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Fracture nasal inferior turbinate(s), therapeutic
CPT4 code
Name of the Procedure:
Fracture Nasal Inferior Turbinate(s), Therapeutic Common Name: Nasal Turbinate Fracture
Summary
Fracturing the nasal inferior turbinate(s) is a medical procedure aimed at reducing the size or repositioning the turbinate bones within the nose to improve airflow and alleviate symptoms of nasal obstruction.
Purpose
The procedure addresses nasal blockage or resistance caused by enlarged inferior turbinates. Goals include:
- Improved nasal airflow
- Reduced nasal congestion
- Enhanced breathing comfort
Indications
- Chronic nasal obstruction
- Difficulty breathing through the nose
- Persistent nasal congestion not responsive to medical treatment
- Recurrent sinus infections
- Snoring caused by nasal obstruction
Preparation
- Fasting for 6-8 hours before the procedure if under general anesthesia
- Adjusting any medications as advised by the doctor
- Pre-procedure diagnostic tests like a nasal endoscopy or CT scan to evaluate nasal anatomy
Procedure Description
- The patient is given local or general anesthesia.
- The surgeon uses specialized tools to apply controlled fractures to the inferior turbinates.
- The turbinates are then repositioned or reduced in size.
- Sometimes, a controlled fracture of the bone portion of the turbinate may be done to allow for better alignment.
- Nasal packing or splints may be placed to support the new position and control bleeding.
Duration
The procedure typically takes around 30 to 60 minutes.
Setting
Performed in a hospital, outpatient clinic, or surgical center.
Personnel
- Otolaryngologist (ENT surgeon)
- Anesthesiologist (if general anesthesia is used)
- Nurses and surgical assistants
Risks and Complications
- Bleeding
- Infection
- Pain or discomfort
- Swelling and bruising
- Changes in sense of smell
- Adhesion formation (scar tissue leading to nasal obstruction)
- Need for additional surgery if initial results are not satisfactory
Benefits
- Improved nasal airflow
- Reduction of nasal congestion and blockage
- Better sleep quality
- Immediate and progressive relief from nasal obstruction symptoms
Recovery
- Avoid strenuous activities for 1-2 weeks
- Keep the head elevated to reduce swelling
- Use prescribed nasal sprays or saline solutions to keep nasal passages moist
- Follow-up appointment within 1-2 weeks for assessment and removal of nasal packing if used
Alternatives
- Medical management with nasal corticosteroids or antihistamines
- Radiofrequency turbinate reduction
- Laser turbinate reduction
- Microdebrider-assisted turbinoplasty
Pros and cons:
- Medical management is non-invasive but may not be as effective for severe cases.
- Radiofrequency and laser reduction methods are less invasive but may require multiple sessions.
- Microdebrider-assisted turbinoplasty is precise but generally involves more advanced surgical equipment.
Patient Experience
- Mild to moderate pain managed with pain relievers
- Nasal congestion and slight discomfort immediately post-procedure
- Gradual improvement in breathing over a few weeks
- Follow-up needed to ensure proper healing and function