M.A. RYABOVA, N.A. SCHUMILOVA

First Saint Petersburg State Medical University named after acad. I.P. Pavlov of the Ministry of Health of the Russian Federation, 6-8 Lev Tolstoy St., St. Petersburg, Russian Federation, 197022

Ryabova M.A. — D. Med. Sc., Professor of the Department of otorhinolaryngology with clinic, tel. (812) 499-71-76, e-mail: marinaryabova@mail.ru

Shumilova N.A. — postgraduate student of the Department of otorhinolaryngology with clinic, tel. (812) 499-71-76, е-mail: schumilov211@yandex.ru

There was studied the possibility of remote applications of a semiconductor laser for the removal of nasal polyps. Laser ploypotomia was conducted for 23 patients with chronic rhinosinusitis polyposa and co-accuring bronchial asthma and for 20 patients with rhinosinusitis polypous without asthma. Rhinomanometry before and after operation was performed. The operation was carried out by using a remote laser with a wavelength of 980 nm, power of 20-30 W, exposure of 5 s, transversely chipped fiber end. Distant effect allowed reducing the duration of the surgery in comparison with contact action of a laser with a wavelength of 980 nm, provided reliable hemostasis, did not cause any increase of bronchial obstruction, significantly improved the respiratory function of the nose in respect of the front active rhinomanometry.

Key words: nasal polyps, laser, distance action.

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