Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-20T15:24:55.348Z Has data issue: false hasContentIssue false

Carbon dioxide laser turbinectomy. An electron microscopic study

Published online by Cambridge University Press:  29 June 2007

Samy Elwany*
Affiliation:
Department of Otolaryngology, Alexandria Medical School, Alexandria, Egypt.
M. Hesham Abdel-Moneim
Affiliation:
Department of Otolaryngology, Alexandria Medical School, Alexandria, Egypt.
*
Address for correspondence: Samy Elwany, M.D., PO Box 267, Alexandria 21311, Egypt. Fax: 203 4839940

Abstract

Ten patients with chronic non-allergic rhinitis and presenting mainly with nasal obstruction due to hypertrophied inferior turbinates were subjected to laser turbinectomy using CO2. Tiny biopsies were taken, at the time of surgery as well as one monthlater, and were processed for transmission electron microscopy. The ultrastructural observations included: early epithelial loss which wasfollowed by prompt regeneration of healthy epithelium, decreased number and activity of the seromucinous glands, fibrosis of the connective tissue stroma, as well as diminished number and congestion of the cavernous blood spaces. These observations were discussed in view of the excellent clinical response of the patients.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Elwany, S. (1988) Ultrastructural observationson primary atrophic rhinitis - The effect of partial closure of the nostril. ORL 50: 389396.CrossRefGoogle Scholar
Elwany, S., Bumsted, R. (1987) Ultrastructural observations on vasomotor rhinitis. ORL 49: 199205.CrossRefGoogle ScholarPubMed
Elwany, S., Harrison, R. (1990) Inferior turbinectomy: comparison of four techniques. Journal of Laryngology and Otology 104: 206209.CrossRefGoogle ScholarPubMed
Fukutake, T., Yamashita, T., Tomada, T., Kumazawa, T. (1986) Laser surgery for allergic rhinitis. Archives of Otolaryngology 112: 12801282.CrossRefGoogle ScholarPubMed
McCombe, A. W., Cook, J., Jones, A. S. (1992) A comparison of laser cautery and submucosal diathermy for rhinitis. Clinical Otolaryngology 17: 297299.CrossRefGoogle ScholarPubMed
Mittleman, H. (1982) Laser turbinectomy for chronic obstructive rhinitis. Laser in Surgery and Medicine 2: 2936.CrossRefGoogle Scholar
Selkin, S. G. (1985) Laser turbinectomy as an adjunct to rhinoseptoplasty. Archives of Otolaryngology 111: 446449.CrossRefGoogle ScholarPubMed
Selkin, S. G. (1986) Pitfalls in intranasal laser surgery and how to avoid them. Archives of Otolaryngology 112: 285289.CrossRefGoogle Scholar
Talaat, M., El-Sabawy, E., Baki, F., Abdel Raheem, A. (1987) Submucous diathermy of the inferior turbinates in chronic hypertrophic rhinitis. Journal of Laryngology and Otology 101: 452460.CrossRefGoogle ScholarPubMed