Endoscopic Septoplasty with Turbinate Reduction (anesthesia and hospitalization costs not included)

Endoscopic septoplasty with turbinotomy is a modern minimally invasive surgical procedure aimed at correcting a deviated nasal septum and reducing hypertrophied inferior nasal turbinates.

The procedure is performed endonasally (through natural nasal passages) without external incisions, using endoscopic guidance for precise visualization and surgical accuracy.

The correction includes:

• straightening of the deviated nasal septum (septoplasty);
• reduction of the inferior turbinates (turbinotomy), typically using a microdebrider.

The procedure restores normal nasal breathing, relieves obstruction, and improves nasal mucosal function.

Indications

• deviated nasal septum with impaired nasal airflow
• hypertrophy of inferior nasal turbinates
• chronic nasal obstruction
• snoring and symptoms of obstructive sleep apnea
• chronic or recurrent rhinosinusitis
• insufficient response to medical treatment

Procedure / Duration

• anesthesia: predominantly general, less commonly local with sedation
• duration: approximately 60–90 minutes
• approach: endonasal, no external incisions
• technique: septal correction + inferior turbinate reduction (microdebrider)
• hospitalization: short-term (same-day discharge or next day)
• optional nasal packing for 24–48 hours

Contraindications

• acute infections (including ENT conditions)
• exacerbation of chronic inflammatory diseases
• coagulation disorders
• severe decompensated systemic diseases
• uncontrolled arterial hypertension
• pregnancy (relative contraindication)

Recovery / Restrictions

• first 24–48 hours: keep head elevated, avoid blowing the nose
• from day one: nasal irrigation with saline solutions
• avoid strenuous physical activity for 7–14 days
• avoid heat exposure (sauna, hot baths) for 2–3 weeks
• return to daily activities within 7–10 days
• full recovery within 4–6 weeks

Postoperative ENT follow-ups are essential for proper healing monitoring and nasal care.

Benefits

• minimally invasive, no external scars
• high precision due to endoscopic control
• short hospital stay
• fast recovery
• significant improvement in nasal breathing
• reduced frequency of sinus infections
• improved sleep quality and overall well-being

Sources:

https://www.ncbi.nlm.nih.gov/books/NBK567718/
https://www.entuk.org/patients/conditions/91/turbinoplasty_or_surgery_to_the_inferior_turbinates/
https://www.entnet.org/resource/clinical-indicators-inferior-turbinate-surgery/
https://onlinelibrary.wiley.com/doi/full/10.1111/coa.14304
https://www.unityhc.com/wp-content/uploads/2021/10/Septo-turbs-Patient-information-Rev.-3-7-2020.pdf