Radiofrequency Turbinate Reduction in Istanbul

Turbinate Hypertrophy Treatment in Turkey

Mucosal hypertrophy of the inferior turbinate is the most common cause for nasal obstruction and second cause for nasal obstruction is septum deviation. Turbinate hypertrophy can be treated as medical or surgical methods.

Medical treatment for hypertrophy of the turbinate:

• immunotherapy
• antihistamines
• intranasal corticosteroid sprays
• decongestants

Surgical treatment for hypertrophy of the turbinate:

• corticosteroid turbinate injections
• cryosurgery
• electrocautery
• turbinate out-fracture
• microdebrider-assisted turbinoplasty
• excision of turbinate
• submucous resection

There is no definite consensus on the most effective treatment for hypertrophy of the inferior turbinates. However, nasal turbinate radiofrequency uses radiofrequency to create lesions within the submucosal tissue, reducing turbinate volume with minimal impact on surrounding tissues (irt can cause limited mucosal damage).



The mechanism of the turbinate radiofrequency is very simple, almostly all devices use low-power radiofrequency energy to provide a quick and painless procedure for submucosal turbinate tissue coagulation and volumetric inferior turbinate reduction (other names of this procedures: Radiofrequency volumetric inferior turbinate reduction / Radiofrequency treatment for inferior turbinate hypertrophy /  Radiofrequency tissue reduction for turbinate hypertrophy / Radiofrequency turbinate reduction (RFTR) / Inferior turbinate radiofrequency reduction / Radiofrequency ablation (RFA) of the inferior turbinates)

There are different turbinate radiofrequency devices are available.

Radiofrequency Turbinate Reduction Indications

Surgical therapy of the inferior and/or middle turbinate is indicated when failing or incomplete resulting of conservative medical treatment options . Turbinate radiofrequency operation is required in the following situations:

• Nasal blockage and congestion due to with inferior turbinate hypertrophy
• A mildly deviated septum with nasal congestion with inferior turbinate mucosal hypertrophy with
• Sleep apnea with increased nasal resistance associated with turbinate hypertrophy and difficulty using of nasal CPAP mask
• Rhinitis Medicamentosa ("rebound rhinitis" or "chemical rhinitis" which caused by the use of nasal vasoconstrictive medications for more than 4-6 days) treatment



The main indication are that the problem of nasal obstruction associated with turbinate hypertrophy which negatively affects the quality of life and health of the patient and that this problem can not be solved by medical treatment and measures.

Radiofrequency Turbinate Reduction Technique and Videos

There are different devices are produced and different methods are defined for turbinate reducing (ultrasound turbinate reduction or coblation turbinate reduction, radiofrequency turbinate reduction, electrocautery reduction, ...etc). However optimal surgical procedure which used for treatment of turbinate hypertrophy is still controversial. Radiofrequency (RF) technology is used in medicine for treatment of many health condition. Radiofrequency devices are classified according to on the number of electrodes used as unipolar devices, bipolar devices, or multipolar devices. Radiofrequency energy induces ion agitation within the tissue, which increases the local temperature and causes a thermal damage in  the deep tissue without damaging the surface mucosa. The healing process secondarily cause to fibrosis, wound contraction and resulted with tissue volume reduction of turbinates.

Radiofrequency Turbinate Reduction Technique

This procedure can be performed in an outpatient setting under local anesthesia or it can be performed with other nasal surgeries such as septoplasty, polypectomy, rhinopasty as under general anesthesia. Local anesthetics are injected into the turbinate after lidocaine spray application (use of local anesthetic without adrenaline is important for understanding the areas with the highest growth). Submucosal areas of the nasal meats are then reduced in volume with a radiofrequency device. Generally during the process, the shrinkage of the turbinate dimensions can be seen. After the process, shrinkage usually lasts up to 1 year. The total procedure time is about a few minutes under local anesthesia. Bleeding may occur in the first few days after the procedure, and turbinates may swell over the first few days, causing nasal congestion.

Radiofrequency Turbinate Reduction Videos

Video 1: Radiofrequency Volumetric Reduction (RAVOR) For Inferior Turbinate

Video 2: Coblation Inferior Turbinate Reduction (Coblation technology combines radiofrequency energy and saline to create a plasma field. The plasma field remains at a relatively low temperature then other techniques)

Video 3: Celon Radiofrequency Device -  Inferior Turbinate Reduction

Radiofrequency Turbinate Reduction Contraindications

There is no precise contraindication exist for radiofrequency turbinate reduction. However in patients with heart pacemakers or other electronic devices may be contraindication exist for the use of the radiofrequency turbinate reduction system. In patients with severe systemic disease (hypertension, diabetes, advanced stage cancer), hemorrhagic coagulation disorders care should be taken when radiofrequency turbinate reduction.

Radiofrequency Turbinate Reduction Risks

Radiofrequency Turbinate Reduction complications and risks can be summarized as below:

• Thick nasal secretion, crusting, drying (usually disappears within a few weeks)
• If excessive mucosal erosion is present at the surgery, fragrant crusting can be seen for few weeks
• Nose bleeding (usually disappears within a few days after surgery)
• Turbinate tissue is normally only reduced with modern radiofrequency devices as you can see on the above videos. If the turbinate tissue is removed surgically, empty nasal syndrome may occur. Decrease in nasal function, drying in the nose, bleeding (atrophic rhinitis may occur in the future)

Turbinate functions were not clearly understood many years ago and excessive tissue resections were done. After this procedure, empty nose symptoms have appeared in many patients, such as decreased nasal functions, dry feeling in the nose, recurrent nasal mucosal infections, nasal bleeding and atrophic rhinitis over a long period of time. Current guidelines is suggest that minimal mucosal traumatic volume reduction procedures such as radiofrequency. Turbinate resections or partial removal techniques is not suitable for nose functions. Turbinectomy surgeries are called a "nasal crime" in some textbooks (you can find links at the source links on the below).

Empty Nose Syndrome - Radiofrequency Turbinate Reduction Risks - Excessive Turbinate Reducing Risks - Radiofrequency Turbinate Reduction Complication - Turbinate Resection Risks

In the above photo, the inferior turbinates are completely removed, abnormal increase in the airway volume in the nose and dry nasal mucosa are seen.

• Scar tissue may form between the turbinate and the septum

During the turbinate radiofrequency procedure, excessive damage to the nasal mucosa or accompanying septoplasty may rarely result in adhesions between the septum and the turbinate. Particularly after the procedure silicone splint remains in the nose for at least 7 days, reducing the risk of adhesions.



In this case, which may lead to nasal obstruction, it is enough to cut the area of adhesion under local anesthesia and office conditions, and to place a splint of silicone on it for at least 1 week. Self-soluble nose pads in 3-5 days usually fall in the nose. Silicone nasal splints reduce the risk of intra-nasal adhesions when stay in the nasal cavity about  7-10 days.



Modern radiofrequency devices is lowering the mucosal damage risks thus related problems of  adhesions, crusting, thick secretion, mucosal dryness ...etc.

Radiofrequency Turbinate Reduction Cost

Radiofrequency Turbinate Reduction Cost - Cost of Radiofrequency Turbinate Reduction - Radiofrequency Turbinate Reduction Cost in Istanbul - Cost of Radiofrequency Turbinate Reduction in Turkey - Cost of Turbinate Hypertrophy Treatment in Istanbul - Treatment of Turbinate Hypertrophy Cost in Istanbul - Treatment of Turbinate Hypertrophy Cost in Turkey

Turbinate radiofrequency is less costly to process when done under office conditions (500-1000 Dollars on average). I am performing this procedure generally with the deviated nose surgery in hospital operation room with steril condition and under the general anesthesia. Total cost of the Septoplasty + Turbinate radiofrequency procedures (one day staying in hospital, all tests, all instruments, all doctor fees are included in this price) of septoplasty in Istanbul is about 1750 - 2500 Dollars for reasonably priced hospitals.

How Can You Contact With Dr. Murat Enöz For Radiofrequency Turbinate Reduction in Istanbul?

If you want to contact with Dr.Murat Enoz about
"Radiofrequency Turbinate Reduction in Istanbul" my WhatsApp number is 00905336550199 and my email: muratenoz@gmail.com. We can meet with WhatsApp calling when we have the right time for "Radiofrequency Turbinate Reduction in Turkey".

 Radiofrequency Turbinate Reduction Post-Op Instructions

• Nausea can be seen after the general anesthesia for first 4 hours at awakening period. If procedure is performed under the local anesthesia nausea generally not seen
• It is ideal to start eating with a soft and lukewarm diet 4 hours after surgery. If procedure is performed under the local anesthesia you can start to eating just after the procedure!
• Do not use other medicines like aspirin, a blood thinner after surgery, without consulting with me
• Sporting activities that will increase your blood pressure is dangerous first 10 days. You can walk to the rhythm of the evening
• Protect your nose from the first 2 weeks of heat exposure
• Do not touch the non-sterile city water and shampooed bath water into the nose for the first 3 weeks after the operation
• Do not put anything in the nose or remove the silicone in the nose
• It is normal to have post-operative nose bleeds like dripping or slow leaking, especially in the first 3 days, from front side and back side of the nose
• Do not pressured blowout from your nose without consulting your doctor. It can cause to nose bleeding
• If you feel to sneezing, please try to open mouth when you sneeze to prevent increasing nasal blood pressure. You can use allergy drugs after the talking with me
• Medications to be used after surgery: Pain relief tablet, Antibiotic, Ocean water spray, Nose moisturizing drops. I will describe each drug to you.
  •Do not miss a 7-day check-in appointment and an office visit!

 Nasal Endoscopic Examination Photos  After the Turbinate Radiofrequency

Radiofrequency Turbinate Reduction Post-op 7th Day

You can see on the above photo (radiofrequency turbinate reduction post-op 7th day) that , right inferior turbinate is swollen, red, there is a limited mucosal damage area (due to radiofrequency device probe application).

Radiofrequency Turbinate Reduction Post-op 10th Day

You can see on the above photo (radiofrequency turbinate reduction post-op 10th day) that , left inferior turbinate is become smaller, there is a limited mucosal damage with crust, thick secretion. Regular saline washing and regular using of nasal humidifier drugs can help to shortly healing of mucosal erosion areas on the turbinates.

Before and After Photos For Radiofrequency Turbinate Reduction in Istanbul

You can see on the below before and after photos for septoplasty + turbinate radiofrequency (please look at that a visible air passage can be seen after the procedure):


Before and After Photos for Turbinate Radiofrequency - Before and After Photos for Septoplasty - Before and After Photos for Turbinate Radiofrequency in Istanbul - Before and After Photos for Turbinate Radiofrequency Reduction in Istanbul - Before and After Photos for Turbinate Radiofrequency Reduction in Turkey



Before and After Photos for Turbinate Radiofrequency - Before and After Photos for Septoplasty - Before and After Photos for Turbinate Radiofrequency in Istanbul - Before and After Photos for Turbinate Radiofrequency Reduction in Istanbul - Before and After Photos for Turbinate Radiofrequency Reduction in Turkey

Before and After Photos for Turbinate Radiofrequency - Before and After Photos for Septoplasty - Before and After Photos for Turbinate Radiofrequency in Istanbul - Before and After Photos for Turbinate Radiofrequency Reduction in Istanbul - Before and After Photos for Turbinate Radiofrequency Reduction in Turkey

Before and After Photos for Turbinate Radiofrequency - Before and After Photos for Septoplasty - Before and After Photos for Turbinate Radiofrequency in Istanbul - Before and After Photos for Turbinate Radiofrequency Reduction in Istanbul - Before and After Photos for Turbinate Radiofrequency Reduction in Turkey

Is Computerized Tomography Required Before Turbinate Radiofrequency Operation?

Computerized Tomography  - Turbinate Radiofrequency Operation - Radiofrequency Turbinate Reduction in Istanbul

Normally, paranasal sinus tomography is not necessary before and after turbinate radiofrequency procedure. Turbinates can be assessed by nasal endoscopic examination or simple under-light nasal examination. Patients who need to different nasal surgeries with turbinate radiofrequency may need to nasal tomography. The change in turbinate volume before and after treatment can be calculated scientifically with paranasal sinus tomography as rhinomanometry.

Can Turbinates Actually Regrow After Radiofrequency Ablation?

Can Turbinates Actually Regrow After Radiofrequency Reduction? - Turbinate Regrow / Hypertrophy Again After Turbinate Radifrequency - Turbinate Regrowing

Turbinate re-growth is more likely in patients with allergic rhinitis and atopic diseases. Regular allergy treatment may delay the regrowth of turbinate by cleaning the nose regularly with saline to remove allergen, particles and bacteria. Turbinate hypertrophy risk is a higher in patients who works at environment which have high amount dry air, particulate, industrial products, allergens. In case of re-growing, turbinate radiofrequency can be reapplied easily.



Septoplasty Operation - Septoplasty Surgery - Deviated Septum Treatment Istanbul

You can find details about  "Septoplasty Operation - Septoplasty Surgery - Deviated Septum Treatment Istanbul" at >> Septoplasty in Istanbul

Source Links:

• Diagnosis and Treatment of. Turbinate Dysfunction: A Self-Instructional. Package
• Radiofrequency is a safe and effective treatment of turbinate hypertrophy
• Comparison of Submucosal Resection and Radiofrequency Turbinate Volume Reduction for Inferior Turbinate Hypertrophy: Evaluation by Magnetic Resonance Imaging
• Radiofrequency Turbinate Reduction: Overview, Indications ...
• Septoplasty & Turbinate Surgery - American Rhinologic Society
• Burun Eti Ameliyatı
• Radio frequency - Wikipedia
• New-generation radiofrequency technology - NCBI
• COBLATION™ *smith&nephew - Smith & Nephew
• Radiofrequency treatment for inferior turbinate hypertrophy
• Boş Burun Sendromu (Empty Nose Syndrome)
• Empty nose syndrome
• Septoplasty in Istanbul
• Radiofrequency Reduction of Inferior Turbinates in Allergic and Non Allergic Rhinitis
• Turbinate Dysfunction Treatment & Management
• Turbinate Hypertrophy - Definition, Symptoms, Causes and Treatment

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Dr. Murat Enöz - MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

Private Office:

Address: İncirli Cad., No:41, Kat:4, Dilek Pastanesi Üstü (Dilek Patisserie Building), Posta kodu: 34147, Bakırköy - İstanbul

Appointment Phone: 0212 561 00 52

E-mail: muratenoz@gmail.com

Mobile phone: +90 533 6550199

Fax: +90 212 542 74 47

Fax: +90 212 542 74 47