If you have other medical conditions such as sleep apnea, you may spend one night in the hospital after your procedure. The challenge of inferior turbinate surgery is to achieve adequate turbinate reduction while preserving the ciliated epithelium as an important part of respiratory filtering. Effects of turbinoplasty versus outfracture and bipolar. Microdebriderassisted inferior turbinoplasty by medtronic youtube. In the june 1988 issue of the archives, the medical news section included a summation by dr charles p. It is usually done to reduce the bulk of inferior turbinates.
Get your team aligned with all the tools you need on one secure, reliable video platform. Noses need the septum for anatomic support so it is important to leave a strong. The following video presents a discussion of nasal procedures, including turbinate surgery. Nassif performs turbinoplasty and explains why the procedure is important. Turbinate reduction or turbinoplasty are other terms for surgery on the nasal turbinates. If your stomach is upset, try bland, lowfat foods like plain rice, broiled chicken, toast, and yogurt. You may have to do this every hour for 24 hours after surgery. A total inferior turbinectomy can be performed but concerns over atrophic rhinitis limit the applicability of this technique. The effects of inferior turbinoplasty on nasal airflow during cosmetic rhinoplasty. A comparative study of radiofrequency assisted versus microdebrider assisted turbinoplasty in cases of inferior turbinate hypertrophy. Finally, mucosal and bony hypertrophies are best dealt with via a partial inferior turbinectomy or inferior turbinoplasty. Department of surgery, college of medicine, university of kufa. Turbinoplasty closed rhinoplasty procedure information video.
A turbinoplasty shrinks the turbinates and can be done many different ways. Turbinates can become swollen and create problems such as chronic sinus infections, sleep apnea, restricted breathing, and nosebleeds. Principles and practice pathways wetmore 2nd edition clinical otology 4th edition november 2014 release. Septoplasty and turbinoplasty dr bridget clancy ent.
Turbinoplasty is a procedure to reduce the turbinates. Turbinate reduction can be performed in isolation, but is usually combined with septoplasty, sinus surgery, or. Comparison of turbinoplasty surgery efficacy in patients with and without allergic rhinitis article pdf available in brazilian journal of otorhinolaryngology 822 november 2015 with 141 reads. Comparison and evaluation effect between microdebrider. Septoplasty turbinoplasty information dahl otolaryngology. Considering above hypothesis, this study aimed at investigating the effect of inferior turbinoplasty in reducing the airflow resistance and nasal obstruction following rhinoplasty.
Powered microdebrider turbinoplasty for inferior turbinate. Dr nassif turbinoplasty surgery scientific video and. A number of techniques of inferior turbinate surgery have been described. Allergies or other nasal problems can cause the turbinates to swell and block airflow. Powered inferior turbinoplasty for inferior turbinate. Article information, pdf download for inferior turbinoplasty. This book describes an innovative surgical technique called modified inferior turbinoplasty, which offers an excellent solution to the problems associated with the lower turbinate hypertrophy. In the turbinate radiofrequency procedure, the probe in placed into inferior turbinate to deliver treatment. The turbinoplasty surgery technique consisted of the following.
The largest is the inferior turbinate that extends along the floor from the front to the back of the nose. The turbinates help warm and moisten the air you breathe. When a nasal septum is deviated it may partially block air flow in the nose. In some cases the turbinates can be enlarged causing airway obstruction. Turbinate reduction surgery turbinoplasty my experience. Sometimes surgery can improve the position of the septum septoplasty and also the size and position of the turbinates turbinate resection or repositioning. Comparison of turbinoplasty surgery efficacy in patients. In this chapter, we describe the most important techniques of inferior turbinate reduction with advantages and.
This operation reduces the size of the turbinates whilst maintaining some of the overlying lining which is important for nasal functions such as warming, humidifying and filtering the air we breath. A video demonstration is presented of a patient with nasopharyngeal angiofibroma who underwent. It also shows that turbinoplasty improves nasal airflow during both inspiration and more prominently expiration, with no association with age or sex. This can be done in several different ways, but sometimes a tiny, highspeed device. Mabry, md, facs when inferior turbinate hypertrophy does not respond to medical treatment, the author recommends conservative surgical reduction, adequate to allow a good airway.
According to several academic publications and media reports, surgeons are increasingly using microdebriders for septoplasty and turbinoplasty, as well as adopting the same powered technologies for tonsillectomy, tuboplasty, adenoidectomy, and numerous other procedures even beyond ent applications. Postoperative instructions following turbinoplasty general. Inferior turbinate hypertrophy, which is one of the most common causes of nasal obstruction, may be observed in allergic rhinitis, vasomotor rhinitis, chronic hypertrophic rhinitis or, sometimes, compensatory. The middle turbinates play a role for the nasal sinuses and therefore, they are sometimes modified during sinus surgery. Microdebriderassisted versus radiofrequencyassisted inferior turbinoplasty. The effects of inferior turbinoplasty on nasal airflow. The septum is a wall made of cartilage and bone that divides the two sides of the nose. Turbinoplasty nose blockage melbourne philip michael.
On occasion, silicone splints are placed to help with healing and minimize scar tissue formation. When medical therapy fails, surgical reduction of inferior turbinates is mandatory. This panic is what has made me go get the medial flap turbinoplasty this topic is answered by a medical expert. This article describes inferior turbinoplasty to treat symptomatic inferior turbinate hypertrophy. You may have a drip pad under your nose to collect mucus and blood. Inferior turbinoplasty is a procedure that reduces the size of the inferior turbinates. The middle turbinate can be reduced as well but this is called a concha bullosa resection.
Chen yl, tan ct et al 2008 longterm efficacy of microdebriderassisted inferior turbinoplasty with lateralization for hypertrophic inferior turbinates in patients with perennial allergic rhinitis. Powered inferior turbinoplasty and endoscopic septoplasty. Steven white, a double boardcertified plastic surgeon serving the dallas area, brings relief to his patients by performing a turbinoplasty, also known as an inferior turbinate reduction. Turbinoplasty is performed as an outpatient procedure. Pdf a modified technique for inferior turbinate reduction.
The surgery is used occasionally in the management of snoring and airflow disorders. The inferior turbinates are bony outpouchings inside the nose that clean and humidify the air we breathe. Many techniques for inferior turbinate reduction exist, including outfracturing, submucosal soft tissue reduction ie, electrocautery. Introductiontechniques for inferior turbinate reduction vary from complete. Internally the nose is divided into two passages by a wall of cartilage and bone in the midline, called the nasal septum.
Pdf comparison of turbinoplasty surgery efficacy in. Microdebriderassisted versus radiofrequencyassisted. Browse more than 12,000 surgery videos and save your favorites for free. In people who suffer from persistent clear rhinnitis runny nose also known as vasomotor rhinnitis, there is. Turbinectomy is a procedure in which some or all of the turbinate bones in the nasal passage are removed, generally to relieve nasal obstruction. Study shows medtronic microdebrider turbinoplasty is a. The turbinates are specific bony structures in the nose covered with mucous that helps filtering the air the person breathes. You may notice that your bowel movements are not regular right after your surgery. It can be conducted for different indications such as relieving the mechanical nasal obstruction due to hypertrophied inferior turbinates, or to achieving a sufficient nasal surgical access during. Nasal turbinate surgery turbinoplasty boston rhinoplasty. Surgical video of powered inferior turbinoplasty with our inferior turbinate blade. The lining of the nose and sinuses filters the air, cleaning, warming, and humidifying the air before it reaches the lungs. Therefore, reduction of the turbinate size turbinoplasty is commonly performed in conjunction with septoplasty.
The nasal septum is a wall that divides the nose into left and right sides, starting at the tip of the nose and extending almost to the very back of the throat. How does a turbinoplasty treat turbinate hypertrophy. Surgery can be done to fix blocked airways and improve your breathing. Rarely though, their size is the only reason for obstructed nasal breathing.
This video article demonstrates our new continuous suction irrigation method for sit. The impact of bilateral endoscopic inferior turbinoplasty with or. Turbinate surgery reduces the size of enlarged inferior turbinates in most cases. Turbinoplasty definition of turbinoplasty by medical. A turbinate or nasal concha is a long, narrow, curled bone shelf that protrudes into the breathing passage of the nose.
Coblation turbinate reduction turbinoplastyturbinectomy. Turbinates are bony structures covered by moist mucosa. Instructions for septoplasty and inferior turbinoplasties. In most cases, turbinate hypertrophy is accompanied by some septum deviation, so the surgery is done along with septoplasty.
A turbinoplasty treats the inferior turbinates inside the nose. Comparative study on the longterm effectiveness between coblation and microdebriderassisted partial turbinoplasty. The video describes a new technique of performing an inferior turbinoplasty. Nasal obstruction in adults inferior turbinoplasty. A septal deviation can be corrected by an operation called a septoplasty, which is performed under a general anaesthetic. When the septum is deviated to one side, the turbinate of the other side may become larger compensatory inferior turbinate enlargement or hypertrophy. You may have one of these surgeries if the turbinates in your nose are too large and block the airways in your nose. All ents utilize turbinate modifications in their practices, some more than others. Inferiorturbinate surgery is considered as one of most commonly performed surgery in rhinology. Dr edward smith, ent surgeon shutherland shire kids ent earnosethroat inner west sydney kids ent earnosethroat photodocumentation.
Turbinate reduction also known as turbinoplasty or turbinectomy is a surgical procedure that reduces the overall size of the turbinates allowing for airflow which results in symptommatic relief of nasal obstruction and congestion. Comparison and evaluation effect between microdebrider assisted turbinoplasty and submucosal diathermy of the inferior turbinates. When a turbinate is enlarged it can also impair breathing. Inferior turbinoplasty video by ear nose throat surgeon dr edward smith. After inferior turbinate surgery, healing causes shrinkage of the tissues, creating more space for breathing. Turbinoplasty is only used to reduce the size of the inferior turbinates. Current evidence on the efficacy and safety of powered microdebrider turbinoplasty for inferior turbinate hypertrophy is adequate to support the use of this procedure with normal arrangements for clinical governance, consent. Turbinoplasty a turbinoplasty is an operation performed to reduce the size of swellings turbinates that are present on the side wall of the nasal passageways. Inferior turbinate reduction operative techniques in. It rarely forms the sole intervention that we provide for managing.