Endoscopic turbinoplasty of the inferior nasal turbinates by radiofrequency (anesthesia and hospitalization costs not included)

Endoscopic radiofrequency turbinoplasty is a minimally invasive procedure used to reduce the size of the nasal turbinates, which can cause nasal obstruction or difficulty breathing. The procedure is performed with an endoscope, and the tissue is treated with radiofrequency energy, minimizing damage to surrounding structures and leaving minimal scarring.

Role / Purpose

The procedure aims to improve nasal airflow, reduce chronic congestion, and relieve symptoms associated with chronic or allergic rhinitis, while preserving the normal function of the nasal mucosa.

Indications

• Chronic nasal obstruction
• Chronic or allergic rhinitis with persistent congestion
• Breathing difficulties at night or mild sleep apnea
• Failure of medical treatment
• Endoscopically confirmed turbinate hypertrophy

Contraindications / Limitations

• Acute nasal or sinus infections
• Bleeding disorders
• Pregnancy
• Severe medical conditions contraindicating anesthesia
• Major structural septal abnormalities requiring alternative interventions

Procedure

The procedure is performed under local anesthesia or light sedation. The doctor inserts an endoscope into the nasal cavity and applies radiofrequency energy to the hypertrophied turbinate tissue, gradually reducing its volume with precision. The procedure usually takes 15–30 minutes and is performed on an outpatient basis without prolonged hospitalization.

Advantages / Benefits

• Minimally invasive, no incisions
• Rapid recovery with minimal discomfort
• Immediate improvement in nasal breathing
• Preservation of normal mucosal function
• Low risk of complications
• Can be repeated if necessary

Results

Most patients notice significant relief of nasal congestion and improved airflow, including during sleep. Symptoms of chronic rhinitis are reduced, and overall quality of life is noticeably improved.

Sources:

https://emedicine.medscape.com/article/1580603-overview
https://www.nice.org.uk/guidance/ipg495/chapter/3-the-procedure
https://pubmed.ncbi.nlm.nih.gov/18628643/
https://pmc.ncbi.nlm.nih.gov/articles/PMC3918288/
https://www.sutter-med.de/chameleon/public/a251de9c-22e8-f342-7f6d-9ab39c87f670/Procedure-Guideline-RaVoR-Surgery-of-Nasal-Turbinates_EN_1065E_LowRes.pdf