The human body contains three pairs of turbinates – long, curled nasal bones that warm and humidify inhaled air and regulate breathing through the nasal passages. The turbinates are classified as inferior, middle and superior and all are divided by the septum. When they become swollen and enlarged, they can interfere with breathing.
Treating Swollen Turbinates
The turbinates are crucial in allowing us to breathe properly. Allergies, viral infections, exposure to environmental irritants and a deviated septum can cause them to swell. Inferior turbinates that swell to the point where they cause a nasal obstruction are known as hyperplastic turbinates.
Symptoms may be mild to severe. Minor cases may respond successfully to over-the-counter decongestants, but these bring temporary relief and should not be continued for more than three or four days or they can cause symptoms to worsen. Topical nasal steroids and sprays may also be effective, and antibiotics are occasionally useful in treating congestion caused by sinusitis. But in many cases, medical treatment is ineffective; hyperplastic turbinates often require surgery.
Turbinate Reduction Surgical Procedures
A number of surgical procedures are effective in reducing the size of the inferior turbinate, clearing up the airway to eliminate any associated breathing or sinus problems. These include:
- Turbinate Resection. Either total or partial, this procedure involves removing all or part of the inferior turbinate while widening the nasal airway. Submucous resection aims to preserve the mucosa of the turbinate in order to reduce side effects.
- Laser Surgery. Lasers focus a beam of light on the inferior turbinate to create lesions that allow for removal. This is a minimally invasive procedure with few complications or side effects. However, the mucosa may regenerate, and additional laser treatments may be needed.
- Cryosurgery. This procedure is similar to laser surgery, but relies on the application of extreme cold to destroy the turbinate through freezing. Its long-term effectiveness is not as good as resection surgery.
- Radiofrequency. A probe delivers heat generated from high frequency alternating current to destroy the turbinate.
- Corticosteroid Injection. A needle is used to inject corticosteroids directly into the inferior turbinate, often with great success.
Your physician will help you determine if you are a good candidate any of these procedures. If so, the procedure will be scheduled in the office at your convenience.
What To Expect During Surgery and Recovery
After you arrive for the procedure, anesthetic will be applied inside the nose. The reduction will be performed while you are relaxing in the exam chair, similar to a dental procedure. Typically, the procedure only takes a few minutes to complete, and there is usually very little bleeding afterward. Most patients are able to return to work or school the next day. Pain is usually mild and controlled with acetaminophen (Tylenol) or ibuprofen (Motrin). Occasionally, turbinate tissue will re-grow after turbinate surgery, and the procedure may need to be repeated.
After surgery, the majority of patients experience continual improvement in their symptoms. While some may immediately notice a dramatic improvement, it may be several weeks before others notice the maximal benefit. Remember that many breathing improvements occur as the turbinates heal and shrink over 10-12 weeks.
Next Steps
At the Raleigh Capitol Sinus and Allergy Center, our experienced surgeons will promptly evaluate your condition with care and compassion. After thoroughly evaluating your case and discussing the range of treatment options with you, our surgeons will use the latest techniques to safely and effectively perform your surgery. To schedule an appointment, click here.
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