Choosing an optimal medical equipment for surgical interventions in the nasal cavity

S.A. Karpishchenko, M.A. Ryabova, M.Yu. Ulupov, N.A. Shumilova, E.K. Tikhomirova, G.V. Portnov

Pavlov First Saint-Petersburg State Medical University, Saint-Petersburg

Modern rhinosurgery is characterized by the widespread introduction of minimally invasive endonasal endoscopic techniques using the latest technological solutions. Surgical manipulations in the nasal cavity must meet strict criteria of efficiency and safety. The development of native endoscopic, laser and electrical equipment has made it possible to conduct operations both in inpatient and outpatient conditions, which increases the requirements for comfort and painlessness of intervention. The possibility concerning simultaneous use of endoscopic techniques allows better visualization of the surgical site and reduces the risks of postoperative complications. It is no coincidence that various surgical methods in the nasal cavity (using laser and electronic radio-wave equipment) have become widespread. In this article, the most effective and safe surgical treatment methods for nasal cavity diseases  conducted with the help of laser and electrocautery are considered (the benefits of their use are also indicated). The author presents his experience of using laser and electrosurgical medical equipment in the treatment of chronic rhinitis, nasal synechiae, recurrent nosebleeds, vascular tumors of the nasal cavity. The importance of the correct exposure mode selection and strict compliance with the procedure regulations were emphasized, which reduces the risk of intra- and postoperative complications.

Keywords: rhinosurgery, laser, 0.97µm, 1.56 µm, 1.94 µm, electrocoagulation, electrocauter, monopolar, bipolar.

For citation: Karpishchenko S.A., Ryabova M.A., Ulupov M.Yu. et al. Choosing an optimal medical equipment for surgical interventions in the nasal cavity. RMJ. 2022;2:41–45.