Dr.K.O.Paulose FRCS, DLO.Consultant ENT Surgeon.
Jubilee Hospital, Trivandrum, Kerala, South India
Coblation-assisted inferior turbinoplasty appears effective for the treatment of patients with allergic rhinitis and nasal obstruction. I have been doing Laser Turbinectomy since 1996, but reduction of nasal turbinate is better achieved Coblator.
About Coblation Turbinoplasty
The lateral wall of the nasal passages have three turbinates. Turbinates are small bony structures that are covered with cavernous tissue and mucous membrane. Allergies or other conditions can cause irritation and enlargement of these tissue resulting in what is commonly called a blocked or stuffy nose. After trying medical treatment or when getting fed up using sprays and antihistamines and steroid, one can think of undergoing surgical treatment, like Coblation Turbinoplasty.
Turbinate Coblation (Cold_Ablation) is a process that uses radiofrequency (RF) technology.
Procedure under Local anesthesia
First, the surgeon will introduce a local anesthetic with saline into the nasal turbinates. Once the nose is numb, a specialized wand (Reflex ultra 45) is inserted into each turbinate. The tip of this device is extremely small in order to minimize any discomfort after the procedure. While the wand is being inserted, it is simultaneously coblate tissue as it moves through the turbinate, causing an immediate reduction in turbinate size. Once in position, the wand is held in place for 10-15 seconds while additional Coblation therapy is applied.
Over the next few weeks the turbinates shrink, thus relieving nasal obstruction, and in most cases, restoring normal breathing.
As the Coblator work in saline field, it is important to inject normal saline or apply Saline gel to the turbinates before the procedure. This procedure is hardly takes 10 minutes. It is painless and can be done as a day case.
For More Details:
Dr.K.O.Paulose FRCS DLO, Consultant ENT Surgeon, Jubilee Hospital, Trivandrum, Kerala, India. www.drpaulose.com  www.snorefreesleep.com
For Appointment- call 0471, 2334561, 2334564, 0471 3080300 Fax-0471-2330925
Email: drpaulose@yahoo.com Web: http://www.jubileehospital.org/
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