. Ultimately fluid or blood will fill the space. In most cases of sinus barotrauma, localized pain to the frontal area is the predominant symptom.
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