RU2121309C1 - Method of treatment of nose diseases - Google Patents

Abstract

FIELD: medicine; otorhinolaryngology. SUBSTANCE: in process of treatment circular splints or splints-plates are inserted into nasal cavity. These splints-plates are fixed on nasal septum by means of clamp. EFFECT: restored or improved nasal breathing. 1 cl, 4 ex, 4 dwg

Description

 The present invention relates to medicine, in particular to the treatment of diseases of the nasal cavity.

 As a prototype, a known method for the treatment of diseases of the nasal cavity, which consists in the fact that after surgical interventions to stop bleeding and the subsequent course of postoperative treatment, cotton-gauze swab nasal passages are used. The disadvantage of this method is that when plugging the nasal passages are blocked and nasal breathing completely stops during treatment. At the same time, it actually becomes impossible to control the correct fusion and rectification of the operated on about the curvature of the nasal septum. The cessation of nasal breathing in the postoperative period negatively affects the healing process and its subsequent recovery. In addition, forced breathing through the mouth leads to drying out of the mucous membranes of the upper respiratory tract and a decrease in the resistance of both local tissues and the whole organism, and just as importantly, the comfort and quality of treatment are sharply reduced.

 The essence of the proposed method for the treatment of diseases of the nasal cavity (curvature or traumatic damage to the nasal septum, inflammatory and allergic reactions, acute and chronic inflammatory processes, swelling, hypertrophy of the shells, polyps and other diseases that lead to narrowing of the nasal passages and persistent impairment of nasal breathing) is that for the correction of nasal passages, preservation, restoration or improvement of nasal breathing, n is inserted into the nasal cavity during treatment instead of deaf cotton-gauze swabs Own tires made in the form of a ring, half-ring, oval, half-oval, truncated cone, half-cone (with one flat side surface) - hereinafter, the general term “ring tires” is allowed for the mentioned tires, as well as in the form of tire plates and their combinations with ring tires. In this case, the tire-plates (and their combinations) are fixed on the nasal septum using a special clamp.

 Ring tires have openings for free passage of air during breathing.

List of figures
FIG. 1. Treatment of patients after surgical removal of polyps, resection of hypertrophied nasal cavities:
a - before treatment; b - after removal of the polyp
1 - nasal septum;
2 - polyp;
3 - bus - truncated cone (half cone).

FIG. 2. Treatment of the curvature (damage) of the nasal septum after its surgical correction:
a - before treatment; b - during treatment;
1 - nasal septum
2 - tire - plate
3 - fixing clip
4 - tire ring (half ring), oval (semi-oval)
FIG. 3. Conservative treatment of narrowing of the nasal passages (inflammatory and allergic reactions, acute and chronic inflammatory processes, swelling or hypertrophy of the mucous membranes, curvature of the nasal septum with unilateral narrowing of the nasal passage):
a - before treatment; b - during treatment;
1 - nasal septum,
2 - hypertrophied mucosa
3 - tire ring (half ring), oval (semi-oval)
Figure 4. Conservative (outpatient) treatment of curvature (traumatic injury) of the nasal septum:
a - before treatment; b - during treatment;
1 - nasal septum
2 - tire plates
3 - ring tires
4 - fixing clip
Nose tires must be resilient and fracture resistant. They must be made of biologically harmless, non-toxic and strongly smelling substances, non-flammable when exposed to fire (smokers) materials that can be modeled on the shape and size of the nasal passages. To improve the access of air and medicinal substances (solutions) to the mucosa and postoperative wound and to prevent pressure sores, nasal tires are made in the form of mesh plexuses (ring tires) or with many perforations throughout the surface (ring tires and plate tires), they can be coated with one side (in contact with the wound surface) with a soft elastic layer (gauze, polystyrene, etc.), which can be impregnated with bactericidal (similar to bactericidal adhesive plaster), anti-allergic, blood tanavlivayuschimi and other drugs. Ring tires can also be made of rubber and other materials with a cavity inside and the possibility of pressurization. At the same time, the inner wall of these tires should be sealed, the outer - thin elastic, which when pressurized tightly fits all the irregularities of the nasal cavity and reliably fixes the dressings on the postoperative wound.

 The use of nasal tires (in order to prevent AIDS and other infections) should be single or strictly individual.

 A special clamp is made of elastic and non-corrosive harmless materials (for example, stainless steel, etc.). It must withstand sterilization (boiling) and treatment with disinfectants. The clamping force of the clamp must be adjustable. The design of the clip can be combined when its levers are simultaneously nasal tires. (For example, tire-plates, to which ring tires can be mounted on both one and both sides, etc.). In this case, compact design is achieved.

Examples of the method for the treatment of nasal diseases using nasal tires
Example 1. Patients after removal of polyps, resection of hypertrophic shells and other operations in the nasal cavity to fix bandages (sterile wipes) on a postoperative wound, insert a truncated truncated cone (half cone) in one or both nasal passages. This stops the bleeding and preserves nasal breathing for the healing period of the postoperative wound. For this purpose, other ring tires may be used (depending on the size of the postoperative wound), including inflatable tires, tires with a soft, elastic impregnated bactericidal and other medicinal substances outer coating.

 Example 2. Patients with a curved (damaged) nasal septum after its surgical correction to form it correctly (septum) are fixed with the help of tire plates and a special clamp (in order to prevent pressure sores, the compressive force of the clamp should be monitored and systematically regulated). To expand the nasal passages and improve nasal breathing for the treatment period, additional annular tires are inserted.

 Example 3. Patients with difficulty in nasal breathing as a result of narrowing of the nasal passages (inflammatory and allergic reactions, acute and chronic inflammatory processes, swelling or hypertrophy of the mucous membranes, etc.) insert ring tires into the nasal cavity. At the same time, expansion of the nasal passages is achieved, nasal breathing is preserved for the period of conservative treatment until its subsequent permanent improvement. The same conservative method is used for curving the nasal septum with one-sided narrowing of the nasal passage. In this case, the annular tire is laid from the side into which the nasal septum is curved (bent) in order to straighten it completely with a slight displacement (kink) in the opposite direction. Ring tires in this case are inserted both on one and both sides.

 Example 4. For the conservative treatment of curvature (traumatic injury) of the nasal septum and significant weakening of nasal breathing from both sides, plate plates are inserted into the nasal cavity (if necessary, in combination with ring tires) and fixed on the nasal septum using a clip. In this case, a temporary corrective prosthesis of the nasal septum is formed. When performing and using it in a single combined set of nasal tires and a fixing clip due to the compact design, the space of the nasal cavity is freed up and an improvement in nasal breathing is achieved. This method of treatment can be used on an outpatient basis, including for cosmetic purposes with a simultaneous pronounced curvature of the external form of the nose). In the process of conservative (outpatient) treatment, it is necessary to periodically adjust the compression force of the fixing clip to avoid pressure sores and at the same time monitor the effectiveness of the treatment.

Positive effect
The introduction of a method for the treatment of diseases of the nose using nasal tires allows you to:
- abandon the use of deaf cotton-gauze tamponade of the nasal passages during operations in the nasal cavity, when the nasal passages are completely blocked (tamped);
- keep nasal breathing for the duration of treatment, which will significantly increase the comfort and quality of treatment and positively affect the processes of postoperative healing;
- facilitate ligation and monitoring the effectiveness of treatment in the postoperative period;
- increase the likelihood of a complete correction of the nasal septum during operations due to its curvature or traumatic injury by fixing it using tire plates (or combinations thereof) and a fixing clip;
- increase the likelihood of recovery or improvement of nasal breathing in the future;
- instead of the surgical method of treating a curved (damaged) nasal septum, use the bloodless conservative method by applying a temporary corrective prosthesis consisting of nasal splints and a fixative clamp, which in turn allows this method to be used in outpatient (outpatient) and cosmetic practice.

Claims (1)

 A method for treating nasal diseases by correcting the nasal passages, characterized in that annular tires or plate tires are inserted into the nasal cavity during treatment, which are fixed on the nasal septum with a clip.

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