Using ultrasonic cavitation and photochromotherapy to increase nasal mucosa reparation process after septoplasty and submucous vasotomy of the inferior nasal turbinates

The aim of this work is to increase the efficiency of reparative processes of the nasal mucosa after septoplasty and submucous vasotomy of the inferior turbinates by exposure 0.9% sodium chloride solution cavitated by lowfrequency ultrasound in combination with photochromotherapy (visible blue light, λ-450 nm).

Materials and methods: The study included 108 patients with septum deviation and idiopathic rhinitis, whom were simultaneously performed septoplasty and submucosal vasotomy of the inferior turbinates. In the control group, standard postoperative treatment was performed: antibiotic therapy, irrigation of the nasal cavity with isotonic sodium chloride solution. In addition to the above therapy, patients from the main group received physiotherapeutic treatment starting from 2 days after the operation, and, depending on the application of the methods of physiotherapy, the patients of the main group were divided into three subgroups: A, B and C. Subgroup A patients received irrigation of the nasal cavity with 0.9% sodium chloride solution, cavitated low-frequency ultrasound, in subgroup B we used photochromotherapy (λ-450 nm), in subgroup C — combination of this two methods of physiotherapy (A+B). Assessment of the nasal mucosa was performed on the 2nd and 14th day after the operation by obtaining endoscopic examination, determination of transport, excretory, suction functions of the nasal mucosa, cytological examination, and anterior active rhinomanometry We found that by the end of 14th day after the operation the endoscopic picture of the nasal cavity quickly recovered in patients of subgroup C, in comparison with the control group. Recovery of transport, excretory and absorption functions of the nasal mucosa also proceeded more intensively in patients in subgroup C. So, two weeks after the operation, a full recovery of the transport and excretory functions of the nasal mucosa was observed in the majority of patients in subgroup C (51.85% and 55.6%, respectively), while in the control group these functions were normalized only in 3,7% of patients. The suction function of the nasal mucosa came back to normal in 88.89% of patients of subgroup C to the end of 14-th day after the operation, and in the control group this function was restored only in 37.04%. Cytological study showed that by the 14th day after operation, 85.19% of the patients in subgroup C had a regenerative rhinocytogram type, which was 37.04% more compared to the control group. According to the data of anterior active rhinomanometry two weeks after the operation for patients in subgroup C the average total volumetric flow was 610 ± 117.45 cm3/s, which is 43.44% higher than in the control group (p<0.05). The results us obtained made it possible to conclude that the combined using of 0.9% sodium chloride solution cavitated with low-frequency ultrasound and photochromotherapy (λ-450 nm) promotes efficiency of reparative processes of the nasal mucosa in patients after the simultaneous septoplasty and submucous vasotomy of the inferior nasal turbinates.

Key words: septal deviation of the nose, idiopathic rhinitis, septoplasty, low-frequency ultrasound, photochromotherapy.

Authors declare no conflict of interests for this article.

Source of financing. Unspecified.

For citations: Pustovit O.M., Nasedkin A.N., Egorov V.I., Isaev V.M., Isaev E.V., Morozov I.I. Using ultrasonic cavitation and photochromotherapy to increase nasal mucosa reparation process after septoplasty and submucous vasotomy of the inferior nasal turbinates. Golova I Sheya  Head and neck Russian Journal. 2018;6(2):20–26 (in Russian).

The authors are responsible for the originality of the presented data and the possibility of publishing illustrative material – tables, drawings, photographs of patients.