1. بسم الله الحمن الرحيم
(قل ان صلاتي و نسكي و محياي ومماتي لله رب العالمين لا شريك له وبدلك امرت وأنا اول المسلمين)
قال رب اشرح لى صدرى ويسر لى أمرى
واحلل عقدة من لسانى يفقهوا قولى
طه 25-28

2. بسم الله الرحمن الرحيم
Turbinate surgery

3. ITH: It is an important cause of nasal obstruction .
Inferior turbinate
ITH: It is an important cause of nasal obstruction .

4. Afrin test Is a test to diagnose the ITH .
5 drops in the nose of the patient.
After 10 min ask the patient about breathing

5. Afrin test If there is improvement in air way, this mean +ve test.
This mean the patient will get benefit from turbinate surgery.

6. Concha bullosa
It is an air filed middle turbinate which can lead to nasal obstruction

7. Management of ITH Medical treatment Corticosteroid spray
Anti histamine
Local injection of IT

8. Management of ITH Surgical treatment
1-Turbinectomy: complete excision of IT
2-Partial turbinectomy: excision of anterior half of IT
3-Sub mucosal resection

9. Most common used technique, easy, and give nice results.
Management of ITH
4- unipolar, bipolar or RF Submucosal technique:
Most common used technique, easy, and give nice results.

10. The best management of ITH is SMD using bipolar on low power with special probe( Binner probe) + lateralization of both inferior turbinates.

11. Technique of SMD Local Anesthesia:
Use cotton socked with xyllocaine only.
Wait for 15 min.
Then start your operation.

12. - Cautery done in 3 or 4 different areas along the inferior turbinat.
-Binner probe is inserted in submucosal space between mucosa and conchal bone
-Applied diathermy for 10 sec.

13. - If there is pain or the patient un cooperative… you can inject LA.

14. Post operative nasal packing
- Usually not needed , just cotton with adrenaline or otrivin for 30 min enough.

15. Technique of SMD General Anesthesia: Done alone or with septoplasty.
Lateralization of IT
Usually no need of nasal pack, how?.

16. Post operative care & cleaning
-AB
-Pain killer
-Nasal wash
-Bepanthen cream.
-Frequent suction and cleaning is needed.

17. Post operative care & cleaning
-new method discovered by us to minimize post operative care & cleaning, by using air way nasal splint.

18. Management of conch bullosa
Surgical intervention
By excision of conch using sickle or scissors removing the lateral wall.

19. Please visit: www.Zahrawi.Ly
THANK YOU
Please visit: