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Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial

CPT4 code

Name of the Procedure:

Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (e.g., electrocautery, radiofrequency ablation, or tissue volume reduction); superficial

Summary

Ablation of the inferior turbinates is a procedure that reduces tissue volume in the nasal passage to improve airflow. It can be performed using various methods such as electrocautery, radiofrequency ablation, or tissue volume reduction techniques.

Purpose

This procedure addresses nasal obstruction or difficulty breathing due to enlarged inferior turbinates. The goal is to reduce turbinate size and improve nasal airflow, thereby alleviating symptoms.

Indications

  • Chronic nasal congestion
  • Difficulty breathing through the nose
  • Frequent sinus infections
  • Conditions like chronic rhinitis
  • Ineffectiveness of other treatments such as medications

Preparation

  • Follow any specific fasting instructions from your healthcare provider.
  • Discuss any medications you're taking, as some may need to be adjusted.
  • Pre-procedure diagnostic assessments may include a nasal endoscopy or imaging studies.

Procedure Description

  1. The patient is positioned comfortably, and local anesthesia is applied to numb the nasal area.
  2. Depending on the chosen method, either an electrocautery device, a radiofrequency probe, or another tissue reduction tool is inserted into the nasal passage.
  3. The device is used to precisely reduce the size of the inferior turbinates, minimizing tissue volume and improving airflow.
  4. The procedure is typically performed on both sides of the nose.

Duration

The procedure typically takes about 15-30 minutes.

Setting

This procedure is usually performed in an outpatient clinic or surgical center.

Personnel

  • An otolaryngologist (ENT specialist) or a trained physician performs the procedure.
  • A nurse or medical assistant may be present to assist.

Risks and Complications

  • Minimal bleeding
  • Post-procedure pain or discomfort
  • Rare infections
  • Scarring or crusting inside the nasal passage
  • Temporary dryness or decreased sense of smell

Benefits

  • Improved nasal airflow and breathing
  • Reduction in nasal congestion
  • Decrease in the frequency of sinus infections
  • Symptom relief shortly after the procedure, with full benefits realized within a few weeks

Recovery

  • Post-procedure care includes using saline sprays and avoiding strenuous activities for a few days.
  • Pain can usually be managed with over-the-counter medications.
  • Follow-up appointments may be necessary to ensure proper healing.
  • Recovery time ranges from a few days to a couple of weeks.

Alternatives

  • Medical treatments such as nasal corticosteroids and antihistamines
  • Surgical options like septoplasty or turbinate reduction surgery
  • Each alternative has its own pros and cons regarding effectiveness and invasiveness.

Patient Experience

Patients might feel some pressure or mild discomfort during the procedure but generally not pain, thanks to anesthesia. Post-procedure, there may be some nasal congestion and mild discomfort, which can be managed effectively with medication. Most patients return to normal activities within a few days.

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