Swell Bodies

Clinical Case

Ablation of Septal Swell Bodies

Laser Used

Epic-S Diode Laser 940 nm

Accessory Used

400 um, 100 mm fiber tip
Surgery handpiece

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, dry mouth and runny nose. Nasal obstruction may aggravate underlying conditions such as asthma, sleep apnea and snoring.

Diagnosis

Septal swelling (soft tissue) at middle meatus level, deviation and/or septal spur obstructing the nasal airway. Gentle endoscopic palpation confirms the site and degree of Swell Body enlargement. Hypertrophy of the inferior turbinates may also be present.

Management

Initially medical management can address the swell bodies and hypertrophied turbinate. Medical treatment includes nasal steroid sprays or anti-histamines. When medical management fails or patient is unwilling to continue, 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.

Publication

Should otolaryngologists pay more attention to nasal swell bodies? (Download PDF)