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

Endoscopic radiofrequency turbinoplasty of the inferior nasal turbinates is a modern minimally invasive ENT procedure aimed at reducing the volume of hypertrophied inferior turbinates in chronic nasal obstruction.
 The procedure uses radiofrequency energy to create controlled thermal coagulation and submucosal tissue reduction without damaging the functional mucosa. It is performed under endoscopic guidance, ensuring high precision and minimal risk of complications.
 The result is a reduction in turbinate volume, restoration of nasal airway patency, and normalization of nasal breathing.

Indications

• Chronic nasal obstruction due to inferior turbinate hypertrophy
• Chronic rhinitis (allergic and non-allergic)
• Sleep disturbances, snoring, daytime sleepiness
• Insufficient response to medical therapy (nasal sprays, decongestants, corticosteroids)
• Contraindications to more invasive surgical procedures

Procedure / Duration

• Performed on an outpatient basis, without external incisions
• Local anesthesia (spray or gel), with sedation if required
• Under endoscopic guidance, a radiofrequency electrode is inserted into the submucosal layer of the inferior turbinate
• Radiofrequency energy induces controlled coagulation and tissue volume reduction
• Additional vascular coagulation may be performed if necessary
• Procedure duration: 15–20 minutes
• No hospitalization required

Contraindications

• Acute upper respiratory tract infections
• Coagulation disorders
• Uncontrolled systemic diseases
• Severe anatomical deformities requiring alternative surgical treatment
• Allergy to anesthetics

Rehabilitation / Limitations

• Mild swelling and nasal congestion for 1–2 days
• Nasal irrigation with isotonic solutions
• Limitation of physical activity for 2–3 days
• Return to normal activity — the next day
• ENT follow-up if necessary

Clinic Advantages

• Minimally invasive technique without incisions or mucosal damage
• Minimal postoperative discomfort
• High precision due to endoscopic control
• Outpatient procedure
• Rapid recovery
• Effective restoration of nasal breathing

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