Surgical Interventions for Inferior Turbinate Hypertrophy: a Comprehensive Review of Current Techniques and Technologies
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Septoplasty, Rhinoplasty, Septorhinoplasty, Turbinoplasty Or
Septoplasty, Rhinoplasty, Septorhinoplasty, 4 Turbinoplasty or Turbinectomy CPAP • If you have obstructive sleep apnea and use CPAP, please speak with your surgeon about how to use it after surgery. Follow-up • Your follow-up visit with the surgeon is about 1 to 2 weeks after Septoplasty, Rhinoplasty, Septorhinoplasty, surgery. You will need to call for an appointment. Turbinoplasty or Turbinectomy • During this visit any nasal packing or stents will be removed. Who can I call if I have questions? For a healthy recovery after surgery, please follow these instructions. • If you have any questions, please contact your surgeon’s office. Septoplasty is a repair of the nasal septum. You may have • For urgent questions after hours, please call the Otolaryngologist some packing up your nose or splints which stay in for – Head & Neck (ENT) surgeon on call at 905-521-5030. 7 to 14 days. They will be removed at your follow up visit. When do I need medical help? Rhinoplasty is a repair of the nasal bones. You will have a small splint or plaster on your nose. • If you have a fever 38.5°C (101.3°F) or higher. • If you have pain not relieved by medication. Septorhinoplasty is a repair of the nasal septum and the nasal bone. You will have a small splint or plaster cast on • If you have a hot or inflamed nose, or pus draining from your nose, your nose. or an odour from your nose. • If you have an increase in bleeding from your nose or on Turbinoplasty surgery reduces the size of the turbinates in your dressing. -
Gross Anatomy Assignment Name: Olorunfemi Peace Toluwalase Matric No: 17/Mhs01/257 Dept: Mbbs Course: Gross Anatomy of Head and Neck
GROSS ANATOMY ASSIGNMENT NAME: OLORUNFEMI PEACE TOLUWALASE MATRIC NO: 17/MHS01/257 DEPT: MBBS COURSE: GROSS ANATOMY OF HEAD AND NECK QUESTION 1 Write an essay on the carvernous sinus. The cavernous sinuses are one of several drainage pathways for the brain that sits in the middle. In addition to receiving venous drainage from the brain, it also receives tributaries from parts of the face. STRUCTURE ➢ The cavernous sinuses are 1 cm wide cavities that extend a distance of 2 cm from the most posterior aspect of the orbit to the petrous part of the temporal bone. ➢ They are bilaterally paired collections of venous plexuses that sit on either side of the sphenoid bone. ➢ Although they are not truly trabeculated cavities like the corpora cavernosa of the penis, the numerous plexuses, however, give the cavities their characteristic sponge-like appearance. ➢ The cavernous sinus is roofed by an inner layer of dura matter that continues with the diaphragma sellae that covers the superior part of the pituitary gland. The roof of the sinus also has several other attachments. ➢ Anteriorly, it attaches to the anterior and middle clinoid processes, posteriorly it attaches to the tentorium (at its attachment to the posterior clinoid process). Part of the periosteum of the greater wing of the sphenoid bone forms the floor of the sinus. ➢ The body of the sphenoid acts as the medial wall of the sinus while the lateral wall is formed from the visceral part of the dura mater. CONTENTS The cavernous sinus contains the internal carotid artery and several cranial nerves. Abducens nerve (CN VI) traverses the sinus lateral to the internal carotid artery. -
Diagnostic Nasal/Sinus Endoscopy, Functional Endoscopic Sinus Surgery (FESS) and Turbinectomy
Medical Coverage Policy Effective Date ............................................. 7/10/2021 Next Review Date ....................................... 3/15/2022 Coverage Policy Number .................................. 0554 Diagnostic Nasal/Sinus Endoscopy, Functional Endoscopic Sinus Surgery (FESS) and Turbinectomy Table of Contents Related Coverage Resources Overview .............................................................. 1 Balloon Sinus Ostial Dilation for Chronic Sinusitis and Coverage Policy ................................................... 2 Eustachian Tube Dilation General Background ............................................ 3 Drug-Eluting Devices for Use Following Endoscopic Medicare Coverage Determinations .................. 10 Sinus Surgery Coding/Billing Information .................................. 10 Rhinoplasty, Vestibular Stenosis Repair and Septoplasty References ........................................................ 28 INSTRUCTIONS FOR USE The following Coverage Policy applies to health benefit plans administered by Cigna Companies. Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations. References to standard benefit plan language and coverage determinations do not apply to those clients. Coverage Policies are intended to provide guidance in interpreting certain standard benefit plans administered by Cigna Companies. Please note, the terms of a customer’s particular benefit plan document [Group Service Agreement, Evidence -
Surgical Management of Nasal Airway Obstruction
Surgical Management of Nasal Airway Obstruction John F. Teichgraeber, MDa, Ronald P. Gruber, MDb, Neil Tanna, MD, MBAc,* KEYWORDS Nasal obstruction Nasal breathing Septal deviation Nasal valve narrowing Turbinate hypertrophy KEY POINTS The management and diagnosis of nasal airway obstruction requires an understanding of the form and function of the nose. Nasal airway obstruction can be structural, physiologic, or a combination of both. Anatomic causes of airway obstruction include septal deviation, internal nasal valve narrowing, external nasal valve collapse, and inferior turbinate hypertrophy. Thus, the management of nasal air obstruction must be selective and carefully considered. The goal of surgery is to address the deformity and not just enlarge the nasal cavity. INTRODUCTION vomer, and maxillary crest. The narrowest portion of the nose is the internal nasal valve (10–15), The management and diagnosis of nasal airway which is formed by the septum, the inferior turbi- obstruction requires an understanding of the nate, and the upper lateral cartilage. Short nasal form and function of the nose. Nasal airway bones, a narrow midnasal fold, and malposition obstruction can be structural, physiologic, or a of the alar cartilages all predispose patients to in- combination of both. Thus, the management of ternal valve incompetence. nasal airway obstruction must be selective and The lateral wall of the nose contains 3 to 4 turbi- often involves medical management. The goal of nates (inferior, middle, superior, supreme) and the surgery is to address the deformity and not just corresponding meatuses that drain the paranasal enlarge the nasal cavity. This article reviews airway sinuses. The nasolacrimal duct drains through obstruction and its treatment. -
Empty Nose Syndrome: Etiopathogenesis and Management Magdy Eisa Saafan, Hassan Moustafa Hegazy, Osama A
Review article 119 Empty nose syndrome: etiopathogenesis and management Magdy Eisa Saafan, Hassan Moustafa Hegazy, Osama A. Albirmawy Department of Otolaryngology and Head & Empty nose syndrome (ENS) is an iatrogenic disorder most often recognized by the Neck Surgery, Tanta University Hospitals, presence of paradoxical nasal obstruction despite an objectively wide patent nasal Tanta, Egypt cavity. It occurs after inferior and/or middle turbinate resection; however, individuals Corresponding to Hassan Moustafa Hegazy, with normal turbinates and intranasal volume may also complain of ENS. Its MD, ENT Department, Tanta University pathophysiology remains unclear, but it is probably caused by wide nasal cavities Hospitals, Tanta 31516, Egypt Tel: + +20 128 494 8668; affecting the neurosensitive receptors and inhaled air humidification. Neuropsy- E-mail: [email protected] chological involvement is also suspected. Not every patient undergoing radical turbinate resection experiences the symptoms of ENS. ENS can affect the normal Received 28 October 2015 ’ Accepted 1 November 2015 breathing function of the nasal cavity, with subsequent deterioration in patients quality of life. The diagnosis is made on the basis of the patients’ history, The Egyptian Journal of Otolaryngology 2016, 32:119–129 endoscopic examination of the nasal cavity, imaging (computed tomography imaging and functional MRI), and rhinomanometry. Prevention is the most impor- tant strategy; thus, the inferior and middle turbinate should not be resected without adequate justification. Management is problematic including nasal cavity hygiene and humidification, with surgery reserved for the most severe cases. The surgery aims at partial filling of the nasal cavity using different techniques and implant materials. In this paper, we review both the etiology and the clinical presentation of ENS, and its conservative and surgical management. -
Macroscopic Anatomy of the Nasal Cavity and Paranasal Sinuses of the Domestic Pig (Sus Scrofa Domestica) Daniel John Hillmann Iowa State University
Iowa State University Capstones, Theses and Retrospective Theses and Dissertations Dissertations 1971 Macroscopic anatomy of the nasal cavity and paranasal sinuses of the domestic pig (Sus scrofa domestica) Daniel John Hillmann Iowa State University Follow this and additional works at: https://lib.dr.iastate.edu/rtd Part of the Animal Structures Commons, and the Veterinary Anatomy Commons Recommended Citation Hillmann, Daniel John, "Macroscopic anatomy of the nasal cavity and paranasal sinuses of the domestic pig (Sus scrofa domestica)" (1971). Retrospective Theses and Dissertations. 4460. https://lib.dr.iastate.edu/rtd/4460 This Dissertation is brought to you for free and open access by the Iowa State University Capstones, Theses and Dissertations at Iowa State University Digital Repository. It has been accepted for inclusion in Retrospective Theses and Dissertations by an authorized administrator of Iowa State University Digital Repository. For more information, please contact [email protected]. 72-5208 HILLMANN, Daniel John, 1938- MACROSCOPIC ANATOMY OF THE NASAL CAVITY AND PARANASAL SINUSES OF THE DOMESTIC PIG (SUS SCROFA DOMESTICA). Iowa State University, Ph.D., 1971 Anatomy I University Microfilms, A XEROX Company, Ann Arbor. Michigan I , THIS DISSERTATION HAS BEEN MICROFILMED EXACTLY AS RECEIVED Macroscopic anatomy of the nasal cavity and paranasal sinuses of the domestic pig (Sus scrofa domestica) by Daniel John Hillmann A Dissertation Submitted to the Graduate Faculty in Partial Fulfillment of The Requirements for the Degree of DOCTOR OF PHILOSOPHY Major Subject: Veterinary Anatomy Approved: Signature was redacted for privacy. h Charge of -^lajoï^ Wor Signature was redacted for privacy. For/the Major Department For the Graduate College Iowa State University Ames/ Iowa 19 71 PLEASE NOTE: Some Pages have indistinct print. -
Anatomy, Physiology, and General Concepts in Nasal Reconstruction
Anatomy, Physiology, and General Concepts in Nasal Reconstruction Jason D. Bloom, MDa, Marcelo B. Antunes, MDb, Daniel G. Becker, MDb,* KEYWORDS Nasal reconstruction Nasal anatomy Skin physiology Wound healing Facial lines ANATOMY, PHYSIOLOGY, AND GENERAL originally determined the nasal subunits when CONCEPTS IN NASAL RECONSTRUCTION described by Gonzalez-Ulloa and colleagues.2 The thickest area is the caudal portion of the nose, Nasal reconstruction has made great strides in the on the nasal tip and ala, with its skin rich in seba- last 50 years. Nasal reconstructive surgeons have ceous glands. This nasal skin progressively gets gotten away from the idea of “filling the hole” and thinner until it reaches the rhinion, where it is the now have multiple options, which enable them to thinnest,3 and again as it transitions from the tip to achieve an aesthetically pleasing nose and good the columella and the alar rim.4,5 functional results.1 As the central and often the most noticeable feature of the face, the nose is Soft-tissue envelope also one of the most difficult to reconstruct. Nasal The soft-tissue envelope is composed of 4 layers: reconstruction requires a thorough understanding the superficial fatty layer, the fibromuscular of this complex, 3-dimensional structural and layer, the deep fatty layer, and the perichondrial/ topographic anatomy. Also, key to this type of periosteal layer.4 The superficial fatty layer is inti- surgery is the relationship of the nose to the mately connected to the dermis. Immediately surrounding tissues of the face and how these deep to this layer is the fibromuscular layer. -
Bifid and Secondary Superior Nasal Turbinates M.C
View metadata, citation and similar papers at core.ac.uk brought to you by CORE Foliaprovided Morphol. by Via Medica Journals Vol. 78, No. 1, pp. 199–203 DOI: 10.5603/FM.a2018.0047 C A S E R E P O R T Copyright © 2019 Via Medica ISSN 0015–5659 journals.viamedica.pl Bifid and secondary superior nasal turbinates M.C. Rusu1, M. Săndulescu1, C.J. Sava2, D. Dincă3 1“Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania 2“Victor Babeș” University of Medicine and Pharmacy, Timișoara, Romania 3“Ovidius” University, Aleea Universității No. 1, Constanța, Romania [Received: 5 March 2018; Accepted: 8 May 2018] The lateral nasal wall contains the nasal turbinates (conchae) which are used as landmarks during functional endoscopic surgery. Various morphological pos- sibilities of turbinates were reported, such as bifidity of the inferior turbinate and extra middle turbinates, such as the secondary middle turbinate. During a retrospective cone beam computed tomography study of nasal turbinates in a patient we found previously unreported variants of the superior nasal turbina- tes. These had, bilaterally, ethmoidal and sphenoidal insertions. On the right side we found a bifid superior turbinate and on the left side we found a secondary superior turbinate located beneath the normal/principal one, in the superior nasal meatus. These demonstrate that if a variant morphology is possible for a certain turbinate, it could occur in any nasal turbinate but it has not been yet observed or reported. (Folia Morphol 2019; 78, 1: 199–203) Key words: nasal fossa, nasal concha, bifid turbinate, secondary turbinate, sphenoethmoidal recess INTRODUCTION Paranasal sinuses as well as several regions of the The lateral nasal wall contains the nasal conchae orbit may be accessed through the lateral nasal wall, or turbinates. -
Giant Angiomatous Choanal Polyp Originating from the Middle Turbinate: a Case Report
Case Report ENT Updates 2017;7(1):53–56 doi:10.2399/jmu.2017001007 Giant angiomatous choanal polyp originating from the middle turbinate: a case report Aleksandar Perić1, Aleksandar Jovanovski2, Biserka Vukomanović Durdević3 1Department of Otorhinolaryngology, Faculty of Medicine, Military Medical Academy, Belgrade, Serbia 2Institute for Radiology, Faculty of Medicine, Military Medical Academy, Belgrade, Serbia 3Institute for Pathology, Faculty of Medicine, Military Medical Academy, Belgrade, Serbia Abstract Özet: Orta konkadan kaynaklanan dev anjiyomatöz koanal polip: Olgu sunumu Choanal polyps (CPs) can be defined as histologically benign, solitary, Koanal polip (KP) histolojik olarak benign, nazal kavite ile nazofarenks soft tissue lesions extending towards the junction between the nasal cavi- aras› birleflme noktas›na koana yoluyla uzanan, soliter yumuflak doku ty and the nasopharynx through the choana. They usually originate from lezyonu olarak tan›mlan›r. Genellikle maksiller sinüsten köken al›r. Bu the maxillary sinus. In this report, we present an unusual case of a giant olgu sunumunda orta konkan›n alt bölümünden ç›kan ve nazofarenksi angiomatous CP arising from the inferior part of the middle turbinate tamamen dolduran ola¤and›fl› bir dev anjiyomatöz KP’yi sunmaktay›z. that completely filled the nasopharynx. A 24-year-old man presented with Burnun sol taraf›nda t›kanma, burun ak›nt›s› ve hafif-orta derecede bu- five-year history of left-sided nasal obstruction, nasal discharge and mild- run kanamas› üzerine 5 y›ll›k öyküsü olan 24 yafl›ndaki erkek hasta kli- to-moderate epistaxis. The diagnosis was supported by contrast- ni¤imize baflvurdu. Tan›, paranazal sinüslerin kontrastl› bilgisayarl› to- enhanced computed tomography scan of the paranasal sinuses with mografi taramas›yla kombine anjiyografiyle desteklendi ve histopatolo- angiography and confirmed by histopathological examination. -
The Respiratory System
The Respiratory system DR VISHAL BANNE Respiratory System: Oxygen Delivery System . The respiratory system is the set of organs that allows a person to breathe and exchange oxygen and carbon dioxide throughout the body. The integrated system of organs involved in the intake and exchange of oxygen and carbon dioxide between the body and the environment and including the nasal passages, larynx, trachea, bronchial tubes, and lungs. The respiratory system performs two major tasks: . Exchanging air between the body and the outside environment known as external respiration. Bringing oxygen to the cells and removing carbon dioxide from them referred to as internal respiration. Nose Mouth Bronchial tubes Trachea Lung Diaphragm 1. Supplies the body with oxygen and disposes of carbon dioxide 2. Filters inspired air 3. Produces sound 4. Contains receptors for smell 5. Rids the body of some excess water and heat 6. Helps regulate blood pH Breathing . Breathing (pulmonary ventilation). consists of two cyclic phases: . Inhalation, also called inspiration - draws gases into the lungs. Exhalation, also called expiration - forces gases out of the lungs. Air from the outside environment enters the nose or mouth during inspiration (inhalation). Composed of the nose and nasal cavity, paranasal sinuses, pharynx (throat), larynx. All part of the conducting portion of the respiratory system. Nasal Cavity Nostril Throat Mouth (pharynx) Voice box(Larynx) Nose . Also called external nares. Divided into two halves by the nasal septum. Contains the paranasal sinuses where air is warmed. Contains cilia which is responsible for filtering out foreign bodies. Nose and Nasal Cavities Frontal sinus Nasal concha Sphenoid sinus Middle nasal concha Internal naris Inferior nasal concha Nasopharynx External naris . -
Choanal Polyp Originating from the Middle Turbinate: a Case Report
Acıbadem Üniversitesi Sağlık Bilimleri Dergisi Cilt: 3 • Sayı: 3 • Temmuz 2012 OLGU SUNUMU Kulak Burun Boğaz Choanal Polyp Originating From The Middle Turbinate: A Case Report Mahmut Özkırış Kayseri Tekden Hastanesi, Kulak Burun Boğaz Polikliniği, Kayseri, Türkiye ABSTRACT ORTA KONKA KAYNAKLI KOANAL POLIP:OLGU SUNUMU Choanal polyps can be defined as benign, solitary, inflammatory soft tissue ÖZET masses, that extends towards the nasal cavity and the nasopharynx. Unu- sual origins such as the sphenoid sinus, ethmoid sinus, nasal septum, hard Koanal polipler, burun boşluğu ve nazofarenks doğru uzanan benign, soli- and soft palate have been reported in the literature. This report describes ter, inflamatuar yumuşak doku kitleleri, olarak tanımlanabilir. Literatürde a polyp that arose from the middle turbinate and extended through the ender olarak sfenoid sinüs, etmoid sinüs, nazal septum, sert ve yumuşak choana into the nasopharynx and removed by an endoscopic surgery tech- damaktan orijin alabilir. Bu makalede, orta konkadan kaynaklanıp koana nique. The computed tomographic findings are described and the literature ve nazofarinkse uzanım göstermiş olan olgu endoskopik olarak tedavi edil- is reviewed. miştir.Tomografi bulguları literatür eşliğinde sunulmuştur. Keywords: choanal polyp; nasal obstruction; middle turbinate Anahtar sözcükler: koanal polyp; nazal obtrüksiyon; orta konka Introduction Case report Choanal polyp (CP) can be defined as benign, solitary, in- A 58-year-old woman was admitted to the our flammatory soft tissue masses, that extend towards the Otolaryngology clinic in November 2010. She com- nasal cavity and the nasopharynx. Some 4–6% of all nasal plained of left nasal obstruction, hyposmia, left maxil- polyps are found to be CP (1). -
Estimation of Nasal Cavity and Conchae Volumes by Stereological Method
Folia Morphol. Vol. 71, No. 2, pp. 105–108 Copyright © 2012 Via Medica O R I G I N A L A R T I C L E ISSN 0015–5659 www.fm.viamedica.pl Estimation of nasal cavity and conchae volumes by stereological method M. Emirzeoglu1, B. Sahin1, M. Celebi2, A. Uzun1, S. Bilgic1, H.O. Tontus3 1Anatomy Department, Medical Faculty, Ondokuz Mayis University, Samsun, Turkey 2ENT Department, Mehmet Aydin Research Hospital, Samsun, Turkey 3Medical Education Department, Medical Faculty, Ondokuz Mayis University, Samsun, Turkey [Received 16 February 2012; Accepted 23 February 2012] Background: Studies evaluating the mean volumes of nasal cavity and concha are very rare. Since there is little date on the mentioned topic, we aimed to carry out the presented study to obtain a volumetric index showing the relation between the nasal cavity and concha. Material and methods: The volumes of the nasal cavity and concha were measured in 30 males and 30 females (18–40 years old) on computed tomo- graphy images using stereological methods. Results: The mean volumes of nasal cavity, concha nasalis media, and concha nasalis inferior were 5.95 ± 0.10 cm3, 0.56 ± 0.22 cm3, and 1.45 ± 0.68 cm3; 7.01 ± 0.18 cm3, 0.67 ± 0.31 cm3 and 1.59 ± 0.98 cm3 in females and males, respectively. There were statistically significant differences in the volume of the nasal cavity and concha nasalis media (p < 0.05) between males and females, except for concha nasalis inferior (p > 0.05). Conclusions: Our results could provide volumetric indexes for the nasal cavity and concha, which could help the physician to manage surgical procedures related to the nasal cavity and concha.