This procedure consists of successful correction of deviated septum and of the external nasal pyramid, resulting in a satisfactory aesthetic outcome for the patient. The surgery is performed in the operating room under general anesthesia, supervised through endoscopy and radiofrequency, with short hospitalization (24 hours) and quick recovery at home. After surgery, modern materials will be used, such as silicone intranasal splints, which are easily tolerated by patients and which are successful in preventing hemorrhage.
CO2 Laser or Radiofrequency turbinoplasty
This procedure is performed under endoscopic control which allows the precise execution of CO2 LASER treatment or radiofrequency treatment of the inferior nasal concha, with minimal risk of bleeding and rapid recovery. The surgery can be done under local anesthesia or general anesthesia, depending on and patient’s susceptibility to surgical maneuvers.
Nasal obstruction is a frequent problem. Patients with nasal obstruction present difficulty in breathing through the nose, so they breathe through the mouth both during the day and at night leaving the sensation of a dry mouth.
This can be caused by several factors, some of which are allergies. Often, nasal passages may be narrowed by problems arising from the nasal septum or nasal turbinates. Nasal septum is a normal structure that divides the nose into two nasal cavities, but it can also be diverted to one side or the other due to multiple factors, among which the most common is represented by facial trauma in children or adult. Nasal turbinates are normal parts of the nose and are located on the lateral wall of the nasal cavities; if the turbinates are too large and a person has deviated septum, this can cause difficulties in breathing through the nose.
Diagnosis: Nasal Endoscopy.
Septoplasty is done through an endoscopy procedure and consists of straightening the cartilage and bone of the nasal septum, opening the respiratory passages of both nostrils. Only the most deviated parts will be removed and subsequently the nasal septum assumes its initial shape leaving the nasal mucosa intact. The surgery is performed in the operating room under general anesthesia, supervised through endoscopy and radiofrequency, with short hospitalization (24 hours) and quick recovery at home. After surgery, modern materials will be used, such as silicone intranasal splints, which are easily tolerated by patients and which are successful in preventing hemorrhage.
A minimally invasive, low thermal technology for effective dissection and removal of tissue, is ideal for such ENT procedures as:
- Sinus surgery.
- Turbinate surgery
- Laryngeal polypectomy
- Snoring surgery
While most radiofrequency-based surgical products, such as lasers and electrosurgical devices, use imprecise heat-driven processes to remove or cut tissue, our COBLATION Plasma Technology creates a controlled, stable plasma field to precisely remove tissue at a low relative temperature, resulting in minimal thermal damage to surrounding soft tissues. Coblation-based devices use a temperature between 40 and 70 degrees Celsius, compared with the conventional electrosurgical devices (radiofrequency and lasers) which work between 400 and 600 degrees Celsius.
Plasma is formed by creating a high density energy field within an electrical conductive fluid, such as saline. A key to sustaining a stable plasma layer is our patented saline delivery system. Without integrated saline, plasma must be formed using the body’s interstitial fluid, which dissipates quickly once energized. The COBLATION Plasma Technology uses bipolar energy to help control the amount of energy and heat delivered to the surrounding tissue.
By combining bipolar energy with continuous saline delivery, our COBLATION technology devices are able to create a stable plasma layer of only 100μm-200μm thick around the active electrode. This allows for the precise excision of tissue while minimizing the heat that is transferred to the patient and ensures a controlled amount of plasma throughout the entire procedure.
Source of Coblation information: ArthroCare / Smith & Nephew Digital Communications
Endoscopic Sinus Surgery
Endoscopic Sinus surgery has significantly evolved in recent years. This surgery is aimed at patients with chronic sinusitis, the new term that is being used is chronic rhinosinusitisbecause this is an inflammation of nasal and sinus mucosa, which is not repaired after medical treatments. This surgery uses the latest endoscopic technique with rigid rods connected to a high performance video camera that allows the surgeon to visualize in detail all sinus corridors and cavities in order to be precise in treating the rhinosinusitis.
There are multiple factors that cause mucosal inflammation, such as repeated infections, or allergies, which means that it goes through irreversible changes requiring minimally invasive surgical procedures, such as endoscopic sinus surgery in order to open the ventilation passages of sinuses and drain blocked sinus secretions.
Advantages of Endoscopic Surgery
- Main goal: improve drainage pathways of the sinuses, by opening the natural pathaways to sinuses, using a minimally invasive technique;
- Ablation of inflamed rhinosinusitis mucosa will significantly improve the drainage pathways to sinus, and the necessary medication (nasal sprays, etc.) will be used for the sinus;
- If you suffer from a sinus inflammatory disease or nasal polyps, this type of surgery is not always a complete treatment, but part of the steps required for a good local management of the disease, together with drug treatments.
The surgery is performed in the operating room under general anesthesia, with short hospitalization time (24 hours) and quick recovery at home. After surgery, modern materials will be used, such as intranasal sponges: Nasopore or Stammberger Sinu-Foam, which are easily tolerated by patients and which are successful in preventing hemorrhage.
Following this, the surgeon will advise the patient on the type of procedures required to clean the nasal pathways, and on the type of intranasal treatment to follow at home. Complications of this type of rhinosinusitis surgery are rare, but important and consist of: bleeding, loss of vision and penetration of the skull base and brain because the nasal sinuses are near these structures.
Commonly used in children
Adenoids are lymphoid tissue located in the back of the nose that can be visualized endoscopically. Repeated inflammation of adenoids can cause harm to the ear (repeated otitis) or breathing problems at night (snoring and sleep apnea) with significant impact on the development of the child and with possible hearing sequelae in adult life. The surgery is performed in the operating room under general anesthesia, supervised through endoscopy and radiofrequency, complete resection of adenoid and minimal risk of recurrence in years.
Children are usually hospitalized for 12 hours and have quick recovery at home. After the surgery, avoid groups of people for 3 days.
Transtympanic Ventilation Tube
The surgery is performed in the operating room under general anesthesia, supervised through endoscopy and radiofrequency, with complete excision of vegetation adenoid and placing a drainage tube in the eardrum with suction secretions from the middle ear to improve local ventilation and reduce the risk of post-otitis sequelae in adult life at minimum.
The surgeon will advise parents if the child is in need of this type of surgery after carrying pre-operative assessment of hearing. Children are usually hospitalized for 12 hours and have quick recovery at home. After the surgery, avoid groups of people for 3 days and the penetration of water into the ear.
Tonsillectomy or Tonsillotomy
The surgery is performed in the operating room under general anesthesia, supervised through endoscopy and radiofrequency, complete and partial resections of the palatine tonsil, opening the oropharynx and consequently providing an improved breathing for the child in the future, or with total excision of the palatine tonsils (Tonsilectomy) if needed (increased ASLO values with risk of outbreak and possible future heart problems, kidney, and articulation problems).