Turbinates of Nose-Resections
Cochlear ImplantWhat is Cochlear Implant?Read more...
LaryngectomyWhat is Laryngectomy?Read more...
MyringotomyWhat is Myringotomy?Read more...
Neck Block DissectionsWhat is Neck Block Dissections?Read more...
Nasal PolypsWhat is Nasal Polyps?Read more...
Nasal SurgeryWhat is Nasal Surgery?Read more...
OssiculoplastyWhat is Ossiculoplasty?Read more...
StapedotomyWhat is Stapedotomy?Read more...
SeptoplastyWhat is Septoplasty?Read more...
Sinus SurgeryWhat is Sinus Surgery?Read more...
TympanoplastyWhat is Tympanoplasty?Read more...
ThyroplastyWhat is Thyroplasty?Read more...
Nose RessectionWhat is Turbinates of Nose-Resections?Read more...
TonsillectomyWhat is Tonsillectomy?Read more...
What are Turbinates in the Nose? (Turbinates of Nose- Resection)
The inside walls of the nose have 3 pairs of long thin bones covered with thin tissue. These bones are called nasal turbinates. Allergies or other nasal problems can cause the turbinates to swell and block airflow. Surgery can be done to fix blocked airways and improve your breathing.
Turbinate surgery should correct the problem of nasal obstruction by reducing the turbinate size and thereby decreasing airway resistance while preserving the natural function of the turbinates. This should improve nasal breathing and may reduce nasal drainage and post-nasal drip.
A turbinectomy is a surgical procedure that is sometimes used to help alleviate chronic nasal congestion. The procedure may be performed in conjunction with other types of surgery such as a septoplasty, or as a stand-alone remedy.
There are several different strategies for this procedure, with each of them useful in different situations.
There are several reasons why a turbinectomy may be recommended. Patients who suffer with constant nasal inflammation or frequent swelling of the adenoids are good candidates for this type of operation. If a deviated nasal septum is present, an inferior turbinectomy may help. Should there be tumors or other growths present in the nasal passages, this type of surgery can often bring about some relief.
With patients suffering from sleep apnea, a turbinectomy can often make it easier to fall into a deep sleep and remain in that state long enough to feel refreshed upon waking. In like manner, the procedure can help to minimize snoring. However, undergoing this type of surgery for these health issues is usually not recommended until less invasive measures have been tried and proved unsuccessful.
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The partial turbinectomy is one method of turbinate reduction surgery for reducing an oversized inferior turbinate. This surgical procedure is performed under general anesthesia and may be combined with sinus and/or septal surgery.
During a partial turbinecomy, the front third of the inferior turbinate is resected (removed) using surgical scissors, including mucosa and bone. The lateral and part of the medial mucosal layer of the inferior turbinate are removed. The raw edge can be surgically coagulated. Secondary bleeding can occur. This procedure creates a large wound surface along the inferior turbinate and usually does not preserve the aerodynamic important inferior turbinate head.
Two main techniques fall under the category of turbinoplasty. In the outfracture technique, an instrument is used to laterally reposition the turbinate and increase the patency of the airway. In the submucous resection technique, an incision is made at the head of the turbinate. A microdebrider and blunt dissectors are then used to remove some of the turbinate tissue. Subsequently, the mucosa is re-approximated and is allowed to heal over a smaller turbinate bone. Perforation of the mucosal flap or poor approximation of the incision can result in crusts, synechiae, and bleeding.
Radiofrequency or laser ablation
Radiofrequency ablation (RFA) is a very common thermal technique in which a thermal probe is physically inserted into the inferior turbinate and the delivered radioenergy removes some of the tissue. This technique has the advantage that it can be done in the office setting under local anesthesia and it has rare and minor complications. Studies show that RFA has better outcomes than placebo surgery. Since the surgery is relatively noncomplex, it can be seen as an attractive option for people with minor inferior turbinate airway obstruction who are seeking a surgical option. Patients tend to have recurrences with RFA, but since it is a clinic procedure, recurrences are easily treated in the clinic.
RFA creates an ionization of submucosal tissue that subsequently leads to a scar that reduces the bulk of the surrounding tissue. Although fibrotic tissue replaces the glands and venous plexuses, nasal mucociliary function remains preserved. The mucosal surfaces should not be involved.
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