Turbinectomy

Turbinectomy is a surgical operation whose purpose is to remove one or more nasal turbinates (turbinates).

The turbinates (also called the inferior and superior turbinates) are projections of mucous membrane in the nasal cavity. They play an important role in warming, humidifying and filtering the inhaled air. However, with some diseases, such as chronic rhinitis or sinusitis, as well as with a deviated nasal septum, the nasal turbinates may increase in size and make nasal breathing difficult.

Turbinectomy may be recommended in cases where conservative treatment does not lead to improvement and severe symptoms of difficulty in nasal breathing persist.

The operation is performed under general anesthesia. The surgeon makes an incision inside the nose and removes part or all of the enlarged turbinate. This allows you to expand your nasal passages and make breathing easier.

After a turbinectomy, slight bleeding and swelling of the nasal mucosa may occur. Complete healing occurs within 1-2 weeks. The operation usually leads to a lasting improvement in nasal breathing and relief of symptoms of chronic rhinitis or sinusitis.



Turbinectomy: Surgery to improve breathing and improve quality of life

Introduction

A turbinectomy is a surgical procedure to remove one of the nasal turbinates. Turbinates, also known as turbinates, are membranous structures that are found inside the nasal passages and serve an important function in humidifying and purifying the inhaled air. However, in some cases, when the turbinates become enlarged or become chronically inflamed, a turbinectomy may be necessary to ease breathing and improve the patient's quality of life.

Operation technique

Turbinectomy can be performed as a stand-alone procedure or in combination with other surgical procedures in the nose and sinuses. The operation can be performed under local or general anesthesia depending on the patient's preference and the doctor's recommendations.

The procedure begins with the insertion of an instrument to spread the nasal passages to provide access to the turbinate that needs to be removed. The surgeon then uses micro-instruments such as a microscope or endoscope to remove the selected shell. Both a complete turbinectomy (complete removal of the concha) and a partial turbinectomy (partial removal of the concha) can be used. Once the shell is removed, the wound area is thoroughly cleaned and a hemostatic sponge or absorbent material may be applied to prevent bleeding.

Indications and benefits

Turbinectomy may be considered in the following cases:

  1. Chronic nasal disease: If a patient suffers from chronic inflammation of the turbinates, such as chronic rhinitis, rhinosinusitis or allergic rhinitis, and conservative treatment does not provide adequate relief, a turbinectomy may be recommended.

  2. Turbinate hypertrophy: Increased size of the turbinates can lead to difficulty breathing, impaired nasal clearance and frequent nasal congestion. In such cases, turbinectomy may help restore normal nasal ventilation.

  3. Preparation for other surgeries: A turbinectomy may be performed as a preparatory procedure before other nasal and sinus surgeries, such as endoscopic sinus surgery or rhinoplasty.

Turbinectomy may have the following advantages:

  1. Improved Breathing: Removing an enlarged or chronically inflamed turbinate can make a patient's breathing much easier by allowing air to pass freely through the nasal passages.

  2. Reduced Congestion: Patients who suffer from frequent congestion due to hypertrophied turbinates may notice a significant reduction in congestion after a turbinectomy.

  3. Improvement of allergy symptoms: For patients with allergic rhinitis or other allergic reactions that cause inflammation of the turbinates, a turbinectomy may help reduce symptoms such as congestion, nasal discharge, and sneezing.

  4. Improved quality of life: After a turbinectomy, many patients report a significant improvement in their quality of life. They can breathe easier, sleep better, have more energy, and cope better with daily tasks.

  5. Compatibility with other procedures: Turbinectomy can be combined with other nasal and sinus surgeries to achieve optimal treatment results.

Risks and limitations

Like any surgical procedure, turbinectomy is not without risks. Some of the possible complications include:

  1. Bleeding: Bleeding may occur as a result of surgery. The surgeon uses techniques to control and prevent bleeding during and after the procedure.

  2. Post-operative pain and discomfort: Some patients may experience minor pain and discomfort after surgery, which is usually managed with pain relief medications.

  3. Changes in nasal anatomy: A turbinectomy may cause minor changes in the appearance or function of the nose. However, a well-trained and experienced surgeon will strive to minimize such changes.

  4. Risk of Infection: As with any surgical procedure, there is a risk of infection. Patients are provided with wound care instructions to reduce the chance of infection.

Conclusion

Turbinectomy is a surgical procedure that may be recommended for patients suffering from chronic nasal diseases or turbinate hypertrophy. This procedure can significantly improve breathing, reduce congestion, reduce allergy symptoms and improve the patient's quality of life. As always, r



Turbinectomy: Basics, procedure and consequences

Introduction

Turbinectomy, also known as turbinate removal, is a surgical procedure aimed at facilitating breathing and improving the overall condition of patients suffering from various nasal problems. In this article, we'll look at the basics of turbinectomy, the procedure itself, and possible consequences.

Turbinectomy Basics

The nasal turbinates, or turbinates, are soft tissues located in the lateral walls of the nose. They perform the important function of humidifying and purifying the inhaled air, as well as regulating its temperature. However, in some cases, some patients may experience problems associated with excessive size or dysfunction of the nasal turbinates.

A turbinectomy is a procedure to remove one or more turbinates. It can be performed either by open surgery, through an external approach to the nose, or endoscopically, using a special instrument called an endoscope inserted through the nostril.

Turbinectomy procedure

Before undergoing a turbinectomy, the patient usually undergoes an examination, including a physical examination of the nose, an X-ray, or a CT scan to determine the size and condition of the turbinates.

The turbinectomy procedure itself can be performed under general or local anesthesia, depending on the patient's preference and the doctor's recommendations. The surgeon will make a small incision inside the nostril or on the outside of the nose (in the case of open surgery) and remove excess or diseased tissue from the turbinates. If the procedure is done endoscopically, the surgeon will use an endoscope to view and manipulate inside the nasal passages.

Consequences and rehabilitation

After the turbinectomy procedure, the patient may be prescribed anti-inflammatory drugs or antibiotics to prevent infection and reduce swelling. Patients are expected to experience some unpleasant symptoms in the first days after surgery, such as nasal congestion, slight bleeding, swelling and discomfort. However, these symptoms usually improve over time.

The full recovery process may take several weeks, and your doctor will provide recommendations for nasal care to speed healing and minimize the risk of recovery complications. In some cases, it may be necessary to limit physical activity or use special medications to moisten the nasal passages.

Potential Risks and Limitations

Turbinectomy, like any other surgical procedure, is not without risks. Possible complications may include bleeding, infection, scarring, or changes in the shape of the nose. Additionally, removing too much turbinate tissue can lead to dryness and nasal problems in the future.

Turbinectomy also has its limitations. It may not be effective or desirable for some patients, especially if the problems are related to other structures of the nose or there are other medical contraindications.

Conclusion

Turbinectomy is a surgical procedure designed to ease breathing and improve the general condition of patients suffering from nasal problems. It can be an effective solution for those whose turbinates experience excess size or dysfunction. However, before deciding to undergo a turbinectomy, patients should discuss all aspects of the procedure, its benefits and risks, with a qualified healthcare professional.