Fused tissue between the nasal septum and the lateral wall of the nose is called synechia or adhesion.
Removal of nasal adhesions is a procedure to separate scar tissue within the nose that has become fused. Adhesions are a common complication of nasal or sinus surgery and nasal packing. They also may develop because of trauma and such conditions as tuberculosis or sarcoidosis..
The above patient had twice nasal septal surgery under LA elsewhere. And there was bilateral nasal adhesion causing severe nasal obstruction. He also had OSA-obstructive sleep apnea and loud snoring. A Polysomnogram ( PSG-sleep study) confirmed severe OSA. He had elongated uvula and soft palate. This is corrected by a LAUP.
Here the adhesions are separated using a Co2 laser.
After surgery a silastic splint is placed and sutured and kept for a week. This helps prevent another adhesion from forming. An antibiotic ointment or Feracrylum (Sicastat®) gel is applied daily to keep it moist and to prevent any infection. Saline douche also helps.
LAUP procedure also performed.
Dr Paulose is an ENT Consultant Plastic and Laser Surgeon with over 35 years of experience covering in Ear, Nose and Throat procedures, specializing in Laser Surgery and conventional medicine across India, U.K. and Middle East. He is currently engaged with the Jubilee Hospital, in Kerala, India.
{ 1 comment }
Really good post. Sinus infections (especially chronic ones) are no fun at all and can definitely lead to other issues (not to mention pretty much take over your life).
Dealing w/ chronic sinusitis is another story. Sinus surgery has long been the only option when all else fails. However there are now some other ways to turn. Balloon sinuplasty is gaining traction – lots of info out there.
Anyway. Knowledge is power – do your homework and talk to your doctor. Find the solution that fits your condition best.
Take care.
Comments on this entry are closed.