METHOD FOR THE TREATMENT OF VASOMOTOR RHINITIS Russian patent published in 2023 - IPC A61B17/24 A61B18/20 A61N5/67 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, in particular to otorhinolaryngology. Surgical intervention is performed under video endoscopic control using an endoscopic video stand and a rigid endoscope with a viewing angle of 0°. At the same time, submucosal instrumental vasotomy is performed sequentially on the right and left lower nasal conchas. The elevator-raspator is first introduced into the vertical incision of the mucous membrane parallel to the bone skeleton of the inferior turbinate, then advanced along its surface. At the same time, the mucous membrane is separated from the bone along the entire length and width of the medial surface of the inferior nasal concha, dissecting the vascular connections between the periosteum and cavernous plexuses. After that, the lateroposition of the inferior turbinate is performed and laser exposure is performed. A surface laser contact effect is made on the mucous membrane of the inferior turbinate in a constant mode, first along the upper and then along its lower edge. Wherein a semiconductor laser with a wavelength of 445 nm with a diameter of 0.6 mm is used, with a laser radiation power of 3.0 W. In this case, the fiber of the laser light guide is introduced in an inactive state to the posterior end of the inferior turbinate. Then, after turning on the light guide, point coagulation of the posterior end of the inferior turbinate is performed for 2 seconds. Then the light guide fiber is advanced along the edge of the outer surface of the inferior turbinate to its anterior end with the formation of a horizontal notch at a speed of 2.0 mm/sec, passing through the vertical line of the cut. Point coagulation of the anterior end of the inferior turbinate is performed.

EFFECT: method allows to reduce the risk of intra- and postoperative complications due to the long-term clinical effect of contraction of the inferior turbinates with the restoration of nasal breathing with the functional integrity of the ciliated epithelium.

1 cl, 1 ex, 7 dwg