The turbinates - What you should know

!±8± The turbinates - What you should know

Most people know the nose and paranasal sinuses, when it comes to breathing, but not many people (including many doctors) are aware of the turbinates. Turbinates are like the wings along the side wall of the nasal cavity, towards the midline of your nose. There are three paired structures: inferior turbinate, middle and high. Drain your sinus passages below the middle turbinate can. Swollen turbinates are probably responsible for most cases of nasal congestion.

TheTurbinate bone is inside and surrounded by a mucous membrane, with a very rich vascular tissue in between. The vascular tissue to swell significantly, like what happens to the penis. Each can exacerbate the degree of inflammation, irritation, infection, nasal turbinate swelling. Allergies are a common cause. It can also aggravate the weather changes such as temperature, pressure and humidity turbinate swelling. In many cases, patients are told their doctors thathave nasal polyps, when in reality is a much enlarged mussel, which has seen.

Sometimes it's hard to tell if a structure full of a shell or an octopus. A polyp is a protrusion of the mucous membrane that grows beyond the boundaries of normal tissue. Most nasal polyps originate from the bottom of the middle turbinate, where the sinuses drain, but the polyps can occur anywhere in the nose and turbinates.

Mussels Trivia

An important feature ofTurbinates, which is not too many people know what it's like nasal cycle. The change turbinates in size from side to side every few hours. One side will shrink and swell on the other side. Normally you will not notice that, unless the turbinates are a bit 'stuffy. If you have a deviated septum, then you will find that more.

Gravity also affects the size of the turbinates. If you choose to pools of blood in the vessels, which leads to slight congestion. But yourinvoluntary nervous system automatically recognizes this change in the blood vessels to narrow and improve breathing. The same process occurs when you reduce the activation of the sympathetic nervous system, through practice, the turbinates, opens the airways.

Sometimes the balance between the two halves of the involuntary nervous system (sympathetic and parasympathetic parts) out of alignment and the automatic does not work properly. So, if youor place, you should not force the blood vessels completely. Other times, the turbinates are particularly susceptible to allergies, climate change, chemicals, fragrances and perfumes. As soon as it irritates, it leads to an inflammatory reaction that leads to stiffening and mucus production. This is called vasomotor rhinitis, or allergic. Reflux throat has been shown to connect with this condition.

Ultimately, how well you breathe through the nose by a combination determined by the sizeYour turbinates, septal geometry, and how thin nostrils. (See the other sections of the nasal septum and nostrils fragile.) Your nose is not just a passive tube, a channel for air acts passed in the lungs, is a very dynamic structure, able to change from minute to minute.

What you know about the surgery of the turbinates

If all conservative treatment options for your allergies or stuffy nose, tried, and surgery is the only way left, there are some veryimportant facts you should know before any type of surgery turbinates. Decades ago, surgeons use great amounts or completely remove the inferior turbinate. First, the patient breathes much better, but years later they complain is a dry nose or a runny nose constantly, and even a return of a blocked nose. Paradoxically, if you look in these patients, the nose, the nasal cavity would be wide open. This means that the empty nose syndrome (ENS).

We nowWe know that the turbinates are an important part of your anatomy and nasal function, and you need to know a certain amount of resistance and nasal breathing properly.

There are a variety of options for shrinking nasal turbinates, the more conservative, more aggressive. The simplest method that can be done in practice, is one of the intramural cautery procedures. This is where a needle or a probe is placed under the mucosa and blood vessels are eithercauterized or vaporized. Over time, pulls the scar tissue shrinks and creates the soft tissues of the turbinates. You will see different names such as radiofrequency or Somnoplasty. A new variant called Coblation uses radiofrequency energy to vaporize tissue at relatively low temperatures. All these methods have the advantage that can be carried out in practice, and no cutting or removal of the mucosa is involved.

The other procedures are performed in a ruleSurgery under local anesthesia or general. There are many ways that change surgeon to shrink, portions of the shell-bulk or indirect. The above-mentioned office processes that can be used with all other methods, like a septoplasty or sinus surgery are performed. The easiest way is to physically cut the front bottom of the shell with scissors or electrocautery. Sometimes the deepest parts of bone are removed. Complete resection inferior turbinate aremore rarely because of potential risk and carried out "empty nose syndrome."

Another popular method is called submucosal resection (the average is a deep bone, cartilage and tissue removed, leaving the overlying mucosa). For the turbinates, a section along the bottom of the bottom shell is made, and exposed the bone and removes a part.

The layers of the mucosa are replaced on the bed and pressed the first soft nose bonePackaging. A recent opportunity to use this without an incision, which is a microdebrider aspiration. This device has been used for years in surgery of the paranasal sinuses. The tip of a long pole with a thin open end has a rotating blade oscillates back and forth, while the vacuum to suck up what tissue is removed (or soft tissue or bone).

What to expect after surgery

Most surgeons still with nasal packing, especially with the more aggressiveProcess, to maintain the mucous layer from the rough surfaces. Because the procedures are usually performed turbinates addition to the procedure of the septum, nasal packing with or without rails are not as frequent. Depending on the surgeon's preferences, or the package can not be used for a variety of minimally invasive procedures.

Shell procedures themselves are not so painful. Most patients do not take pain medication, unless other procedures are performed,simultaneously.

It may take days or weeks before your breathing improves significantly as swelling, blood and mucus immediately after the procedure. Many surgeons clean up the rubble for a few days to a week after the procedure in the office during the follow-up.

Nasal saline can every few hours immediately after the operation to be applied to solve the secretions. Blow your nose is not recommended until you get the green light by the physician during the first postoperativeto participate.

Turbinate surgery is a very useful technique that can be performed alone or in combination with other methods. Bleeding and infection occur, although rarely, may, like any other surgery. It can also risks of anesthesia. In the unlikely event that the procedure failed, including reasons for the failure of a conservative procedure, the nasal septum or persistent nasal valve collapse.

The turbinates - What you should know

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