Turbinate Reduction Surgery in Singapore

If you’re experiencing chronic nasal congestion that doesn’t respond to medications, you may understand how this condition can affect daily breathing. Turbinate reduction surgery is a treatment option for patients whose enlarged turbinates may be contributing to persistent breathing difficulties. This surgical procedure aims to reduce the size of swollen nasal turbinates, which may help improve airflow through the nasal passages. At our ENT clinic in Singapore, our ENT Specialists perform turbinate reduction surgery using established techniques that may help patients with breathing difficulties.

*Individual results and timelines may vary. This treatment is administered as part of a comprehensive plan supervised by a healthcare professional.*

Dr Gan Eng Cern

Ear, nose and throat specialist

MBBS

MRCS (Edin)

mmed (orl)

FAMS

Image E20_02_Human Nose Model with Paranasal Sinuses 5 part

Overview Candidate Treatment Process Recovery Benefits Risks Cost FAQ

What is Turbinate Reduction Surgery?

Turbinate reduction surgery decreases the size of enlarged turbinates – the small, curved bone and tissue structures inside your nasal passages. Your turbinates warm, humidify, and filter the air you breathe. When these structures become chronically swollen (turbinate hypertrophy), they can block nasal airflow and cause persistent congestion.

The surgery targets the inferior turbinates, which are located at the bottom of your nasal passages and are most commonly responsible for nasal obstruction. During the procedure, your ENT specialist carefully reduces the size of these structures while preserving their essential functions. This may help create more space for air to flow through your nose naturally.

Turbinate reduction surgery addresses chronic nasal congestion that hasn’t responded to conservative treatments such as nasal sprays, antihistamines, or allergy management. The procedure can be performed using various techniques, each designed to achieve airflow improvement while maintaining the turbinates’ physiological functions. Patients may experience improvement in their breathing, sleep quality, and overall daily comfort following this procedure.

Who is a Suitable Candidate?

Potential Candidates

Patients with chronic nasal congestion despite medical treatment
Individuals diagnosed with turbinate hypertrophy confirmed through nasal endoscopy
Those experiencing mouth breathing, especially during sleep
Patients with sleep disruption due to nasal obstruction
People with recurrent sinus infections related to poor nasal drainage
Individuals whose quality of life is impacted by nasal breathing difficulties
Patients who have tried conservative treatments, including nasal corticosteroids
Those with combination issues that may require septoplasty or sinus surgery

Contraindications

Active nasal or sinus infection requiring treatment first
Bleeding disorders or use of blood-thinning medications that cannot be stopped
Severe atrophic rhinitis (excessively dry nasal passages)
Certain autoimmune conditions affecting the nasal tissues
Medical conditions that make anaesthesia unsafe

Your ENT specialist can conduct a thorough evaluation, including nasal endoscopy and possibly imaging, to determine whether turbinate reduction surgery is appropriate for your condition. The assessment considers your medical history, current symptoms, and previous treatment responses.

Treatment Techniques & Approaches

Radiofrequency Ablation

Radiofrequency ablation uses controlled thermal energy to reduce turbinate tissue from within. A probe is inserted into the turbinate, delivering radiofrequency energy that may cause tissue reduction over several weeks. This technique aims to preserve the turbinate’s outer lining (mucosa) whilst reducing the internal tissue, which can help maintain the natural functions of filtering and humidifying air.

Microdebrider-Assisted Turbinoplasty

This technique employs a powered microdebrider instrument to remove excess turbinate tissue. The microdebrider combines cutting and suction capabilities, allowing the ENT specialist to sculpt the turbinate whilst removing tissue debris. This approach can provide visualisation and control, enabling preservation of healthy mucosa whilst reducing turbinate bulk.

Partial Turbinectomy

In cases of severe turbinate enlargement, partial surgical removal may be considered. The ENT specialist removes a portion of the inferior turbinate bone and soft tissue whilst preserving the structure to maintain nasal function. This technique is typically considered for cases where less invasive methods may be insufficient.

Technology & Equipment Used

Turbinate reduction surgery utilises endoscopic visualisation for treatment delivery. Endoscopes provide magnified views of nasal structures, enabling tissue reduction whilst protecting surrounding anatomy. Temperature-controlled devices and instruments aim to deliver consistent results with minimal tissue trauma.

Wondering which approach might suit you?

Our ENT Specialist can evaluate your specific needs and discuss available treatment options.

Make an Enquiry

The Treatment Process

Pre-Treatment Preparation

Your preparation begins with comprehensive pre-operative testing, which may include blood tests and documentation of nasal endoscopy. You’ll need to stop certain medications, particularly blood thinners and anti-inflammatory drugs, as directed by your ENT specialist. Arrange for someone to drive you home after the procedure, as you’ll receive sedation or anaesthesia. On the day of surgery, avoid eating or drinking for at least six hours before your scheduled time.

During the Procedure

Turbinate reduction surgery may take time depending on the technique used and whether additional procedures are performed. You’ll receive either local anaesthesia with sedation or general anaesthesia based on your ENT specialist’s recommendation and the extent of surgery planned. Your ENT specialist may use an endoscope to visualise your nasal passages clearly before beginning the reduction procedure.

The specific steps vary by technique, but generally involve either removing excess tissue, applying radiofrequency energy, or using specialised instruments to reduce turbinate size. Throughout the procedure, your ENT specialist carefully preserves the turbinate’s functional surface whilst creating adequate space for improved airflow. Some ENT specialists may place dissolvable packing or splints to support healing, though this isn’t always necessary.

Immediate Post-Treatment

After surgery, you’ll recover in a monitored area where nursing staff check your vital signs and comfort level. Patients may experience some nasal pressure or congestion immediately after the procedure. You’ll receive instructions for pain management and nasal care before discharge, which may occur within a few hours for some techniques. Your ENT specialist can schedule a follow-up appointment to monitor healing and, if used, remove any packing

Recovery & Aftercare

First 24-48 Hours: Rest with your head elevated to minimise swelling and bleeding. Apply ice packs to your cheeks and the area around your nose for 10-15 minutes at a time to reduce swelling. Take prescribed pain medications as directed, though some patients may find over-the-counter pain relievers sufficient. Avoid blowing your nose, and gently dab any drainage with soft tissues. Some blood-tinged mucus is normal during this time.
First Week: Begin gentle saline rinses as instructed by your ENT specialist, typically starting 24-48 hours post-surgery. These rinses help clear debris and promote healing. Continue avoiding strenuous activities, heavy lifting, and bending over. You may be able to return to desk work within a few days, though this varies by individual and technique used. Attend your scheduled follow-up appointment for cleaning and assessment of healing progress. Nasal congestion may temporarily worsen before improving as tissues heal.
Long-term Recovery: Complete healing typically occurs over several weeks, and patients may notice improved breathing as healing progresses. Gradually resume normal activities as advised by your ENT specialist, with full activity usually permitted after a few weeks. Continue saline rinses until healing is complete. The benefits of surgery become apparent as swelling resolves over time. Some techniques, particularly radiofrequency ablation, may show gradual improvement over several months as tissue remodelling occurs.

Our ENT Specialist provides post-procedure support to help with recovery.

Schedule your consultation to learn more about what to expect.

Make an Enquiry

Benefits of Turbinate Reduction Surgery

Turbinate reduction surgery may help improve nasal breathing for patients with chronic turbinate hypertrophy. The procedure aims to restore nasal airflow, allowing for more comfortable breathing through the nose during daily activities and sleep. Some patients may experience improvements in sleep quality by reducing nasal obstruction.

The procedure may help reduce chronic symptoms, including nasal congestion, postnasal drip, and facial pressure. Improved nasal drainage could help prevent mucus accumulation. Enhanced nasal breathing might improve exercise tolerance and may reduce snoring in some cases.

Quality-of-life improvements may extend beyond physical symptoms. Better sleep could lead to increased daytime energy and concentration. Reduced reliance on nasal medications may lead to fewer side effects. Some patients may experience an improved sense of smell and taste as nasal airflow improves. Turbinate reduction surgery aims to provide sustained relief for nasal breathing difficulties.

Risks & Potential Complications

Common Side Effects

Temporary nasal congestion and crusting may occur during the first few weeks of healing. This can be managed with saline rinses and gentle cleaning during follow-up visits. Mild bleeding or blood-tinged drainage may occur within the first few days. Some patients may experience temporary changes in nasal sensation or mild discomfort, which can improve as healing progresses. Nasal dryness may occur initially but can resolve as the turbinates adapt to their new size.

Potential Complications

Excessive bleeding requiring intervention may occur and could be managed with nasal packing. Infection may develop and could require antibiotic treatment. Empty nose syndrome, a condition in which patients experience nasal obstruction despite open nasal passages, is a potential complication of turbinate procedures. Adhesions (scar tissue bands) between nasal structures can form and may require treatment if detected.

ENT specialists use precise techniques and careful tissue preservation to help minimise complication risks. Proper patient selection, meticulous surgical technique, and appropriate post-operative care can help reduce the likelihood of adverse outcomes.

Cost Considerations

The cost of turbinate reduction surgery in Singapore varies based on several factors, including the specific technique used, whether additional procedures are performed simultaneously, and the complexity of your case. Surgical facility fees, anaesthesia type, and ENT specialists’ fees all contribute to the total cost. The use of specialised equipment, such as radiofrequency devices or powered instruments, may affect pricing.

Post-operative medications and nasal care supplies may be additional. While turbinate reduction surgery represents a treatment option for your condition, consider the potential benefits of improved breathing, better sleep, and reduced medication dependence.

During your consultation, you’ll receive a detailed cost estimate based on your specific treatment plan. Clinic staff can discuss payment options and explain what’s included in your surgical package.

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.

Speak to us

Frequently Asked Questions (FAQ)

How long does turbinate reduction surgery take to perform?

Turbinate reduction surgery may take approximately 30 to 45 minutes when performed alone. If combined with other procedures such as septoplasty or sinus surgery, the total surgical time may increase. The specific technique used and the extent of turbinate enlargement also influence procedure duration. Your ENT specialist can provide a more accurate time estimate during your consultation based on your specific treatment plan.

Will I need nasal packing after surgery?

Not all patients require nasal packing after turbinate reduction surgery. Modern techniques often allow for packing-free recovery, particularly with radiofrequency ablation. If packing is used, dissolvable materials may be preferred, eliminating the need for removal. Your ENT specialist may discuss whether packing is necessary based on your specific procedure and individual factors. When used, the packing may be removed or dissolved within a few days.

Can turbinates grow back after reduction surgery?

Whilst turbinates can exhibit some regrowth over time, repeat surgery may sometimes be needed. Patients can maintain improved nasal breathing following surgery. Radiofrequency techniques may yield slightly higher regrowth rates than surgical removal, but results may still be satisfactory. Managing underlying conditions, such as allergies, can help maintain surgical results in the long term.

When can I return to work after turbinate reduction surgery?

Patients may return to desk work within a few days after turbinate reduction surgery. Jobs requiring physical exertion should be avoided for approximately 2 weeks to prevent bleeding and optimise healing. The specific technique used affects recovery time, with radiofrequency ablation may allow a faster return to activities than traditional surgical techniques. Your ENT specialist may provide personalised guidance based on your job requirements and healing progress.

Is turbinate reduction surgery painful?

Patients experience minimal pain after turbinate reduction surgery, describing the sensation as pressure or congestion rather than sharp pain. Prescribed pain medications may be needed only for the first day or two, with patients managing comfortably with over-the-counter pain relievers. The level of discomfort varies by technique, with minimally invasive approaches often causing less post-operative discomfort. Ice packs and head elevation can help minimise any discomfort during recovery.

Can turbinate reduction be performed with other nasal surgeries?

Yes, turbinate reduction may be combined with other nasal procedures such as septoplasty, sinus surgery, or nasal valve repair. Combining procedures can address multiple causes of nasal obstruction in a single surgery, potentially providing comprehensive improvement. Your ENT specialist may evaluate whether combination surgery is appropriate based on your anatomy and symptoms. Recovery time may be slightly longer with combined procedures.

How long before I notice breathing improvement?

Initial improvement timeline varies by technique used. With surgical turbinectomy, some improvement may be noticeable, though swelling can temporarily limit the full benefit. Radiofrequency ablation may show gradual improvement over several weeks as tissue shrinks. Patients may experience breathing improvement following surgery, with continued improvement as healing progresses.

Conclusion

Turbinate reduction surgery is a treatment option for chronic nasal obstruction caused by enlarged turbinates. With various surgical techniques available, your ENT specialist can customise the approach to address your specific anatomy and symptoms whilst preserving nasal functions. If conservative treatments haven’t provided adequate relief, turbinate reduction surgery may help improve nasal breathing.

Take the First Step Towards Better Health

If you’re considering turbinate reduction surgery, our ENT Specialist can help you understand if it’s the right choice for your needs. With experience in turbinate reduction surgery, we provide personalised care throughout your journey.

Make an Enquiry

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

Read Full Bio

Singapore ENT specialist performing a procedure

Make an Enquiry

Fill up the form and our friendly clinic staff will get back to you promptly.

Our Location

A Specialist Clinic for Sinus, Snoring & ENT

38 Irrawaddy Road #08-45
Mount Elizabeth Novena Hospital
Singapore 329563

enquiry@drganent.com

+65‎ 6253‎ 7296

+65 9058 2480

Mon – Fri: 9:00 am – 5:00 pm
Sat: 8:30 am – 12:00 pm