Tactics for managing the postoperative period of patients with hypertrophic rhinitis who have undergone endoscopic intervention
Tactics for managing the postoperative period of patients with hypertrophic rhinitis who have undergone endoscopic intervention
O.V. Morozova, Kazan State Medical Academy. The healing process after nasal turbinate surgery is largely determined by the treatment administered in the postoperative period. Our postoperative management strategy included nasal packing. However, we completely abandoned the gauze packing method, as changing such packing destroys the basic substrate for adequate regeneration—the leukocyte-necrotic layer. Our report is based on postoperative management in 65 patients with various forms of chronic hypertrophic rhinitis. All patients were divided into two groups. The first group, consisting of 32 patients, received local treatment, including instrumental cleaning of the postoperative wound surface and a nasal douche with saline solution. The second group of 33 patients received the same treatment, with the addition of a perforated latex tampon made of a carbon sorption dressing (PUST) developed by Perm NITIUS for postoperative wound regeneration. Its high sorption capacity, low adhesiveness, and ability to mimic the basement membrane fully meet the requirements of postoperative therapy following endoscopic interventions. Furthermore, due to its physicochemical properties, carbon fabric has minimal traumatic properties compared to traditionally used gauze. Nasal instrumental cleaning was performed under endoscopic control, with tampons changed every two days to prevent dislocation due to wound fluid filling. The use of the sorbent in combination with the latex tamponade facilitated faster wound epithelialization, a rapid reduction in wound fluid, and mucosal edema. Tamponade with rubber finger-shaped tampons containing carbon sorbent was performed for 5 days. Wound surface epithelialization was complete by 8-10 days postoperatively. The use of sorbent also apparently affects the microflora in the nasal cavity (D.O. Manukyan et al., 1994). Therefore, the use of latex nasal packing in combination with carbon sorbent in the postoperative period following endoscopic surgery in patients with chronic hypertrophic rhinitis has a beneficial effect on wound healing, accelerating reparative processes.

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