Prospects for the use of autofluorescence endoscopy in rhinosurgery

Syroezhkin F.A.

Kirov Military Medical Academy;
Mechnikov North-Western State Medical University

ORCID: 0000-0002-2113-3377

Shelikhovskaya M.A.

Kirov Military Medical Academy

ORCID: 0000-0001-8514-9362

Tipikin V.P.

Kirov Military Medical Academy

ORCID: 0000-0001-5682-7734

Prospects for the use of autofluorescence endoscopy in rhinosurgery

Authors:

Syroezhkin F.A., Shelikhovskaya M.A., Tipikin V.P.

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Journal: Russian Bulletin of Otorhinolaryngology. 2023;88(4): 61‑65

DOI: 10.17116/otorino20228804161

Downloaded: 39

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To cite this article:

Syroezhkin FA, Shelikhovskaya MA, Tipikin VP. Prospects for the use of autofluorescence endoscopy in rhinosurgery. Russian Bulletin of Otorhinolaryngology. 2023;88(4):61‑65. (In Russ.)
https://doi.org/10.17116/otorino20228804161

Подписка 2025-2 (Russian Bulletin of Otorhinolaryngology)

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The condition of blood supply and microcirculation in the mucous membrane is considered to be the main factor determining the consistency of local flaps of the nasal mucous membrane.

OBJECTIVE

To assess the possibility of using autofluorescence endoscopy to control the condition of flaps of the nasal mucous membrane after surgical interventions.

MATERIAL AND METHODS

The assessment of the processes of biological destruction of 15 fragments of the mucous membrane of the inferior nasal concha, obtained during intranasal interventions with endoscopic technique in autofluorescence mode, followed by histological examination at different periods of observation, has been conducted. The results of the proposed method were tested in 84 patients with chronic and intraoperative defects of the nasal septum after the surgical intervention.

RESULTS

It has been shown that autofluorescence endoscopy can be used to assess the viability of flaps of the nasal cavity’s mucous membrane. A change of the autofluorescence signal to a whitish and orange shades indicates the presence of ischemia and necrosis. Method sensitivity was 92.3%, specificity was 95.8% and total accuracy was 95.4%.

CONCLUSION

This method is promising for predicting the long-term outcomes of surgical treatment of the nasal septum’s perforation in relation to the risk of reperforation forming, as well as for assessment of the functional viability of local flaps in plastic reconstruction of defects of the anterior skull base.

Keywords:

autofluorescence endoscopy

autofluorescence

flaps of nasal mucous membrane

nasal surgery

Authors:

Syroezhkin F.A.

Kirov Military Medical Academy;
Mechnikov North-Western State Medical University

ORCID: 0000-0002-2113-3377

Shelikhovskaya M.A.

Kirov Military Medical Academy

ORCID: 0000-0001-8514-9362

Tipikin V.P.

Kirov Military Medical Academy

ORCID: 0000-0001-5682-7734

Received:

26.12.2022

Accepted:

11.04.2023

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