Treating the root cause solves the problem. Turbinates are an essential organ and surgery should only be considered for life threatening reasons. Change to anti inflammatory diet, invest in hepa filters/change filters in the home or auto, get rid of toxic chemicals in the home, furniture with formaldehyde, get rid of hidden mold, check for hormonal imbalances/gut health. You only get one nose in your lifetime. Once something goes wrong Ents have no way of reversing the severe damages that aren't thoroughly discussed.
Any procedure on your sinuses can cause serious damage. ENS is bad enough but it can also cause TN, a condition that has driven people to suicide. This doctor's response is that people need surgery if nasal sprays don't work. What about diet? Food is responsible for a large part of people's inflammation--which would of course affect the sinuses and turbinates. But does your doctor ever talk about that? Nah, they're too worried about getting that surgical money. Do any of you ever think about what you put in your body---and then think maybe it is messing up your health? Your doctor does not care about you, the average doctor graduates with a sixth-graders knowledge in nutrition and yet that is arguably the one thing causing vast amounts of health problems.
I just had a sinuplasty and a turbinate reduction and Eustachian tube surgery done, I guess I have implants and I was wondering how they look and when is the longest it will take for them to come out? Also how many do they usually put?
How do you treat the anterior portion/head which forms the internal valve and there is not much bone at all (until the turb detaches from the lateral wall)?
I use a 1mm thru-cut forceps to remove the smallest amount of tissue to allow for entry for bone resection only. Once the bone is removed and the turbinate is outfractured this significantly reduces the turbinate head due to the new geometry of the turbinate. It is incredibly effective.
Hey love your channel btw! Just had a quick question, so basically I was just relaxing sitting down watching UA-cam on my tv and then out of nowhere I felt a little tump like a heart beat in my ear like one single pulse for literally one second, I started panicking very hard, but like it never came back after, it literally just happened once or twice in one minute and just completely went away, just wanted to confirm with you is it normal? I really just started panicking and overthinking about it convincing myself I have a very big issue due to googling.
What if the tissue component is responsible for swelling of turbinates ? Will removing the bone be enough ? From my experience removing a little bit of submucosal tissue is most beneficial.
That is why rhinologists with ENS expertise like Dr. Nayak and Dr. Zara Patel remove bone in a piecemeal fashion +soft tissue using microdebrider. Removing a bone won’t keep the soft tissue from swelling. I think Dr. Patel has a video of her procedure on UA-cam and removes bone and then microdebrides soft tissue. Edit: this is the video I was referring to, ua-cam.com/video/OFTa1ssfTCw/v-deo.html
@@robertbers8357 Great question! Using a microdebrider is ALWAYS damaging to the turbinate tissue. It’s like using a sledgehammer on a nail when a mallet would do. When you remove ALL of the bone there is a small(less than 5%) sacrifice of soft tissue at the head of the turbinate (where there is no bone) and along the bottom edge of the turbinate. This is required to dissect all the bone out completely and remove it one piece rather than “piece meal.” My breatheplasty™ technique is far better than anything being done with a microdebrider and without risk of empty nose syndrome and better long term results. I can’t tell you how many times I’ve had to revise turbinate reductions done with microdebriders because they never completely remove the bone.
@@houstonadvancednosesinus4027 but if the turbinate is swelling up because of the inflammation of the tissue, would removing the bone be of any good. Removing bone in my opinion only makes sense if its bony hypertrophy but in most case it's the submucosal tissue swelling.
@@regretsonly44 when you remove the bone you do remove some minimal soft tissue (it’s necessary to dissect out the bone). Most inferior turbinate hypertrophy is actually due to conchal bone hyper-ossification which you can very clearly see on the CT sinus scan. In addition, soft tissue can grow back but bone removed does not. Removing the soft tissue as the primary means of reducing the turbinate (particularly with a microdebrider)can irreversibly damage it and when the soft tissue grows back the situation repeats itself. The breatheplasty™️ is a meticulous dissection and avoids this complication.
It is usually the bony scroll (curved part of the candy cane) part of the turbinate that causes the bulk of the obstruction. So removing the bone is critical. I do remove a very small area of soft tissue at the head of the turbinate about 1mm which after it is outfractured results in an excellent new position with minimal soft tissue loss.
Please stay where your at. America does unecessary surgeries like these to profit from patients and sadly dr.s who are uneducated about essential organs. Worse they do not have any reliable means to salvage a failed procedure.
Its just a partial bone removal surgery since start...cause other doctors make so much testing a burocratic things to procede this operation
Treating the root cause solves the problem. Turbinates are an essential organ and surgery should only be considered for life threatening reasons. Change to anti inflammatory diet, invest in hepa filters/change filters in the home or auto, get rid of toxic chemicals in the home, furniture with formaldehyde, get rid of hidden mold, check for hormonal imbalances/gut health. You only get one nose in your lifetime. Once something goes wrong Ents have no way of reversing the severe damages that aren't thoroughly discussed.
Any procedure on your sinuses can cause serious damage. ENS is bad enough but it can also cause TN, a condition that has driven people to suicide. This doctor's response is that people need surgery if nasal sprays don't work. What about diet? Food is responsible for a large part of people's inflammation--which would of course affect the sinuses and turbinates. But does your doctor ever talk about that? Nah, they're too worried about getting that surgical money. Do any of you ever think about what you put in your body---and then think maybe it is messing up your health? Your doctor does not care about you, the average doctor graduates with a sixth-graders knowledge in nutrition and yet that is arguably the one thing causing vast amounts of health problems.
What does TN mean?
@@ErenBombenleger Trigeminal neuralgia.
I just had a sinuplasty and a turbinate reduction and Eustachian tube surgery done, I guess I have implants and I was wondering how they look and when is the longest it will take for them to come out?
Also how many do they usually put?
How do you treat the anterior portion/head which forms the internal valve and there is not much bone at all (until the turb detaches from the lateral wall)?
I use a 1mm thru-cut forceps to remove the smallest amount of tissue to allow for entry for bone resection only. Once the bone is removed and the turbinate is outfractured this significantly reduces the turbinate head due to the new geometry of the turbinate. It is incredibly effective.
Hey love your channel btw! Just had a quick question, so basically I was just relaxing sitting down watching UA-cam on my tv and then out of nowhere I felt a little tump like a heart beat in my ear like one single pulse for literally one second, I started panicking very hard, but like it never came back after, it literally just happened once or twice in one minute and just completely went away, just wanted to confirm with you is it normal? I really just started panicking and overthinking about it convincing myself I have a very big issue due to googling.
sounds like a short burst of pulsatile tinnitus. I would not lose any sleep over it. If it recurs you may want to see an ENT specialist about it.
What if the tissue component is responsible for swelling of turbinates ? Will removing the bone be enough ? From my experience removing a little bit of submucosal tissue is most beneficial.
That is why rhinologists with ENS expertise like Dr. Nayak and Dr. Zara Patel remove bone in a piecemeal fashion +soft tissue using microdebrider. Removing a bone won’t keep the soft tissue from swelling. I think Dr. Patel has a video of her procedure on UA-cam and removes bone and then microdebrides soft tissue.
Edit: this is the video I was referring to,
ua-cam.com/video/OFTa1ssfTCw/v-deo.html
@@robertbers8357 Great question! Using a microdebrider is ALWAYS damaging to the turbinate tissue. It’s like using a sledgehammer on a nail when a mallet would do. When you remove ALL of the bone there is a small(less than 5%) sacrifice of soft tissue at the head of the turbinate (where there is no bone) and along the bottom edge of the turbinate. This is required to dissect all the bone out completely and remove it one piece rather than “piece meal.” My breatheplasty™ technique is far better than anything being done with a microdebrider and without risk of empty nose syndrome and better long term results. I can’t tell you how many times I’ve had to revise turbinate reductions done with microdebriders because they never completely remove the bone.
@@houstonadvancednosesinus4027 but if the turbinate is swelling up because of the inflammation of the tissue, would removing the bone be of any good. Removing bone in my opinion only makes sense if its bony hypertrophy but in most case it's the submucosal tissue swelling.
@@regretsonly44 when you remove the bone you do remove some minimal soft tissue (it’s necessary to dissect out the bone). Most inferior turbinate hypertrophy is actually due to conchal bone hyper-ossification which you can very clearly see on the CT sinus scan. In addition, soft tissue can grow back but bone removed does not. Removing the soft tissue as the primary means of reducing the turbinate (particularly with a microdebrider)can irreversibly damage it and when the soft tissue grows back the situation repeats itself. The breatheplasty™️ is a meticulous dissection and avoids this complication.
It is usually the bony scroll (curved part of the candy cane) part of the turbinate that causes the bulk of the obstruction. So removing the bone is critical. I do remove a very small area of soft tissue at the head of the turbinate about 1mm which after it is outfractured results in an excellent new position with minimal soft tissue loss.
this seems like it would cause empty nose syndrome
No becous the nucosa it get bigger if the body require....he is only extracting bone partialy and leaving mucosa make the work
May i know whats the cost of it?
Call my office at (713) 791-0700 and we can give you an accurate estimate!
Cool. I wish I lived in America.
Me too! I wish I could help you!
Please stay where your at. America does unecessary surgeries like these to profit from patients and sadly dr.s who are uneducated about essential organs. Worse they do not have any reliable means to salvage a failed procedure.