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LASER SURGERIES FOR THE NOSE
THIS TECHNIQUE WITH CO2 LASER IS A NON TOUCH TECHNIQUE
THE LASER PROBES HAVE SIDE PORTS AND STRAIGHT PORTS TO ENABLE THE LASER FIBRE TO FIRE THE LASER FORM A DISTANCE.
THIS TECHNIQUE ENABLES THE SURGEON TO WORK FROM A DISTANCE TO AVOID TRAUMA TO SURROUNDING TISSUE AND TO HELP GUIDE TO A FAR AWAY TISSUE WHICH NEEDS TO BE OPERATED UPON ( ADENOID, POSTERIOR PHARYNGEAL WALL OR EUSTACHIAN TUBE OPENINGS )
IT REDUCES ANY DIRECT INFECTION DUE TO PROBE CONTACT WITH THE NASAL MUCOSA
COMMON PROCEDURES PERFORMED BY ME IN TROPICANA MEDICAL CENTRE
1) LASER TURBINOPLASTY ( INFERIOR and MIDDLE Turbinates)
WHO NEEDS LASER ASSISTED TURBINOPLATY?
• CHILDREN
• ADULTS
WHY DO WE DO TURBINOPLASTY?
• RECURRENT NASAL BLOCK NOT RESPONDING TO NASAL SPRAY OR ORAL MEDICATION
• NASAL BLOCK LEADING TO SINUSITIS / RHINOSINUSITIS
• NASAL BLOK CAUSING RECURRENT EAR BLOCKAGE (EUSTACHIAN TUBE DYSFUNCTION)
• YOUNG CHILDREN WITH BAD NASAL SEPTAL DEVIATION, NOT ABLE TO BREATHE WELL, AWAITING FOR PERMANENT SEPTAL SURGERY AT LATER DATE ( AFTER AGE OF 18 YEARS)
-PEOPLE WHO DEVELOP FREQUENT BAROTRAUMA DURING FLIGHT OR DEEP SEA DIVING
-NASAL OBSTRUCTION CAUSING SNORING AND SLEEP APNOEA
WHAT BENEFITS DOES LASER ASSISTED TURBINOPALSTY HAVE?
• LESS PAIN
• FASTER RECOVERY
• SAFER THAN THE CONVENTIONAL METHODS
• WELL DEFINED SHAPING OF THE TURBINATES (3'D' RECONSTRUCTION )
• LESS BLEEDING COMPARED TO CONVENTIONAL METHODS
• PRESERVING THE FUNCTION OF THE MUCOSA
• MINIMAL TRAUMA TO THE MUCOSA STRUCTURE
• NO EXTENSIVE NASAL PACKING NEEDED POST SURGERY
• LOW INCIDENCE OF EXTREME NASAL PASSAGE DRYING (ATROPHIC RHINITIS) OR EMPTY NOSE SYNDROME )
• REDUCE SIGNIFICANT NASAL ALLERGY SYMPTOMS
-LESS USAGE OF ANTIHISTAMINE OR NASAL SPRAYS POST SURGERY
WHAT ARE THE RISKS INVOLVED?
• MINIMAL RISK
• LESS THAN THE CONVENTIONAL (OLDER) METHOD
WHAT IS A GOOD AGE?
-NO AGE LIMIT
PROCEDURE:
• DISCUSS WITH THE DOCTOR
- UNDERSTAND THE PROCEDURES IN DETAIL.
• DAY CARE PROCEDURE / ADMIT OVER NIGHT
• SURGERY DONE UNDER LOCAL OR GENERAL ANAESTHESIA
• PATIENT IS INTUBATED DURING SURGERY (AIR WAY TUBE PLACED FOR BREATHING)
• ALL LASER PRECAUTION TAKEN DURING THE PROCEDURES
• TIME TAKEN IS ABOUT 20 TO 30 MINUTES PER TURBINATE (TOTAL TIME NEEDED IS ABOUT 1 HOUR)
• POST SURGERY
• ONCE THE PATIENT IS CONSCIOUS, PATIENT CAN EAT NORMAL DIET
• FOLLOW UP IS AFTER 5 DAYS TO 1 WEEK DEPENDING ON THE TYPE OF COMBINATION SURGERY DONE.
• PATIENT HAS TO SPRAY NASAL DECONGESTANT AND NASAL DOUCHING WITH SALINE TO CLEAR THE NASAL PASSAGE FOR ABOUT 1 WEEK TO 2
- RHINOWASH IS A GOOD NASAL CLEANSING DEVICE
• BACK TO NORMAL DUTY ( SCHOOL OR WORK ) IN 1 WEEK
WHAT TYPE OF LASER IS USED?
CO2 LASER
FUTURE PLANS
TO START LASER TURBINOPLASTY AS A LOCAL ANAESTHESIA PROCEDURE
