Turbinoplasty: new way vs old way

In this video I discuss how turbinoplasty is performed. I describe the “old way” it used to be performed, by resecting the inferior turbinate. While usually a successful procedure it had the potential to cause a extremely frustrating and possibly permanent side effect, called “empty nose syndrome”. Submucosal resection of the turbinates has been around for over 30 years, but is a vastly superior method.

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[kiumarsazaripour]

For many years i had problem with my turbinate i could not sleep well, finally i reduction them in hospital ! Now i can breath very well, find a good ent surgeon and do it if you have breath problem

[likeawatch]

After 30 years of sinus problems, I had tried everything. This was my last resort (I had it done 5 weeks ago) and it has changed my life. I honestly can't believe how good I feel.

[marticusquarles]

Constant runny nose and sneezing, doesn't always mean something wrong with the body. Im young and dealing with vasomotor rhinitis, been dealing with it for 4 years now and it's annoying. I get allergy tested twice and both were negative. Got XRay and Cat Scan and both were negative. I didn't have no polyps or nothing in my nose. I do have a slight deviated septum, but I never had issues with breathing tho. H**l I even got blood work done and nothing, it was NEGATIVE. People always negative and forget that everybodys issues is different. People forget things change in the body, other than "there's something wrong in the body". Our body do have nerves all through it, so the sinus has a nerve and you know how nerves work, they do alot. And sometimes, nerves do overwork itself.

[brithegoddess]

ENS isn't a frustrating side effect. People have committed suicide because of it.

[QueenBee]

Too late for me. Any advise on using Premarin ?

[dwainborden]

Dr. Shellenberger I stumbled on your YouTube channel looking for a video on how to make my own saline solution (thank you) because I suffer from really bad sinusitis, and I would like to request if you would please do a video on what is considered mild, medium, and chronic or really bad sinusitis and what treatments are available.

[arthurf]

Thank you Dr. Shellenberger, this was a great demonstration, along with the doodles! Unfortunately, I was given this same information by my ENT, who is a young, recently-educated guy like yourself, and went for a very conservative 15% submucosal resection. I'm over 2 months post-op and am still having some suffocation problems that I never had before, which makes me think I have partial ENS, at least on one side. I am a young, health male, so I didn't think the mantra of 'very very rare chance' would apply to me. So far it seems like I was wrong. :( If I had to do it over, I would have continued to suffer with my existing symptoms than live with what I have now. Please use turbinate resections as a last resort on your patients, even if it results in multiple FESS sessions.

[M-vy]

All methods can lead to Ens. Turbinates should not be touched unless there is a tumor or cancer.

[msgesus]

I had turbinoplasty where the bone was cut down, but supposedly the mucosa remains intact. Is that old school?

[boyandonev]

nobody asks the simple QUESTION WHY DOES TURBINATE HYPERTROPHY, if only ENT Asked this simple question and treated the root cause of hypertrophy, there would be no need of these stupid surgeries.

[rlknight]

I had the new procedure you describe about 8 years ago.
It went very well and I was completely satisfied but the doctor told me the soft membrane would grow back in about 5 years and it did so now I have difficulty breathing again.
How about the newest procedure called ablation?

[Vrga-ensg]

Any type of these unnecessary procedures can cause extreme irreversible harm that is not fully discussed amongst patients. Turbinates are essential to the respiratory system and also have a neurological connection to alert the brain that you are breathing. Something goes wrong with these surgeries you have no way to reverse damages and are gas lighted by Ent dr.s until you are 6ft under.

[timcepin]

Does this destroy the mucosa lining of the nasal cavity? Yes or no!

[abbithompson]

Is inferior bilateral turbinate reduction a good way to do it?

[regretsonly]

What's the difference between this technique and using radiofrequency?

[mikes.]

Even if this surgery is safer, turbinate procedures are grossly overdone. If the turbinates are swollen and inflamed, it's because something is wrong in the body. The vast majority of people could likely get the turbinates to decrease in size simply by eating better. But they are lazy and doctors love money, so they will continue recommending turbinate procedures.

[businessoffice]

My dad once told me that everything in your body has a purpose and you should really be careful about removing anything from your body. No way would I let a doctor stick that microdebrider in the nose of anyone I care about. Think about that people….would you want that thing stuck up your nose turning a grape into a raisin???

[regretsonly]

If you could record doing this procedure it would be great !!! Also where are you located ?

[AdamGbl]

Is this a completely different procedure than baloon sinuplasty for deviated septum? Can you get Empty Nose Syndrome from Baloon Sinuplasty or is that caused from turbinate reduction?

[AnkitSharma-hrrl]

I had septoplasty turbinoplasty with microdribder. I am having trouble sleeping. I am feeling burning in my lungs. I am feeling lumps of dust in my throat. It has been 2 months now.Is this empty nose syndrome? I am feeling very scared There was fluid accumulation in my ear, the doctor said that DNS or Inferior turbinate enlargement should be done and he advised me to undergo septoplasty turbinoplasty with microdribder. I have to take a deep breath after a few minutes😢