Rhinitis includes: chronic hypertrophic rhinitis, allergic rhinitis, chronic atrophic rhinitis and other types, each type of rhinitis have corresponding surgical treatment. As an example, the entire surgical procedure for chronic atrophic rhinitis is as follows:
The upper lip is turned up with a thyroid pulling hook, and if both sides of the nasal cavity are operated at the same time, an incision is made on both sides of the lip tie between the 1st premolar on both sides of the upper row, parallel to the lip-gingival sulcus, and 0.5cm above the lip-gingival sulcus, preserving the upper lip tie, and the incision is made deep enough to reach the periosteum in front of the alveolar eminence. If only one side of the nasal surgery was performed, the incision was located on the same side, about 2-3 mm lateral to the upper lip tie.
The mucosa and periosteum at the base of the nose are separated with a separator from the subperiosteum of the incision, after exposing the edge of the pyriform aperture. The mucoperiosteum is tightly adhered here, and the floor of the nasal cavity is lower than the lower edge of the pyriform aperture, so special care should be taken not to damage the mucous membrane when separating it.
After the mucoperiosteum at the bottom of the nasal cavity is completely separated, the mucoperiosteum of the lateral wall of the inferior nasal passage, both sides of the inferior turbinate bone and the lower part of the nasal septum are separated to make a large bag, which extends up to the attachment of the inferior turbinate bone, and the anterior part of it can even reach the nasal dyke, and the depth of the backward part of it is about 2.5 cm. Depending on the size of the bag, the filler will be buried in the bag, and the incision will be closed with interrupted sutures.
When patients with rhinitis need surgery, they should actively consult a doctor for a systematic examination, make a clear diagnosis, and follow the doctor’s instructions for standardized treatment. If you want to fully understand the information related to surgical treatment, you can consult with the receiving physician for targeted answers.