Nasal Cavity Adhesion (Synechia) - Definition, Causes, Symptoms and Treatment

Nasal Adhesion (Nasal Synechia)

Nasal Cavity Adhesion - Intranasal Synechia - Nasal Adhesion - Nasal Synechia


Definition of Nasal Synechia 

Adhesion (synechiae) can occur after surgery, sometimes done within the nose, or after intranasal buffering. These adhesions, which usually occur between the inferior turbinate and the nasal septum, are most commonly seen after nasal surgery. These adhesions resulting from mutual mucosal injury in the nasal cavity are called "Nasal Adhesion (Nasal Synechia)".

Causes of  Nasal Synechia

Nasal Cavity Adhesion - Intranasal Synechia - Nasal Adhesion - Nasal Synechia - Treatment of  Nasal Synechia -  Causes of  Nasal Synechia - Sympoms of  Nasal Synechia - Definition of Nasal Synechia
Nasal Cavity Adhesion - Intranasal Synechia - Nasal Adhesion - Nasal Synechia - Treatment of  Nasal Synechia -  Causes of  Nasal Synechia - Sympoms of  Nasal Synechia - Definition of Nasal Synechia

The factors that increase the risk of adhesions in the nasal cavity after nasal surgeries can be listed as follows:

• Surgical applications that increase mucosal injury in the nasal cavity, traumatic surgery and the emergence of damaged mucous membranes on mutual surfaces
• Buffer application to increase mucosal damage in the nasal cavity
• Inadequate cleansing of shells and potholes in the nasal cavity after nose surgery
In general, nasal cavity surgery, endoscopic sinusitis surgery, and minimally traumatic techniques and buffers that reduce mucosal injury in turbinate operations are used.

During the turbinate radipofrequency procedure, performing procedures that cause too much damage to the turbinate mucosa increases the risk of adhesions.

Nasal Cavity Adhesion - Intranasal Synechia - Nasal Adhesion - Nasal Synechia - Treatment of  Nasal Synechia -  Causes of  Nasal Synechia - Sympoms of  Nasal Synechia - Definition of Nasal Synechia
Nasal Cavity Adhesion - Intranasal Synechia - Nasal Adhesion - Nasal Synechia - Treatment of  Nasal Synechia -  Causes of  Nasal Synechia - Sympoms of  Nasal Synechia - Definition of Nasal Synechia

During turbinate radipofrequency, in order to reduce the volume of the nose, it is usually inserted into the probe of the radiofrequency devices to reduce the heat damage and the recovery time of the tissue volume. It is usually convenient to place a nasal pad that serves as a barrier and intercepts after simple local anesthetic infiltration.

Symptoms of  synechia

If you are wondering what the cause is if your nose shows adhesions, "you often do not notice, and most often you have a nasal congestion and a decrease in your nose". Patients with nasal adherence in excess and in different areas are more likely to complain of nasal obstruction.

Diagnosis of intranasal synechia

Nasal Cavity Adhesion (Synechia)

In patients with a history of trauma or previous surgery, septum and nasal mucosal pathologies should be investigated if nasal obstruction is present. In patients with intranasal synechia (adhesion), however, the history of trauma is not always obvious. The first step after the anamnesis for the diagnosis of intranasal synechia is anterior rhinoscopy. After evaluating the condition of the septum and lower turbinates, the middle turbinate, middle meatus and nasopharynx are evaluated by flexible endoscopic examination and the pathology is clearly determined. It is important to evaluate mucosal pathologies by nasal endoscopic examination in patients with persistent nasal obstruction after nasal surgery.

Treatment of  Nasal Synechia

Nasal Cavity Adhesion - Intranasal Synechia - Nasal Adhesion - Nasal Synechia - Treatment of  Nasal Synechia -  Causes of  Nasal Synechia - Sympoms of  Nasal Synechia - Definition of Nasal Synechia
Treatment of nasal adhesions is usually quite straightforward, and placement of a material (about 1 week in length) sufficient for surgical intervention and surgical cutting in office conditions is sufficient. Usually after the injection of a spray containing a local anesthetic into the nose and a local anesthetic injection is made, the adhesion is discontinued. A nasal pad (usually internal silicone splint is preferred) is placed in the nasal cavity for at least 1 week. The operation is terminated. This technique can be modified endoscopically, or laser assisted or electrocautery assisted. In the presence of septal synechia, the treatment is surgical removal of the adhesion and prevention of reciprocal areas of mucosal damage. For this, merocele, extrafor, or splint buffer may be preferred. It has been published in the literature that it is the easiest to insert and remove the pads used by putting them in the glove finger.

Similar link >> Burun Ameliyatları Sonrasında Burun İçerisinde Yapışıklık (Sineşi) Nedenleri ve Tedavisi

Nasal Cavity Adhesion - Intranasal Synechia - Nasal Adhesion - Nasal Synechia

Nasal Cavity Adhesion - Intranasal Synechia - Nasal Adhesion - Nasal Synechia

Source link >> The role of different materials for prevention of synechiae ...

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
E-Mail: muratenoz@gmail.com
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47



 


Comments

Popular posts from this blog

Rhinoplasty Operation in Istanbul

Elongated (Long) Uvula Causes, Symptoms and Treatment

Ethnic Rhinoplasty in Istanbul