Radiofrequency Turbinate Reduction Video - 1

Treatment of Turbinate Hypertrohy

Turbinate Hypertrophy - Treatment of Turbinate Hypertrophy - Radiofrequency Reducing For Treatment of Turbinate Hypertrophy - Turbinate Enlargement - Radiofrequency Turbinate Reduction in Istanbul - Treatment of Inferior Turbinate Hypertrophy -  Treatment of Inferior Turbinate Hypertrophy in Istanbul -  Treatment of Inferior Turbinate Hypertrophy in Turkey

There is no definite consensus on the most effective treatment for hypertrophy of the inferior turbinates. However, nasal turbinate radiofrequency uses radiofrequency to create lesions within the submucosal tissue, reducing turbinate volume with minimal impact on surrounding tissues (irt can cause limited mucosal damage).

Turbinates Are Unique Organs!

Turbinates are found inside our noses. Turbinates have functions such as heating, humidifying, pressurizing and filtering the air. Their structures are unique and these tissues should be considered as an "organ" and their structure should be preserved as much as possible.

Surgical Excision, Excessive Reduction of Turbinales can cause Nasal Hyperventilation or Empty Nose Syndrome (ENS)!

In patients with nasal congestion due to turbinate hypertrophy, who do not regress with medical treatment, only the narrowing of the turbinate tissue and the emergence of planned fibrosis are provided with minimal mucosal damage, as seen in the video above. In procedures that involve changing the turbinate structure and volume, such as turbinectomy, turbinoplasty, turbinate removal, abnormal enlargement of the intranasal airways, abnormal acceleration of the intranasal airways, drying and crusting in the nose, oxygen absorption in the case of near-complete resection or reduction of the turbinates. Different symptoms may occur, such as a decrease and a feeling of air hunger, sticky nasal secretions, and the appearance of inflamation areas in the nose over time. Turbinates are also involved in adjusting the sleeping position and can grow with an autonomous reflex. Surgical excision of these turbinate, considering it as an unnecessary and useless structure, may cause serious adverse health problems.

Reducing Turbinates with Radiofrequency Can Also Be Done Under Local Anesthesia!

Turbinate volume reduction with radiofrequency can also be performed under local anesthesia and sedation anesthesia. It is appropriate to prefer general anesthesia when septoplasty operation is performed together.

The Fee for Reducing Turbinates with Radiofrequency in Istanbul

According to the hospitals and the procedures performed together, the procedure of turbinates reduction with radiofrequency cost (even one day of hospitalization, blood tests, doctor fees and all instruments) varies between 1500-2500 US Dollars.

Reduction of Turbinates with Radiofrequency Can Also Be Performed Under Local Anesthesia!

After this process, sometimes only adrenaline-impregnated cotton or self-melting sponge-shaped products can be placed inside the nose. Generally, the patient should be careful as there is a risk of nosebleeds in the first 3 days.

Postoperative Care After Reduction of Turbinates With Radiofrequency

I usually do this procedure together with the septoplasty operation, and after the procedure, we place an internal silicone splint inside the nose. These silicones are usually removed from the nose after 7 days. What patients should pay attention to after turbinate radiofrequency:

- For 1 week, for more than 3 days, bleeding and dripping can be seen from the front and back of the nose. During this period, exercises that will increase blood pressure should be avoided, and hot shower and steam application in the bathroom should be avoided.
- It is necessary to stay away from blood thinners for 2 more weeks.
- Mouth and nose should not be covered during sneezing.
- Regular use of ocean water spray and nasal moisturizing drops given into the nose increases the speed of mucosal healing.
- It is necessary to avoid nose picking, napkins, fingers and cotton swab into the nose as much as possible.
- It is appropriate to wait as much as possible about smoking, and not to smoke for 1 month if possible.
- A recommendation we tell our patients about starting work is "if you work in a cool environment and standing upright, you can start after the 3rd day at the earliest, but it is better to wait for 1 week".  

Turbinate Overreduction and Related Problems

Techniques used to reduce the volume of turbinates should aim for minimal mucosal damage and minimal anatomical change. Today's devices provide "reducing excessive tissue damage by automatically measuring tissue resistance". However, abnormally accelerated intranasal airflow (nasal hyperventilation) or a blocked nose syndrome may occur after turbinate overreduction with excessive radiofrequency application or the addition of partial surgical resection. The air entering the nose normally hits the turbinates and starts to rotate in a circular manner, being heated, purified, humidified and pressurized. When the intranasal air volume is excessively increased and the turbinate is excessively reduced, cooled and structured, the air - turbinate contact is not sufficient, the dry, cold, polluted and unpressurized air first moves to the nasal passages and then to the lower respiratory tract. Nasal hyperventilation and subsequent empty nose syndrome may occur and the following adverse health effects may occur:

- insufficient intake of air or a feeling of suffocation
- sticky nasal secretions and inability to clear nasal mucus
- chronic sinusitis or intranasal chronic mucosal infections, crusting in the nose
- structural changes in the nasal mucosa
- dryness in the lower respiratory tract
- nose bleeding
- increased frequency of upper respiratory tract infections (coronavirus and influenza virus infection can start more easily)

The above symptoms may vary depending on the amount of change made in the structure of the turbinates. All of these symptoms may occur and be exacerbated if the turbinates are removed by nearly complete excision. 

Link group where you can find detailed information about turbinate hypertrophy and turbinate reduction >>
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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