Concha Hypertrophy (Growth of the Concha) And Radiofrequency:

Structures in the form of tunnels, attached to the sides in both nasal cavities and extending from front to back in the form of fingers, are called conchae. The turbinates have many tasks such as heating, filtering, humidifying the respiratory air, smelling and ensuring that both nostrils work alternately (nasal cycle). Due to various reasons, these nasal concha (especially the lower concha) may be larger than normal and make breathing difficult. (picture) It is common in patients with nasal bone curvature (septum deviation) that the lower nasal concha on the side of the wide nostril and sometimes the middle concha are larger than normal (concha hypertrophy). (picture)
The mandibles are structures with a thin bone plate inside and covered with a spongy tissue densely containing blood vessels. If the nasal flesh, which has grown for various reasons, cannot be reduced by drug treatment, it may be necessary to reduce it by surgery. There are many surgical methods to shrink the turbinates: complete removal of the turbinate, partial removal, removal of the bone inside, pushing it to the side wall by breaking it, and reducing it with radiofrequency.
Complete removal of turbinates is inconvenient except in very rare and special cases and is not done today. The most practical and up-to-date method for reducing the turbinates is the “Radiofrequency” application. Here, a pointed metal called an electrode is entered into the concha and radiocurrent is applied to several points. The radiocurrent creates a slight burn with the application of controlled heat within the tissue and causes the spongy tissue to shrink and harden, which may swell with blood filling it. Thus, the turbinate is permanently reduced. It is sufficient to apply one to three sessions depending on the device used. The effectiveness of radiofrequency application is usually fully revealed 1-2 months after the procedure.
Radiofrequency application is usually performed in conjunction with septoplasty operations (while the patient is already under anesthesia), but sometimes it can be done alone. If only radiofrequency is to be performed, it can also be performed under local anesthesia (without sleeping). It is a painless and short-term procedure and does not require hospitalization afterwards. It usually does not require nasal packing and the person can return to his normal work and daily life on the same day.
In the first few days after the radiofrequency procedure, obstructions occur due to edema and accumulation of dark sticky discharge. Afterwards, a period of crusting and drying that continues for 2-3 weeks and gradually decreases can be seen. During this period, it is recommended to clean the nose by washing and moisten it with appropriate products. Wound healing is completed in about 1 month.

The bony plate in the middle concha sometimes contains an air gap. (Picture normal and pathological) It is in the form of two shells stuck together like an apricot kernel. The presence of air in the middle concha (middle concha pneumotization) can be seen in 25-40% of people who have no complaints, that is, it is not a disease condition. However, if the middle turbinate is large enough to prevent breathing, causes sinusitis by closing the sinus channels, or causes pain by contacting other places in the nose (MCBA = Mucosal Contact Headache), they should be surgically reduced. The procedure that is usually done here is to cut the outer part of the two shells resembling apricot kernels by cutting. The surgery is performed endoscopically, that is, by entering the nose with thin optical instruments. It is an easy and hassle-free process when done carefully. In some cases, bleeding, crusting and a decrease in smell can be seen after the procedure.

Related Posts

Leave a Reply

Your email address will not be published.