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العنوان
A Comparative Study of Bipolar Scissor Turbinectomy versus Conventional Partial Inferior Turbinectomy in Cases of Inferior Turbinate Hypertrophy /
المؤلف
Abdullah, Gouda Ragab.
هيئة الاعداد
باحث / جوده رجب عبدالله
goudaragab@yahoo.com
مشرف / أشرف محمود خالد
مشرف / رامز رضا بطرس
مشرف / أحمد كامل عبدالله
الموضوع
Turbinates surgery. Turbinate bones Hypertrophy. Turbinate bones Surgery. nose Surgery.
تاريخ النشر
2018.
عدد الصفحات
69 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب
الناشر
تاريخ الإجازة
20/9/2018
مكان الإجازة
جامعة بني سويف - كلية الطب - الأنف والأذن والحنجرة
الفهرس
Only 14 pages are availabe for public view

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from 77

Abstract

Summary
Bipolar electrosurgical scissor is a new instrument that was originally designed for open surgery using a dual function that cuts and coagulates at the same time.
The aim of this work was to evaluate the results of bipolar scissor and cold turbinectomy scissor procedures in endoscopic partial inferior turbinectomy in the treatment of chronic inferior turbinate hypertrophy.
Thirty patients were recruited from the ENT outpatient clinic in the Beni-suef university hospital. All patients had the following surgical procedures: Endoscopic partial inferior turbinectomy performed in order to relieve their nasal obstruction. In our patients, the hypertrophic inferior turbinates was reduced using the bipolar scissor (group A).Cold turbinectomy scissor (group B).
All patients fulfilled preoperative assessment protocol both subjectively and objectively including history talking, CT scans and endoscopic examination.
Duration of surgery for group A was ranging from 10 to 25 minutes while in group B it was 10 to 30 minutes.
Intraoperative blood loss for group A was 20 to 160 cubic mm while for group B it was 40 to 2oo cubic mm.
Only one case of postoperative reactionary bleeding occurred in group A while there were two cases of postoperative bleeding in group B. who need change of (Merocel) nasal packing.
Patients of bipolar scissor procedure discharged from the operative room without nasal backing, which is considered as one of the advantages of this new method.
In this work, using bipolar scissor and cold turbinectomy scissor to perform endoscopic partial inferior turbinectomy; both procedures are effective in management of inferior turbinate hypertrophy and both procedures have similar results as regards bleeding during surgery, duration of surgery, duration of crust formation, post-operative pain and post-operative bleeding.
According to this study; bipolar scissor is effective, safe and successful procedure, and can be easily used in partial inferior turbinectomy.