Nasal septal swell body: minimal invasive laser surgery

Modern anatomical studies indicate that the nasal septum deviation in the anterior sections has a nasal septal swell body (NSB) causing a nasal obstruction. We have also noted that hstological evaluation of the nasal septal swell bodies (NSB) revealed the presence of seromucinous glands, venous sinusoids and vascular structures. Histological evaluation of the NSB is very simmilar to nasal turbinate and that's why it is also called the septal turbinate.

The aim of our study is to experimentally substantiate laser surgery of the nasal septal swell body.

In the experiment on the septum of the nasal cavity of the head of the dead pig by the thulium laser «Mediola Compact», wavelength and power of laser radiation, which minimally visually damaged the nasal mucosa and septum cartilage, was worked out. It is proved that the wavelength of 1560nm with a power of 7wt did not cause tissue damage. This technique of laser vaporization was also performed on live rabbits (N = 4). Rabbits were released from the experiment on the day of the operation, and after 1,2 and 3 months.

Histological research of rabbits nasal septum showed that, damage of the mucous membrane and cartilage, the lowest was when vaporization NSB was done with laser, frequency 1560 nm and 7wt. and swell body decreased in size 4-5 times. which allows us to recommend these emitter parameters in surgery for correction of nasal obstruction, coused by nasal swell body.

Key words: Nasal septal swell bodies (NSB), experimental laser surgery, nasal obstruction

Publication History

Article published online:
10 June 2020