Optimization of surgical treatment using radio wave surgery methods in otolaryngology practice
Optimization of surgical treatment using radio wave surgery methods in otolaryngology practice
E.Zh. Makhambetchin, S.A. Ospanova Karaganda State Medical Academy South Kazakhstan State Medical Academy Kazakhstan Significant advances in surgical medicine, with which humanity entered the third millennium, are the result of the introduction of cutting-edge medical technologies. These include the Surgitron radiosurgical device, developed by Ellman International, Inc. in 1978 and already widely recognized worldwide. For 10 years, this radiosurgical method has been widely used in Russian clinics, generating great interest among surgeons of various specialties. Leading foreign and domestic specialists have highly praised this unique and highly cost-effective technique. The ENT clinic of the South Kazakhstan State Medical Academy has been using the Surgitron for a year to treat chronic vasomotor rhinitis, recurrent nosebleeds, ronchopathy (snoring), and benign neoplasms of the skin and mucous membranes of the head and neck. The portable Surgitron radiosurgical device operates at a frequency of 3.8 MHz. By setting the desired waveform and radiation power, it is possible to perform incisions, excisions, coagulations, or fulgurations. Furthermore, a wide selection of electrodes allows for a wide variety of outpatient procedures under local anesthesia. Chronic vasomotor rhinitis was successfully treated in 22 patients using a bipolar electrode for submucosal radiocoagulation. After topical anesthesia with lidocaine and infiltration with 1% novocaine solution, the bipolar electrode was inserted into the inferior turbinate along its entire length for 20 seconds using the "coagulation" mode and a power level of 4. The procedure was performed on both sides. The turbinates contracted immediately or 2-3 days after surgery. An advantage of this procedure is that nasal packing and hospitalization are not required; the patient can return to work the same day. Nosebleeds were stopped in 14 patients using a ball electrode in the "coagulation" mode at a power level of 4-7. The ball electrode was applied to the bleeding site, most often the Kiesselbach zone of the nasal septum. Bleeding cessation was observed in 99.8% of patients. Ronchopathy was treated in 20 patients. Somnoplasty was performed using a beak-shaped electrode. Four patients additionally underwent partial uvulotomy. Dynamic monitoring of the patients over a period of 6 months revealed a stable clinical result – the absence of snoring. Benign tumors of the nasal cavity, oral cavity, and skin of the face and neck were removed in 26 patients using a loop electrode in the "incision and coagulation" mode at a power level of 3. The surgeries were performed with high cosmetic results. Thus, the advantages of radiosurgery techniques are: a virtually bloodless field, speed of surgery, minimal postoperative pain, accelerated healing, and no need for hospitalization.

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