The turbinates usually refers to the inferior turbinates which are 2 scrolls of tissue which sit on each side of the nostril. These scrolls of tissue serve several important purposes however they can become enlarged contributing to nasal obstruction. If this is the case Dr Robinson may recommend a turbinoplasty.
As a general guide Dr Robinson offers a turbinoplasty when the following conditions are satisfied:
- Large turbinates
- Nasal obstruction
- A trial of nasal sprays is unsuccessful in alleviating nasal obstruction
There are other indications for a turbinoplasty including but not limited to:
- Allergic rhinitis
- Non allergic rhinitis
- Recalcitrant nasal crusting
Dr Robinson also performs a turbinoplasty on children who have persistent nasal obstruction and large inferior turbinates.
Prior to having a turbinoplasty, Dr Robinson will require you to cease all blood thinners and anticoagulation.
A turbinoplasty is performed under general anaesthetic. The operation takes approximately 40 minutes. The steps of the operation include:
- Raise the mucosal lining of the turbinate overlying the turbinate bone
- Remove the large turbinate bone
- Replace the lining of the turbinate back over the site of removed bone
Post operatively Dr Robinson will send you home with a saline douche which needs to be used in the nose approximately 4 times per day.
Having a turbinoplasty is not a painful procedure and you will be able to return to work the next day provided you do not do any manual labor for approximately 3 weeks.