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(+30) 6972 264 464
(+30) 210 36 32 922
info@art-orl.com
T. F. Terzis, MD, PhD
& Assosiates

PRIVATE EAR, NOSE & THROAT
CLINIC

CONTACT

ATHENS RHINOLOGY TEAM

Dr. T. Terzis and Associates
Private Ear, Nose & Throat Surgery

11 Dimitriou Vassileiou street
154 51 Neo Psychiko, Athens, Greece.
Tel.: (+30) 210 36 32 922
         (+30) 697 22 64 464
Fax: (+30) 210 67 76 962
Email: info@art-orl.com

 

Nasal Turbinate Surgery


Nasal turbinates

The nasal turbinates are protrusions of the lateral wall of the nose. They have a bony skeleton and are covered with mucosa, which is the same with the rest of the interior of the nose. Chronic inflammation of the nasal mucosa (Chronic Rhinitis) often causes enlargement of the turbinates and disturbs the nasal airflow.
 
When there is significant enlargement of the turbinates, surgical reduction is needed. This can be done with various methods, including the Laser, radiofrequencies, microdebrider, and finally by means of submucosal turbinectomy. The most appropriate method of treatment for each case will be decided taking into consideration the patient’s history, the clinical examination, and of course, the surgeon’s experience.

It must be underlined that, apart from any method of surgical reduction, it is absolutely essential that the underlying pathological condition, which is Chronic Rhinitis, should be appropriately investigated and treated. This combined treatment (medical and surgical) is the only way to a satisfactory, long lasting favourable result.

 
 

Laser Turbinoplasty

Carbon dioxide Laser

Various Lasers have been used for many years for the reduction of nasal turbinates. The Laser beam causes controlled thermal effect to the tissues, and the scarring, which follows, shrink the hypertrophied turbinate. Although our Team has extensive experience with the use of Lasers, we do not use them anymore. We feel that, especially in the case of superficial application (CO2 Laser), the thermal damage to the functional mucosa is not in accordance with the modern idea of minimally invasive surgery.
 

Radiofrequency Turbinoplasty

Radiofrequency Turbinectomy

Radiofrequencies work with radiowaves, similar to those of microwave ovens. A special electrode is inserted in the turbinate and it produces a thermal effect, similar to that produced by the Laser. Most important advantages of radiofrequency turbinectomy are low cost, safety, and ease of application, even at an outpatient setting under local anaesthesia. The procedure can be repeated, if needed.
 
 
 
 
 

Microdebrider Turbinoplasty

The reduction of the volume of the turbinate is done with a specialized micro-cutting apparatus, called microdebrider or shaver. Through a small 2 mm incision, a minute rotating knife, connected to the suction, is inserted inside the turbinate and removes excess tissue. This method respects the superficial mucosa, which is the functional organ of the nasal air conditioner. The operation is done under general anaesthesia, and is typically combined with other nasal procedures, such as the correction of the septal deviation. Nasal packs are not used.
 
In our hands, this method has the best results and the smallest complication rate.

Microdebrider turbinectomy Microdebrider turbinectomy

 

 

Submucosal Turbinoplasty

When the turbinate bone is large, soft tissue removal or debulking, as in previously discussed methods, is not enough for a satisfactory result. In these cases, submucosal bone removal is combined with excision of excess soft tissue with this endoscopic operation, which is done under general anaesthesia. The result is immediately obvious. No packs are used.
 

submucosal turbinectomy


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