THE QUESTION OF THE MECHANISM AND TECHNOLOGY OPERATIVE TREATMENT OF A DEVIATED SEPTUM
Shamsidinov B.N., Mukhtorova P.R., Sobirov M.M., Fayzoev A.A.
Department of Otorhinolaryngology of State Educational Establishment «Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan»
Aim. To determine mechanism deviation of nasal septum.
Materials and methods. A study of patients with a septal deviation, followed by surgical intervention in 1849 patients (519 women and 1330 men) for four years, who were hospitalized in the ENT department of the NMC RT.
Results. According to the existing four main theories of this pathology for each of them characterized by a certain type of septal deviation. On this basis, the authors during septoplasty reflect the type of curvature, making it possible to select the tactics of surgical intervention and avoid possible complications. For example, under physiological curvatures otseparovka mucosa hampered mainly by the spot welds. In this case surgery should exercise caution and, given the histological structure and mukoperiostal mukoperiondrial covers the nasal septum, it may be noted that there is a possibility of perforation during operations on the partition along the upper edge of the opener in front of her, at the junction of the quadrangular cartilage. Quite often, the perforation on the seams between the quadrangular cartilage and the perpendicular plate. From the point of surgery view such observations are very important. When distortions that have arisen on the basis of excessive growth, removing cartilage cannot ensure full recovery of respiratory function. It is mandatory to require the removal of the deformed bone. However, the reasons noted, it is often associated with mucosal damage. Therefore Rhinology at otseparovke mucosa must be cautious regarding the preservation of its integrity, and in case of damage on the one hand, avoid damage opposite. If the damage is both sheets we use reimplantation cartilage which begets and prevents the occurrence of perforation of the nasal septum.
Conclusion. Taking into consideration the reasons of septal deviation relieaves selection methods of surgical treatment and gives to specialist opportunity to avoid complications.
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