A turbinectomy is performed on both the sides of the nose. The turbinates are draperies that dangle from the dividers of the nose. They help in the humidification of air that we inhale through the nose. These parts make it impossible for the nose to swell and form a square shape.
There are a number of reasons why the turbinectomy is needed. A few of them are:
The stages of microdebrider turbinectomy is divided in following stages:
All cases are operated under general anaesthesia with endotracheal intubation and throat pack. At first, the doctor sprays xylometazoline in the nasal cavity, and then xylometazoline soaked strip gauze is inserted into the nasal cavity. The doctor injects the turbinate with a combination of xylometazoline and adrenaline in the submucosal plane. A small incision is made on the anterior part of the turbinate, and a submucosal tunnel is created with sharp dissection on the medial surface of the turbinate using an endoscope. After that, a microdebrider is inserted in the submucosal tunnel. The direction of the blade of the microdebrider is parallel towards the bone. Bony turbinate and some of the submucosal tissue are debrided in the anteroposterior direction. The doctor pays attention to keep the mucosal surface safe. Haemostasis is achieved with suction electrocautery, if necessary. The incision is not stitched. Once the operation is completed, the patient’s nose is packed with glove finger packing which can be removed after 24 hours
The midrodebrider turbinectomy is an effective procedure, but it has some complications as well. Visit a doctor immediately if any complication is observed.
This is quite a painless procedure. You will not be required to stay at the hospital. However, the patient will be educated in basic care of the operated site.
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