Fused tissue between the nasal septum and the lateral wall of the nose is called synechia or adhesion.
Removal of nasal adhesions is a procedure to separate scar tissue within the nose that has become fused. Adhesions are a common complication of nasal or sinus surgery and nasal packing. They also may develop because of trauma and such conditions as tuberculosis or sarcoidosis..
The above patient had twice nasal septal surgery under LA elsewhere. And there was bilateral nasal adhesion causing severe nasal obstruction. He also had OSA-obstructive sleep apnea and loud snoring. A Polysomnogram ( PSG-sleep study) confirmed severe OSA. He had elongated uvula and soft palate. This is corrected by a LAUP.
Here the adhesions are separated using a Co2 laser.
After surgery a silastic splint is placed and sutured and kept for a week. This helps prevent another adhesion from forming. An antibiotic ointment or Feracrylum (Sicastat®) gel is applied daily to keep it moist and to prevent any infection. Saline douche also helps.
LAUP procedure also performed.
