Young's operation

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Young's operation is a surgery designed for the treatment of atrophic rhinitis, first described by Austen Young in 1967.[1][2]

Procedure[edit]

The surgical procedure involves closure of the nasal cavity affected with atrophic rhinitis by creating mucocutaneous flaps.[3] These flaps are sutured together in two layers: first the mucosal layer, then the skin layer. The nasal cavity is kept closed for a period of 9 months; then an examination is done - if the crusts have disappeared, a revision surgery is performed and the nasal cavity is reopened. The theory behind this procedure is that the closed nasal cavity has time to heal.

Outcome[edit]

The first patient to undergo Young's operation specifically to treat Atrophic Rhinitis was in Sheffield in 1963, by Austen Young, when both nostrils were closed. The patient had a chronic condition causing social ostracism due to the strong odour. Both nostrils were re-opened in 1965 and the patient has had no problem since then. However, the patient has no sense of smell and inhibited taste (i.e. cannot taste spices/herbs).

References[edit]

  1. ^ Young, A (May 1967). "Closure of the Nostrils in Atrophic Rhinitis". The Journal of Laryngology & Otology. 81 (5): 515–524. doi:10.1017/S0022215100067426. PMID 6024992. Retrieved 2009-07-06. 
  2. ^ Gadre, K. C.; K. B. Bhargava; R. Y. Pradhax; J. D. Lodaya; M. V. Ingle (1971). "Closure of the nostrils (Young's operation) in atrophic rhinitis". The Journal of Laryngology and Otology. 85 (7): 711–714. doi:10.1017/s0022215100073977. PMID 5104495. Retrieved 2009-07-06. 
  3. ^ Poddar, Sangeet Kumar; M. V. Jagade (2001). "Modification of Modified Young's Operation in the Management of Primary Atrophic Rhinitis". Indian journal of otolaryngology and head and neck surgery. 53 (3): 252–254.