Overview
Surgery on the nasal turbinates may be performed in isolation, however it is frequently performed in conjunction with septoplasty or sinus surgery.
On each side of the nose there are three turbinates, superior, middle and inferior. These are bony fins projecting into the airway. It is most commonly the inferior turbinates that cause issues with the nasal airway. Occasionally the middle turbinate is enlarged and may need to be dealt with as well.
The inferior turbinate is covered with rich vascular tissue. Its function is to warm and humidify the inspired air. It projects from the side wall of the nasal cavity low down and extends the full length of the nasal cavity.
Who It Helps
Turbinate surgery is indicated for
- Nasal obstruction due primarily to enlargement of the inferior turbinate
- Blockage that is typically worse at night
- Blockage that swaps from side to side with changes in position
What Happens
When lying flat, the nose is no longer above the heart, resulting in increased venous pressure in the head and neck and less efficient drainage of blood from the inferior turbinate. This is why turbinate related blockage is often worse at night.
The Operation
There are a range of procedures used in different circumstances. Dr Kelly will advise which suits your condition the best.
After The Operation
It is usually a day procedure. It is not uncommon to have some bleeding on the first night. Pain is not normally a major feature.
Recovery Information
Diet
Following nasal surgery, it is best to avoid food and drinks that are too hot as they may increase bleeding. A cool to warm normal diet is satisfactory.
Activity
Because the nose is such a vascular structure, excessive physical activity may provoke bleeding. Strenuous physical activity is best avoided for one to two weeks.
Pain Relief
Pain is not normally severe following nasal surgery, but the nose will be blocked. It is not unusual to have symptoms like a virus, such as lethargy and headache. Paracetamol or ibuprofen is normally sufficient. Salt-water nasal sprays or douches are also recommended and help clear some of the mucus and congealed blood.
Nose Blowing
It is best to avoid nose blowing for the first few days as excessive or vigorous nose blowing may precipitate bleeding. Thereafter the nose may be blown gently, both nostrils open at the same time.
Nasal Obstruction And Bleeding
It is normal to have some nasal obstruction for several days to a week following turbinate reduction, and bloody mucous discharge or an occasional small fresh bleed for a few days after the operation.
When To Contact A Doctor
If you experience any of the following, please go to the emergency department of where you had your surgery:
Heavy, persistent bleeding
Fever
Severe pain not relieved by medication
Clear, watery fluid dripping continuously from the nose
Post-Operative Care Instructions
Detailed aftercare guidance for your surgery, to keep and refer back to.
Frequently Asked Questions
What are the turbinates?
Turbinates are bony fins projecting into the nasal airway, covered with vascular tissue that warms and humidifies the air you breathe. The inferior turbinates most commonly cause nasal blockage.
Is turbinate reduction done with other nasal surgery?
It may be performed on its own, but is frequently performed together with septoplasty or sinus surgery.
Is turbinate reduction a day procedure?
Yes, it is usually a day procedure. Some bleeding on the first night is not uncommon.
How long until I can exercise?
Strenuous physical activity is best avoided for one to two weeks after surgery.