Sinusitis FAQ

I'm new–enlarged turbinates

Question:

On 1 Dec 2003 20:08:37 -0800, strob…@bellsouth.net (frances) wrote: >Also, wanted to mention in response to what Dr. Grossan said about the >allergies.  I have questioned that for years.  My doctors have all >told me swollen turbinates are caused from allergies. I have been >tested a few times and nothing shows up.  I have all the symptoms of >being allergic though. My nose runs everytime I clean the house or I’m >outside during the Fall or Spring.  I sneeze and have had horribile >post nasal drip for years and years which runs down my throat and >turns into infection.  At any rate, this is exactly what I have >questioned to the doctors…if it is from allergies and we dont’ know >what I’m allergic to, won’t the turbinates just swell right back up?

Steroid nasal sprays should be able to hold them in check.   Also it may have taken many years and soem bad infections for them to swell to that degree of inflammation.

Response:

In article <20031130152210.10213.00001…@mb-m01.aol.com>, entcons…@aol.comnospam says… – Hide quoted text — Show quoted text -> We don’t use cauterization for the turbinates because this damages the nasal > cilia. > Preferred methods include. > Submucus resection of the turbinates. here you incise bone under the skin so > that you don’t harm the cilia. > Somnoplasty. Here you "cook" the tissue under the skin in such a way as to > spare the mucosal layer. The disadavantage to this is sometimes it needs to be > repeated. It is an office procedure. > There are similar techniques using other devices that do the same thing. > The name of the game is to reduce the size of the turbinates so they don’t > block breathing. > The technique we don’t use is > removal of the turbinate > cautery of the turbinate mucosa either by chemical or laser. > Of course we also try to shrink the tubinate medically. > For example the turbinate my be swollen due to allergy.  When you finish your > procedure the person will still have his allergy so clear that first and he may > not need the procedure. > Or the turbinates may be swollen due to infection, Etc. > Murray Grossan, M.D. > http://www.ent-consult.com > http://www.hydromedonline.com > http://www.tinnnitusrelief.net > http://www.hydromedonline.com/presentingthehydropulse/

6 years ago I was told I had to have turbinate surgery.  At that time I looked into some special technique where they were using radio waves to reduce the turbinates, but I never followed through. Instead, I found Rhinocourt Aqua and Dr. Grossan’s irrigation tool which I used with some regularity with just kosher salt and bicarb. During the first year I had to do this very regulary, along with the Rhinocort, to acheive barely adequate relief. During the past few years I only use the irrigator sometimes and never use the Rhinocort spray. All I need now are frequent sprays of Breathe Ease using the wonderful spray bottle that comes with it.  When this odesn’t prove adequate, a week or two of pulsatile irrigation and I’m ok again.  I found a much better response to the Breathe Ease with Xylitol. In windter I run a Slant Fin humidifier and I also freuqently run Austin Air Filters. I’m "OK" – I don’t breathe as easily and openly as someone withoout any problems, but what I have now is easy to live with. — Louise

Response:

Also, wanted to mention in response to what Dr. Grossan said about the allergies.  I have questioned that for years.  My doctors have all told me swollen turbinates are caused from allergies. I have been tested a few times and nothing shows up.  I have all the symptoms of being allergic though. My nose runs everytime I clean the house or I’m outside during the Fall or Spring.  I sneeze and have had horribile post nasal drip for years and years which runs down my throat and turns into infection.  At any rate, this is exactly what I have questioned to the doctors…if it is from allergies and we dont’ know what I’m allergic to, won’t the turbinates just swell right back up?

Response:

We don’t use cauterization for the turbinates because this damages the nasal cilia. Preferred methods include. Submucus resection of the turbinates. here you incise bone under the skin so that you don’t harm the cilia. Somnoplasty. Here you "cook" the tissue under the skin in such a way as to spare the mucosal layer. The disadavantage to this is sometimes it needs to be repeated. It is an office procedure. There are similar techniques using other devices that do the same thing. The name of the game is to reduce the size of the turbinates so they don’t block breathing. The technique we don’t use is removal of the turbinate cautery of the turbinate mucosa either by chemical or laser. Of course we also try to shrink the tubinate medically. For example the turbinate my be swollen due to allergy.  When you finish your procedure the person will still have his allergy so clear that first and he may not need the procedure. Or the turbinates may be swollen due to infection, Etc. Murray Grossan, M.D. http://www.ent-consult.com http://www.hydromedonline.com http://www.tinnnitusrelief.net http://www.hydromedonline.com/presentingthehydropulse/

Response:

- Hide quoted text — Show quoted text -"jon banquer" <myfirstandlastn…@yahoo.com> wrote in message <news:bqbpmv$1v9cip$1@ID-168325.news.uni-berlin.de>… > <n…@spam.com> wrote in message news:3fc830bd.3357083@127.0.0.1… > > x-no-archive:yes > > strob…@bellsouth.net (frances) wrote: > > >My doctor wants to perform cauterization.  The recovery and healing > > >seems similar to the first two surgerys and I really do not want to go > > >through that. > > I can only share my extremely negative experience with cauterization: > > don’t do it. I had it done and the recovery took weeks, during which I > > became more infected than ever before. Made the congestion worse for > > years. > > Ironically my doctor told me shortly after my follow up that it > > doesn’t work and she won’t do it anymore. She’s now my former doctor. > I was never under the impression that having my turbinates > reduced helped me much either. I do remember how much it > hurt, though. I think the attitude is they try everything possible > to get your sinuses to work right. I did get some relief from all > the surgeries but it was by no means a cure. > jon

THANK YOU ALL VERY MUCH!  YOUR INFORMATION IS VERY HELPFUL TO ME.

Response:

Hello! I have had 2 sinus surgerys in the past for polyps, deviated symptom, etc. Neither was what I consider successful. I still have chronic sinusitis and now am told I need to have my turbinates reduced. Has anyone else delt with this? If so, how was it? My doctor wants to perform cauterization.  The recovery and healing seems similar to the first two surgerys and I really do not want to go through that. I have recently read about Somnoplasty.  This seems much less invasive with quicker healing time and less pain etc. Anyone out there familiar with this?

Response:

Hi, Question: What is meant by cauterization? I don’t know this word in english. Thanks for the explenation! Andries "frances" <strob…@bellsouth.net> schreef in bericht news:15f9fc.0311281654.5467d6@posting.google.com… – Hide quoted text — Show quoted text -> Hello! > I have had 2 sinus surgerys in the past for polyps, deviated symptom, > etc. Neither was what I consider successful. > I still have chronic sinusitis and now am told I need to have my > turbinates reduced. > Has anyone else delt with this? > If so, how was it? > My doctor wants to perform cauterization.  The recovery and healing > seems similar to the first two surgerys and I really do not want to go > through that. > I have recently read about Somnoplasty.  This seems much less invasive > with quicker healing time and less pain etc. > Anyone out there familiar with this?

Response:

"Andries" <andr…@REMOVEFORNOSPAMhome.nl> wrote in message <news:3fc89348$0$16791$58c7af7e@news.kabelfoon.nl>… > Hi, > Question: > What is meant by cauterization? > I don’t know this word in english. > Thanks for the explenation! > Andries

WordNet Dictionary   Definition:   [n]  the act of coagulating blood and destroying tissue with a hot iron or caustic agent or by freezing   Synonyms:   cauterisation, cautery – Hide quoted text — Show quoted text –

Response:

- Hide quoted text — Show quoted text -<n…@spam.com> wrote in message news:3fc830bd.3357083@127.0.0.1… > x-no-archive:yes > strob…@bellsouth.net (frances) wrote: > >My doctor wants to perform cauterization.  The recovery and healing > >seems similar to the first two surgerys and I really do not want to go > >through that. > I can only share my extremely negative experience with cauterization: > don’t do it. I had it done and the recovery took weeks, during which I > became more infected than ever before. Made the congestion worse for > years. > Ironically my doctor told me shortly after my follow up that it > doesn’t work and she won’t do it anymore. She’s now my former doctor.

I was never under the impression that having my turbinates reduced helped me much either. I do remember how much it hurt, though. I think the attitude is they try everything possible to get your sinuses to work right. I did get some relief from all the surgeries but it was by no means a cure. jon

Response:

Filed under: Chronic sinusitis

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