Figure 1-10. Nasal polyps.
(1) Operation. Polyps that arise from the border of the middle turbinate may
be removed by means of a submucous resection setup, using a nasal snare. Polyps
that arise above this level may involve a sinus cavity, thus necessitating surgery of the
sinus. In this event, the instruments and other setup are determined by the specific
sinus cavity involved.
(2) Indications. The pressure exerted by nasal polyps results in obstruction
to the passage of air through the nostrils. The obstruction may lead to a condition of
chronic infection of the nose and give rise to frequent attacks of nasopharyngitis. The
infection may extend also into the nasal sinuses, thus obstructing drainage from the
affected sinus. The patient suffers pain in the region of the sinus involved. Treatment
of the condition is excision of the polyps.
b. Turbinectomy. Turbinectomy is the surgical removal of hypertrophied
portion of a turbinate bone.
(1) Hypertrophy of the turbinate prevents adequate breathing and drainage
through the nose and produces painful pressure against the floor of the nose.
Treatment is the removal of the hypertrophied turbinate.
(2) Excision of the hypertrophied portion of the turbinate is done using a
setup as described for removal of nasal polyps.