Research
Postulation of the Effect of Unpredicted Predisposing Factors for Post-Tonsillectomy Bleeding
Background and objectives: Tonsillectomy is the most common surgical procedure in specialty of otorhinolaryngology. Therefore there are frequent premises regarding this procedure to be improved from different aspects, indications, time of surgery, techniques, safety measures, and postoperative care. Hence the tonsils and peritonsillar tissues are highly vascular zone that supplied by direct branches of external carotid artery thus the post-tonsillectomy bleeding remains one of significant issues in relation to this widely performed procedure. The post-tonsillectomy bleeding needs frequently to be postulated for its incidence, prevalence, etiology, predisposing factors, management and prevention. This subject constitutes one of most risky aspects that increase wariness of the surgeons regarding this commonly conducted procedure. Although there are huge numbers of presentative literatures coming from American as well as western institutes that tried to put guidelines for purpose of prevention and management of post-tonsillectomy bleeding but broadly at our middle-east region and locally at our Libyan society we found for some extent difficulties to apply all these guidelines. For this reason this issue has been take the wider spectrum of ENT surgeons’ concentration, discussions, and researches.
Dilemma of Inferior Turbinate Surgery
Back ground and objectives: Inferior turbinate surgery is considered as one of common surgical procedures which performed in rhinology. It is usually done for the purpose of reduction of the bulk of inferior turbinates. It can be conducted for different indication as to relieve the mechanical nasal obstruction due to hypertrophied inferior turbinates, or to achieve a sufficient nasal surgical access during endoscopic sinus surgery, or to remove the inferior turbinates as a part of wide and complete resection of rhino-sinus neoplastic lesions. The inferior turbinates have important role in the maintenance of nasal breathing function via providing the nasal valve mechanism that is necessary for regulation of air flow through the nose. Therefore in spite of availability of well-established variable techniques for this surgery but the main goal of this surgery still yet not completely achieved by preserving the balance in between the mechanical as well as the functional patency of the nose. This can be explained by the effect of different factors which usually difficult to be predicted and controlled.
