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A turbinectomy or turbinoplasty (preserving the mucosal layer) is a surgical procedure, that removes tissue, and sometimes bone, of the turbinates in the nasal passage, particularly the inferior nasal concha. The procedure is usually performed to relieve nasal obstructions. [1]
Mason called the turbinates "the most important organ in the nose" and claimed they were "slaughtered and removed with discriminate abandon more than any other part of the body, with the possible exception of the prepuce." [25] The term "Empty Nose Syndrome" was first used by Eugene Kern and Monika Stenkvist of the Mayo Clinic in 1994. [3]
Prior to somnoplasty procedure, a doctor may want a patient to attempt more conservative remedies such as sleeping in a different position. [3] Once the Somnoplasty procedure is started, the patient is given a local anesthetic and a special needle-like electrode with an insulating sleeve covering all but the tip, that delivers RF energy under the surface of the tissue.
Nasal surgery is a specialty including the removal of nasal obstruction that cannot be achieved by medication and nasal reconstruction. Currently, it comprises four approaches, namely rhinoplasty, septoplasty, sinus surgery, and turbinoplasty, targeted at different sections of the nasal cavity in the order of their external to internal positions.
The inferior nasal concha (inferior turbinated bone or inferior turbinal/turbinate) is one of the three paired nasal conchae in the nose. It extends horizontally along the lateral wall of the nasal cavity and consists of a lamina of spongy bone , curled upon itself like a scroll, ( turbinate meaning inverted cone). [ 1 ]
Illustration of upper respiratory system. In anatomy, a nasal concha (/ ˈ k ɒ n k ə /; pl.: conchae; / ˈ k ɒ n k iː /; Latin for 'shell'), also called a nasal turbinate or turbinal, [1] [2] is a long, narrow, curled shelf of bone that protrudes into the breathing passage of the nose in humans and various other animals.
According to Heetderks, the cycle is the result of alternating congestion and decongestion of the nasal conchae or turbinates, predominantly the inferior turbinates, which are by far the largest of the turbinates in each nasal fossa. Turbinates consist of bony projections covered by erectile tissue, much like the tissues of the penis and clitoris.
The middle turbinates insert anteriorly into the frontal process of the maxilla and posteriorly into the perpendicular plate of the palatine bone. [1] There are three mutually perpendicular segments of the middle turbinate: from proximal to distal, there is the horizontal segment ( axial plane ), the basal lamella ( coronal plane ), and the ...