Persistent nasal obstruction, nasal congestion, excessive mucus production, pressure headaches and sleeping difficulties, failed medical Rx.
Epic-S Diode Laser 940 nm
400 um bare fiber tip, white tip, 100mm, use two tips for bilateral cases
6 Watt CW, start with non-contact mode and blanch the area of PNN (posterior / lateral wall of middle meatus) to follow with interstitial, in-contact mode ablation, of septal swell bodies and inferior turbinate
Authored by Physician
Yosef Krespi, MD
Professor of Otolaryngology, Hofstra School of Medicine, New York
Can range from persistent or recurrent nasal obstruction, congestion and nasal drip. Pressure headaches and sleep disturbance is very common.Medical management should be tried first for at least three months.
Endoscopic exam and palpation will demonstrate turbinate and septal swell body hypertrophy septal deviation may be present. CT scan without contrast will confirm the diagnosis.
The management is considered medical. Upon trial and failure of various medical and allergy therapies, this minimally invasive, in-office laser surgical approach should be considered.
Anesthesia is achieved with local injection of 2% lidocaine with epinephrine 1:100,000.