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.