Jubilee Hospital, Trivandrum, Kerala, India.
Vasomotor Rhinitis is caused by enlarged inferior turbinates inside the nasal cavity.
Hypertrophy of the inferior turbinates is a common cause of nasal obstruction.
Many cases of VMR respond to medical treatment with topical steroids or antihistamines.
In some patients, however, this therapy is not sufficient and through the years many surgical procedures like traditional Sub mucosal Electric Diathermy (SMD) or Partial Turbinectomy under anesthesia have been performed to reduce the size of the inferior turbinates, but without any satisfactory long-term results.
Furthermore, these procedures have often been painful to the patient and post-operative complications such as bleeding and crusting have not been uncommon.
However, instead of conventional surgery of the turbinates, laser-surgery can be used to reduce their size.
I use Co2 laser in Jubilee Hospital, Trivandrum have been doing Laser Turbinectomy (LAPT) since last 15 years or so with very good results.
I feel laser-turbinectomy seems to be an effective, simple and painless method for treatment of nasal obstruction due to hypertrophy of the inferior turbinates.
The main advantages are the decreased bleeding risk and the fact that the operation can be conducted as an outpatient procedure.
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