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Deviation of nasal septum+double inferior turbinate surgery, which should Daqing Oilfield General Hospital and Harbin Medical University Second Hospital choose?
Deviation of nasal septum: the nasal septum deviates to one side or both sides or protrudes locally, causing dysfunction such as nasal ventilation.

Or produce symptoms, it is called nasal septum deviation. If the deviation of the nasal septum does not cause dysfunction, it is

Physiological deviation can be ignored.

Clinical manifestations: 1. Persistent or alternating nasal congestion, ipsilateral headache and recurrent epistaxis.

2. Deviation of nasal septum hinders nasal ventilation and sinus drainage, which can induce sinusitis with purulent secretion.

Or runny nose, mouth breathing, throat discomfort, easy to cause respiratory tract infection.

3. The nasal septum is "C" or "S" shaped, and spinous process or cartilage dislocation is common.

The wider side of the nasal cavity is often compensatory hypertrophy.

Diagnostic basis: 1. With the above symptoms, the external nose and front nose mirror can be deviated.

2. Local palpation excluded nasal mucosa hypertrophy and nasal septum tumor.

Handling principle: 1. Anyone who has one of the above symptoms and is suspected to be related to this disease can be treated surgically. operate

Methods include submucosal resection or nasal septum correction.

2. Prevention of infection and symptomatic treatment after operation to prevent perforation or adhesion of nasal septum.

Principle of medication: Under normal circumstances, symptomatic treatment can be given, and antibiotics can be added during operation to prevent wound infection.

Efficacy evaluation: 1. Cure: rectification, wound healing, symptoms disappeared, no complications.

2. Improvement: deviation improvement, wound healing and symptom improvement.

Experts suggest that the deviation of nasal septum is a deviation deformity of local bone or cartilage of nasal septum, and the treatment is mainly surgical correction.

Positive and good surgical results.

Turbinate hypertrophy: It means that the turbinate is stimulated by inflammation for a long time, which leads to edema of turbinate mucosa and nasal congestion.

Plug.

Clinical manifestations: 1. Early rebreathing of nasal mucus may have bleeding symptoms, such as blood in the sputum after sniffing or blowing nose.

Sometimes there is blood in the nose, only a little blood in the early sputum or nose, and sometimes there is no blood. Late appearance

Too much blood will cause nosebleeds.

2. Tinnitus, hearing loss, ear occlusion, nasopharyngeal carcinoma occurs in the lateral fossa of nasopharyngeal wall or eustachian tube.

When the upper lip is open, when the tumor compresses the eustachian tube, unilateral tinnitus or hearing loss may occur, and it also

Catarrhal otitis media, unilateral tinnitus or hearing loss may occur, which belongs to the early stage.

One of the symptoms of stage nasopharyngeal carcinoma

3. Headache is a common symptom, accounting for 68.6%, which can be the first symptom or the only symptom.

Intermittent position is not fixed, and the later stage is persistent migraine. The reason of fixed position is discussed.

Early patients may be caused by neurovascular reflex or the first branch of trigeminal nerve.

Due to the stimulation of menstruation, tumors often destroy the skull base, spread in the brain and involve the skull spirit.

Caused by menstruation

4. Nasal congestion can occur in nostrils after tumor blockage. When the tumor is small, the nasal congestion is light. With the tumor,

The aggravation of long nasal congestion is mostly unilateral nasal congestion. If the tumor blocks the bilateral posterior nostrils, bilateral nasal congestion may occur.

Sexual nasal obstruction

Treatment: 1. Surgery, microwave and radiofrequency ablation.

2. Drug therapy

But no matter what kind of treatment depends on the patient's specific situation, in daily life, we should pay attention to keep warm and try to reduce colds, because long-term colds can lead to chronic rhinitis, and turbinate hypertrophy is often caused by chronic rhinitis.

Correction of nasal septum and partial turbinectomy can be performed at the same time.