The concept of meat on the nose sometimes leads to confusion. Different diseases can be explained to the patient as there is meat in the nose. The growth of meat in the back part of the nose, called the nasal cavity, which is more common in children, is described in the tonsils and nasal flesh. In addition, everyone has meat called konka in the nose. These meats, which have 3 on each side, increase the intranasal surface and provide the task of moisturizing and heating. The growth of the turbinates is also explained to the patient in the form of meat in the nose. Another disease described as meat in the nose is a nasal polyp. A nasal polyp is a growth of flesh from the sinus to the nose, usually due to allergic causes. In case of tumoral growths in the nose, it can be presented to the patient as there is meat in the nose.In this part, what will be described as a flesh growth in the nose is first the growth of the concha and then the nasal polyp.
TURBINATE HYPERTROPHY
What Does a Turbinate Mean: The turbinates consist of bone and soft tissue surrounding it, which are located on the wall between the nose and the sinuses and there are 3 on each side. Decapitation is a common cause of inflammation. They are named as lower, middle and upper turbinate. Many of the sinuses around the nose open into the space between the lower and middle turb Decussation.
Why do Conchas Grow: Conchas sometimes grow and sometimes shrink according to the normal functioning of the nose. But the fact that they grow enough to cause nasal congestion usually develops due to allergic or inflammatory reasons. This type of growth is usually seen in the inferior turbinate. Growths in the middle turbinate are often due to the presence of an air cyst in the turbinate. If the patient has a deviation of the septum to one side, growth may be seen in the lower turbinate on the other side.
What Symptoms Does It Make: The most important and often the only complaint of turbinate overgrowth is nasal congestion. This blockage can be on one or both sides at once. Whichever side the patient lies on, there will be more congestion on that side. Apart from nasal congestion, snoring, nasal discharge, sinusitis or allergy-related complaints may occur.
What is Seen during the Examination: During the nasal examination, especially the growth in the lower turbinates is noticeable. It is more difficult to notice the growth in the middle turbinate. Signs of discharge or allergies may be detected with it.
How to Diagnose: The diagnosis is made by seeing the growth with the eyes. However, it is necessary to have a computed tomography to see the size of all the turbinates, to see if there is sinusitis, to determine the presence of air cysts and to determine the procedures to be performed if surgery is being considered.
How to Treat: Initially, drug therapy is applied to reduce the size of the turbinates. For this purpose, nasal sprays with cortisone have been found to be the most effective. Sometimes it can also be injected directly into the turbinate. In allergy-related turbinate growths, the treatment of allergy may cause the turbinate to shrink. But often medication is not enough and surgery is required. Air cysts in the middle turbinate are treated only with surgery.
How to Perform Surgery: Many forms of surgery have been described so far to shrink the turbinates. These include burning (cauterization) of the concha, Decapitation of the concha outward. The most effective method is the complete or partial removal of the turbinate. Recently, radiofrequency waves have also been used to shrink the turbinate. In operations other than the removal of the turbinate, regrowth is common. The operation can be performed with both general and local anesthesia. After the operation, a tampon is usually placed in the nose. There are no signs of surgery except for the nose.
What are the Risks of Surgery: Apart from anesthesia complications, bleeding is the most common problem in operations performed for the turbinates. This condition is sometimes severe because the conchas are organs with too much blood supply. Other than that, they are generally safe surgeries.
What Should I Pay Attention to After Surgery: There are usually not many problems for the patient after surgery. There may be a little headache and restlessness due to tampons. There may be crusting in the nose after the tampons come out. Your doctor will clean them properly at the periods he will determine on his own.
NASAL POLYP
What is a Nasal Polyp: Nasal Polyps are meats that originate from the sinuses and grow into the nose. The difference from turbinate growth is that there are meats that are not normally in the nose. They make more nasal congestion than turbinate growth and are more prone to growth. Sometimes they can hang out of the tip of the nose or from the nose to the throat.
Why Nasal Polyps Occur: The most important reason for the formation of nasal polyps is allergies. But sometimes it can also develop due to chronic sinusitis. The mucosa lining the inside of the sinus swells due to allergies or inflammation and grows out of the mouth of the sinuses and into the nose. Nasal polyps usually form on both sides.
What Symptoms Do They Make: The most important symptom of nasal polyps is nasal congestion. In addition, snoring, impaired tone of voice, runny nose, headache and other symptoms of allergies or sinusitis may occur.
What is Seen during the Examination: A pale colored, edematous and blocked nasal mass is seen on both sides or on one side during the nasal examination. Currents can be seen around it.
How to Make a Diagnosis: The diagnosis is made by seeing the flesh on the nose, but it is necessary to take a computed tomography to see its prevalence.
How to Treat: Although very small polyps sometimes shrink with cortisone spray or tablets, treatment is largely done by surgery. Medication should be given for some time before surgery. This makes the surgery easier.
How to Perform the Operation: Surgeries for nasal polyps have been performed by endoscopic method(video method) in recent years. Since the nasal polyp is also located in the sinuses, it needs to be treated in the relevant sinus. In the endoscopic method, the light source is entered through the nose using a camera and a monitor, and the polyp in the intra-nasal and sinuses is cleaned. To enter the maxillary sinus on the side of the nose, it may sometimes be necessary to enter under the lip. The operation can be performed with both local and general anesthesia. After the polyp is cleared, it is tried to ensure that the opening places of the sinuses into the nose return to normal.
What Kind of Complications does the Surgery Have: Bleeding is the most common problem in endoscopic surgery, except for anesthesia complications. This sometimes becomes severe enough to prevent the surgeon from working, and the main goal of the operation becomes to stop the bleeding. In addition, serious complications may develop because there are important organs around the nose and sinuses. Among them, there are serious problems such as damage to the eyeball and nerve by entering the eye socket, Decapitation of the brain membrane and leakage of brain fluid into the nose, injury to large vessels leading to the brain, brain abscess, as well as some minor and later treatable complications
What should I Pay Attention to After the Operation: The most important issue after the operation performed by endoscopic method is the proper application of dressings. Dressing in polyp surgery means proper cleaning of the inside of the nose. For this, you will need to go to your doctor every few days at the beginning, and then more rarely. How many days it should be cleaned every depends on the course of the operation and the doctor’s preference. Your doctor will tell you the time of the next appointment after each dressing. The patient himself can try to prevent adhesions and deposits by washing the inside of the nose with physiological serum.