OtoRhinoLaryngology Portal

The Leading Online Gallery of Otolaryngology and Head & Neck Surgery Specialty

OtoRhinoLaryngology Portal Video Collections @

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Inferior Turbinectomy

Figure shows the postoperative appearance of healed left inferior turbinate

after partial turbinectomy performed.  The tail of inferior turbinate (white arrow) 

was left untouched.  Some degree of mucosal hyperplasia can still recur.

[S- nasal septum, stars mucosal cover of turbinate remnant,

red arrow- nasolacrimal duct opening (covered by mucosa- valve of Hassner].

 

Thin mucosal cover of inferior concha after right subtotal inferior turbinectomy.

Inferior tubinate tail preservation in partial turbinectomy as this part

can potentially bleed as the vessel feeders are in proximity distally.

[ITT- inferior turbinate tail, MT- middle turbinate, N- nasopharynx]

Inferior Concha and Turbinate on X-ray

 Significantly hypertrophied inferior turbinate (+) and concha in a patient with allergic rhinitis who present with refractory nasal obstruction despite good compliance to intranasal corticosteroid therapy. 

X-ray of a patient who had bilateral inferior turbinectomy showing widely patent nasal cavity - compare with the figure above.

Concha Bullosa Surgery

 

Endoscopic appearance of left middle turbinate concha bullosa (CB).  (S - septum)

 

Endoscopic view of left middle turbinate concha bullosa showing its pneumatized cavity.  Its lateral-halve will be excised leaving its cavity wide open and epithelialized naturally while preserving the medial attached side as natural landmark.  (S - septum)

 

 

Figures showing an introperative endoscopic view of left concha bullosa after it was uncapped.  The mucosa appeared hyperplastic and this will revert

to normal upon healing.

 

Watch video of concha bullosa surgery @ YouTube

Endoscopic Sphenopalatine Artery Cauterization or Ligation

PC - posterior choana, V - vomer, MT - middle turbinate, F - flap raised, A - maxillary antrum, arrow - sphenopalatine artery. 

 

 F - flap raised, A - maxillary antrum, arrow - sphenopalatine artery, 

 

The artery can be ligated using Liga clip or cauterized using bipolar diathermy device as shown below.

Homeostasis by Cauterization Technique

An example of bipolar cautery with built-in suction channel suitable for homeostasis of sphenopalatine vessels bleeding.
An example of insulated suction bipolar diathermy forceps.

Nose Bleeds From Benign Vascular Tumour of Inferior Turbinate

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