Radiofrequency Turbinate Reduction is a surgical technique of recent introduction; it is minimally invasive surgery. Mucosal hypertrophy of the inferior turbinate is the most common cause for nasal obstruction. Other reasons of nasal respiratory obstruction are allergic diseases, septal deviation and bone inferior turbinate hypertrophy.
Turbinate hypertrophy is the enlargement of the turbinates (see picture 1 and CT scan photo).
The medical treatments of nasal obstruction secondary to turbinate hypertrophy are intransal corticosteroid sprays, decongestants, mucolytics and antihistamines.
Often medical therapy is ineffective. They have been used numerous surgical techniques for turbinate reduction: electrocautery, turbinate out-fracture, microdebrider assisted turbinoplasty, cryosurgery, excision and submucous resection.
A minimally invasive surgical option is the Radiofrequency. This technique is very precise, creating lesions within the submucosal tissue of the turbinate, reducing mucosal volume with minimal impact on surrounding tissues (see picture 2)
Radio-Frequency Turbinate Reduction (RFTR) differs from traditional methods by using low-power radiofrequency energy to provide a quick and painless procedure for submucosal coagulation. At the end of the treatment RFTR we observe the turbinate reduced in volume, covered with crusts (see figure 3).
In the following photograph a CT scan of a hypertrophy of the left inferior turbinate.
Otolaryngology and Head and Neck Surgery
Carlo Govoni performs surgery ENT at the nursing home in Columbus Clinical Center, via Buonarroti, 48 Milan; and Hesperia Hospital, via Arquà, 80 - Modena. Other outpatients clinics are located in MILAN, Magenta road, civic number 64. Phone: (+39) 0258103023 and in Private Street Pietro Ogliari, 3
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