Nasal polypotomy

The operation to remove polyps from the nasal cavity is performed under local anesthesia. The patient takes a sitting position, an oilcloth or polychlorovinyl apron is put on it, and the head and upper body are covered with a sterile sheet. The patient himself holds a kidney-shaped basin at both chin level with both hands. On the instrument table, alcohol-soaked gauze balls for treating the skin of the nose and the nasal area, a glass with an anesthetic solution( 3-5% cocaine solution or 2% solution of dicaine), cotton wool, 2 surgical tweezers,nasal bulbous probe, nasal mirrors( dilators), tearing loops, nose corncang, konkhot, spatula, turundas with a width of 1.5-2 cm and a length of 5-8 cm.

During the operation, the nurse watches to ensure that the dressing is on the tablewool, turunda), adds on demand the surgeonha anesthetic solution replaces reniform basin if necessary. At the conclusion of the surgery, if the surgeon decides to produce a tamponade of the nose, the sister gives the tarun soaked with petrolatum to the front loop tamponade and then helps him with it. During the tamponade, the nurse with tweezers holds a long turunda in its straightened condition for insertion into the nasal cavity in the form of a loop, then supplies the so-called intercalating tuburus 10-15 cm long and 1.5-2 cm wide and imposes a horizontal bandage bandage,which can be prepared in advance or prepared immediately before applying it. To impose a horizontal bandage bandage, take an average bandage length of 70-80 cm and cut it along from both ends, leaving the middle of the bandage( 10 cm);a few gauze napkins and cotton wool;on the tip of the nose, first loosely put gauze napkins, then cotton wool, and finally the sling, the upper ends of which are sent under the auricle and tied on the back of the head, and the lower ones are above the auricles and are also fastened on the nape.

To remove the choanal polyp, a wider loop of thicker wire should be prepared than for the usual nasal polypotomy, and a hook to remove the choanal polyps.