Turbinate

Clinical case:Turbinate Hyperplasia
Ablation of Inferior Turbinate
Laser used:Epic-S Diode Laser 940 nm
Accessory used:400 um bare fiber tip, initiate, black tip
Surgery handpiece
Treatment parameters:6W CW, submucosal ablation, or
3 interstitial passes.
Authored by physician:Yosef Krespi, MD
Professor of Otolaryngology, Hofstra School of Medicine, New York

Patient symptoms:

Nasal obstruction with or without rhinorrhea. Possible symptoms include itchy nose, sneezing and runny nose. Nasal obstruction may aggravate underlying conditions such as asthma, sleep apnea and snoring.

Diagnosis:

Fleshy mulberry inferior turbinates with a reddish coloration due to engorged vessels and glandular structures. Usually associated with large Swell Bodies with significant reduction of airspace.

Management:

Medical treatment includes nasal sprays steroids or anti-histamine with or without oral anti-histamines, steroids, montelukast (Singulair). When medical management fails or patient is unwilling to continue with it surgical solution is attempted.

Laser surgery, Pre-Op:

Anesthesia is achieved with a topical application of a mixture of lidocaine 2% and neosynephrine, followed by injection of 2% lidocaine with epinephrine 1:100,000.

Post-Op:

Bacitracin is applied and vigorous nasal saline sprays for the following week is advised.

BEFORE
AFTER

CAUTION
The laser treatment parameters above are provided as a guide and are based on results published or reported by physicians with experience in this indication. Individual treatment should be based on clinical training, clinical observation of laser-tissue interaction, appropriate clinical endpoints and each physician’s own medical judgment.