THE SUBMUCOUS VASOTOMY IN THE TREATMENT OF HYPERTROPHIC RHINITIS

INTRODUCTION The chronic hypertrophic rhinitis represents a common pathology in a tropical environment favored by exogenous and endogenous factors (climate, dust, gas pollutants ...). The nasal mucosa is usually traumatized by most conventional surgical treatment leading to changes in nasal mucosal (atrophia, crusting...). Objective The aim of this work was to confirm the place of a new surgical method in the treatment of hypertrophic rhinitis in a tropical environment. PATIENTS AND MÉTHODS It's a study in the ENT department of the health centre of reference (from district IV Bamako) having involved 65 patients (35 male and 30 female with an average age of 28 years) with hypertrophic rhinitis not cured by medical treatment between February 2011 and January 2012.This new method, the submucosal vasotomy was carried out after an application with 2% lidocain (local anesthesia) by a detachment under mucosa followed from a lightweight curettage of the bone part of the hypertrophied turbinate. RESULTS AND DISCUSSION The method allowed making more permeable the nasal cavity in 80% of cases. This technique helped no formation of crusts and adhesions in the nasal cavity. Regular monitoring of patients allowed to confirm the place of this technique in the management of patients with hypertrophic obstructive rhinitis. CONCLUSION The submucous vasotomy represents for us a useful method for addressing the problems related to support for the chronic hypertrophic rhinitis not cured by medical treatment in a tropical environment.