Post-traumatic nasal cavity synechiae and choanal atresia
Synechiae are localized in various parts of the nasal cavity. Atresia and synechiae can be the result of trauma, surgery, burns. With synechiae and atresia of the nose, not only nasal breathing is often disturbed, but also the sense of smell and resonator function.
The technique of surgical intervention for atresia is as follows. Bone atresia is excised submucosally; with atresia in the area of the pear-shaped opening, submucosal bone excision is performed along its edge.
They strive to ensure that the air stream passes along the physiological channel with a maximum rise to the olfactory region, as well as to free the natural openings of the paranasal sinuses from adhesions to improve all physiological functions of the nose and its paranasal sinuses.
If during the operation for atresia, a canal is formed only along the bottom of the nose, this does not contribute to the physiological flow of air along an arcuate upwardly curved line and its natural exit from the paranasal sinuses, and, consequently, the restoration of nasal breathing and smell.
Surgical intervention for synechiae consists of their excision. At the end of the operation, to prevent the formation of synechia, a celluloid or X-ray film, a foil is introduced into the nasal cavity. The film is fixed with a silk thread, which is fixed behind the ear or with a plaster on the face. A tampon soaked in 5-10% syntomycin emulsion is introduced into the nasal cavity for 1 day. The film is left in the nose for up to 10 days.