Inferior Turbinoplasty Treatment in Singapore

Inferior turbinoplasty is a surgical procedure used to reduce the size of the inferior turbinates in the nasal passages.

This treatment addresses nasal obstruction caused by turbinate enlargement (hypertrophy), helping to improve airflow and alleviate breathing difficulties while preserving the turbinates’ ability to humidify and filter air.

Dr Gan Eng Cern

Ear, nose and throat specialist

MBBS

MRCS (Edin)

mmed (orl)

FAMS

Benefits Techniques Preparation Procedure Recovery Risks FAQ

Indications for Surgery

This procedure may be recommended when nasal obstruction or related symptoms persist despite medical treatment. Common indications include:

Chronic Nasal Obstruction: When ongoing nasal blockage does not respond to medications such as decongestants or corticosteroid sprays.
Allergic Rhinitis Complications: Persistent swelling due to allergies that fails to resolve with medical management.
Deviated Nasal Septum: A deviated septum can worsen turbinate hypertrophy. In such cases, turbinate surgery may complement septoplasty for better outcomes.
Chronic Sinusitis: Recurring sinus infections, often linked to nasal obstruction caused by enlarged turbinates.
Snoring or Sleep Apnoea: Breathing difficulties during sleep caused by enlarged turbinates can sometimes be reduced through surgery.

Benefits of Inferior Turbinoplasty

Inferior turbinoplasty provides specific improvements for those experiencing nasal obstruction or related issues. These benefits include:

Improved Nasal Breathing: Reducing the size of the turbinates allows better airflow through the nasal passages, easing breathing difficulties.
Reduction in Allergy Symptoms: By decreasing tissue volume, the procedure can help minimise congestion and improve nasal airflow in allergy sufferers.
Better Sleep Quality: Patients may experience reduced nasal blockage, leading to fewer disruptions during sleep and potentially less snoring.
Enhanced Outcomes with Other Procedures: Turbinate reduction can increase the success of complementary surgeries such as septoplasty or sinus surgery by further improving nasal airflow.

Surgical Techniques

Submucosal Resection

This technique involves removing tissue and bone beneath the mucosal lining of the turbinates while preserving the outer layer. It helps maintain the turbinates’ functional ability to humidify and filter air, reducing the risk of dryness or crusting. Submucosal resection is often chosen for moderate to severe cases of turbinate hypertrophy.

Radiofrequency Ablation

This minimally invasive method uses heat energy to shrink the turbinates without removing tissue. It is performed in a controlled manner to reduce swelling with minimal damage to surrounding structures. This approach is often suitable for mild to moderate hypertrophy and offers quicker recovery times.

Partial Turbinectomy

This involves removing a portion of the turbinate structure in cases of severe hypertrophy. While effective in creating space for airflow, there is a risk of reduced mucosal function. It is generally reserved for patients who have not responded to other treatment options.

Microdebrider-Assisted Turbinoplasty

A microdebrider, a specialised cutting device, is used to remove excess tissue with precision. The mucosal lining is largely preserved, minimising post-operative dryness. This technique is well-suited for patients with significant turbinate enlargement who require precise tissue removal.

Human throat anatomy model at Dr. Gan clinic

Preparing for Surgery

Medical Evaluation: A comprehensive assessment, including a physical exam, nasal endoscopy, and imaging if needed, identifies the severity of turbinate hypertrophy. This evaluation also screens for any related nasal conditions that may require simultaneous treatment.
Medication Adjustments: Patients taking medications that increase bleeding risk, such as aspirin or blood thinners, may need to stop these prior to surgery. The timing of medication adjustments will depend on the specific drugs and the patient’s medical history.
Pre-Operative Guidelines: Patients are typically instructed to avoid eating or drinking for several hours before surgery if general anaesthesia will be used. Smokers are advised to stop smoking several weeks in advance to improve healing and reduce complications.
Allergy and Nasal Care: Managing allergies with prescribed medications prior to surgery can help reduce pre-operative inflammation. Patients may also be advised to use saline nasal rinses to keep the nasal passages clear.

Step-by-Step Procedure

Anaesthesia Administration

The surgery is performed under general anaesthesia or local anaesthesia with sedation, depending on the patient’s condition and surgeon’s preference. This ensures comfort during the procedure.

Accessing the Nasal Cavity

Specialised instruments or an endoscope are used to access the nasal cavity and visualise the turbinates clearly. This allows the surgeon to assess the extent of the hypertrophy and plan tissue removal.

Tissue Reduction

Using the chosen technique, the surgeon reduces the size of the turbinates by removing or reshaping tissue and, if necessary, bone. Care is taken to preserve as much mucosal lining as possible.

Haemostasis

Bleeding is controlled during the procedure using cautery or other techniques. This step is necessary for maintaining a clear surgical field and reducing post-operative complications.

Final Inspection and Packing

The ENT specialist inspects the nasal cavity to ensure symmetry and adequate airflow. Dissolvable packing or splints may be placed to support healing and minimise bleeding.

Post-Surgical Care and Recovery

Immediate Post-Surgical Care: Patients may experience mild swelling and nasal congestion, which is expected as part of the healing process. Pain is typically minimal and managed with prescribed medications.
Recovery Process: Full recovery generally takes 2-4 weeks, although some nasal congestion and mild discomfort may persist during this time. Saline nasal sprays are often recommended to keep the nasal passages moist and clear of debris. Patients should avoid activities that increase nasal pressure, such as heavy lifting, for at least one week to support proper healing.
Follow-Up Visits: Regular ENT specialist clinic follow-ups are conducted to monitor healing and address any issues. These visits often include cleaning of the nasal passages to prevent crusting and maintain airway patency.

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Potential Risks and Complications

Inferior turbinoplasty carries potential risks, including bleeding, infection, nasal dryness, or crusting. Over-reduction of turbinate tissue can lead to a rare condition called empty nose syndrome, characterised by a sensation of nasal obstruction despite clear airflow. Discussing risks and benefits with the surgeon helps ensure informed decision-making.

For Singaporeans & Singapore Permanent Residents

Medisave & Insurance Shield Plan approved

Your ENT procedure may be eligible for Medisave claims, with the claimable amount varying based on the procedure’s complexity. For additional options, including the use of your insurance or Integrated Shield Plan, reach out to our friendly clinic staff today for assistance.

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Frequently Asked Questions (FAQ)

Is there a non-surgical alternative for treating turbinate hypertrophy?

Non-surgical options, including medications such as nasal steroids, may provide relief for mild to moderate hypertrophy. However, surgery is considered when these methods are ineffective.

Will my voice sound different after surgery?

Temporary changes in voice resonance may occur due to swelling in the nasal passages, but these typically resolve as the swelling subsides during recovery.

Will I experience scarring inside my nose?

Minimal internal scarring may occur but is unlikely to affect nasal function, as specialised surgical techniques aim to preserve the mucosal lining and minimise tissue damage.

Dr Gan Eng Cern

Ear, nose and throat specialist

MBBS

MRCS (Edin)

mmed (orl)

FAMS

With over 15 years of experience, Dr Gan specialises in the comprehensive management of a broad range of conditions related to the ear, nose and throat (ENT), and head and neck.

Dr. Gan has contributed to the academic field as a Senior Clinical Lecturer at the Yong Loo Lin School of Medicine, National University of Singapore. He is recognised for his extensive research work, with numerous contributions to reputable international ENT journals. Dr Gan is also highly sought after as a speaker and has shared his surgical knowledge as a surgical dissection teacher at various prominent ENT conferences and courses.

2020 – Reader’s Choice Gold Award for Best ENT Specialist (Expat Living Singapore)
2016 – Best Educator Award (Eastern Health Alliance)
2016 – “Wow” Award (Patient Compliment)

2014 – Eastern Health Alliance Caring Award – Silver
2014 – 19th Yahya Cohen Memorial Lectureship (awarded by the College of Surgeons, Academy of Medicine Singapore for best scientific surgical paper)
2012 – Human Manpower Development Award (Ministry of Health, Singapore)
2007 – Singhealth Best Doctor Award

Qualifications

MBBS – Bachelor of Science, Bachelor of Medicine, Bachelor of Surgery (University of New South Wales, Sydney, Australia)
MRCS (Edin) – Member of the Royal College of Surgeons Edinburgh, United Kingdom
MMed (ORL) – Master of Medicine in ENT (National University of Singapore)
FAMS – Fellow of the Academy of Medicine Singapore

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