Submucous inferior osteoconchotomy

Submucous inferior osteoconchotomy is a specific surgical procedure. In the process, the bony base of the inferior nasal concha is partially removed.
Best
specialists
Expert
equipment
Advanced diagnostic
treatment
Sign up
Fill out the entry form on the page and we will call you back
Sign up Позвонить
Download the application “Personal Account K+31”
Everything about your health in one click!
Subscribe to social networks K+31
To keep up to date with current offers and receive useful advice about your health.

What is submucous inferior osteochotomy?

Submucous inferior conchotomy is used to treat hypertrophic rhinitis. Sometimes this method is used to correct nasal deformities. During the procedure, the surgeon removes part of the bone base of one of the inferior turbinates.

The goal of the intervention is to reduce the size of the turbinate and change its position: ideally, it should be located more vertically relative to the center of the face. Thus, surgery helps to improve the appearance of the nose and facilitate breathing.

Submucous osteoconchotomy of the inferior turbinates is considered quite traumatic. Therefore, it is almost always accompanied by tamponade.

What is submucous inferior osteochotomy?
Indications for submucosal inferior osteoconchotomy

Inferior osteoconchotomy of the inferior nasal conchae is performed in the presence of structural anomalies. The intervention is prescribed if a person has had breathing problems for a long time. This is especially true for chronic sinusitis, when the enlarged mucous membrane blocks the normal outflow from the nasal sinuses.

Another indication for osteoconchotomy is chronic tubootitis. This condition is characterized by inflammation of the auditory tubes. In this case, their main functions are impaired - drainage and ventilation. As a result, exudate accumulates in the tympanic cavity of the ear, which penetrates through the auditory tube. This leads to the development of inflammation of the mucous membrane of the middle ear (otitis).

Osteoconchotomy helps to improve air flow through the nasal passages. Thus, the procedure helps to normalize the drainage and ventilation functions of the auditory tube.

Contraindications

There are certain conditions under which such osteoconchotomy is contraindicated. These include:

  • Acute infectious processes. Infection aggravates the course of inflammatory processes and increases the risk of postoperative complications
  • Blood clotting problems. In this case, the risk of bleeding during and after submucosal osteoconchotomy increases

Contraindications also include chronic diseases in the acute stage. Any such pathology in the active phase worsens the general condition of the patient.

How does the operation go?

The doctor will first refer the patient for a general and biochemical blood test. Also, a hardware examination (ECG) is performed to assess kidney and liver function.

Immediately before the procedure (at least 24 hours before), the patient should avoid drinking alcohol and heavy food. This will help prevent possible complications during anesthesia and speed up the recovery process after surgery.

During the operation, only the anterior or posterior part of the nasal concha is usually removed. Laser, radio waves, or shaver-endoscopic equipment are used for this purpose. The use of modern technologies allows the surgeon to spare the patient: the intervention is not accompanied by excessive blood loss.

After completing the submucous osteoconchotomy, the specialist takes the patient out of sedation. 40 minutes later, he is allowed to leave the clinic. People with heart and vascular diseases can be monitored for 2-3 hours after surgery.

  • Anesthesia For simpler cases, local anesthesia is usually used. It allows the procedure to be performed on an outpatient basis. In more complex cases, when it is combined with other surgical interventions, general anesthesia is used
  • Surgical intervention During osteoconchotomy, resection (removal) of the affected areas of the nasal concha bone tissue is performed. Then the mucous membrane is returned to its place and fixed with a tampon. In some cases, additional manipulations are performed (for example, removal of polyps, cleaning of the sinuses). At this time, the anesthesiologist-resuscitator carefully monitors all vital signs of the patient's condition
врак к31

Rehabilitation after surgery

The initial stage of rehabilitation after osteoconchotomy involves nasal tamponade. In this case, elastic tampons or short gauze turundas soaked in Vasilyeva's paste are used. They are removed from the nose after 24 hours.

During the postoperative period, daily anemization of the mucous membrane is carried out. It includes lubrication of the nasal passages with oil or ointment with diphenhydramine. These measures promote accelerated healing and improvement of the general condition.

During the following week, people who have undergone osteoconchotomy are advised to avoid:

  • High temperatures
  • Alcohol
  • Spicy food
  • Intense physical activity

Such restrictions help prevent the risk of bleeding. Complete tissue healing usually occurs 2-3 weeks after osteoconchotomy. At the same time, nasal breathing is restored.

To sign up for this procedure (or vasotomy) at our clinic (Moscow), fill out the application form or contact us by phone.

How is an appointment with an otolaryngologist at K+31?

During the initial appointment, the doctor questions the patient in detail about complaints, clarifies the history of the disease, and lifestyle. Next, a thorough visual examination of the nose, pharynx, ear, and larynx is carried out. Special tests are prescribed to assess the acuity of hearing and smell.

Our doctors

Spiranskaya Olga Aleksandrovna
Experience 18 years
Make an appointment
Spiranskaya
Olga Aleksandrovna
Head of the Otolaryngology Department, Otolaryngologist
Tetzoeva Zalina Muratovna
Experience 24 years
Make an appointment
Tetzoeva
Zalina Muratovna
Deputy chief physician for outpatient care, otolaryngologist, surgeon
Kochetkova (Minavnina) Yulia Vladimirovna
Experience 13 years
Make an appointment
Kochetkova (Minavnina)
Yulia Vladimirovna
Otorhinolaryngologist
Osipova Irina Andreevna
Experience 25 years
Make an appointment
Osipova
Irina Andreevna
Head of the center for otolaryngology and ENT rheumatology, otolaryngologist, surgeon, leading specialist, expert in ENT pathology in autoimmune diseases
Lapshina Anastasia Andreevna
Experience 11 years
Make an appointment
Lapshina
Anastasia Andreevna
Otolaryngologist, audiologist
Samarin Nikolay Evgenyevich
Experience 18 years
Make an appointment
Samarin
Nikolay Evgenyevich
ENT doctor
Lopatin Andrew Stanislavovich
Experience 45 years
Make an appointment
Lopatin
Andrew Stanislavovich
Otorhinolaryngologist, surgeon
Portnyagina Maria Pavlovna
Experience 13 years
Make an appointment
Portnyagina
Maria Pavlovna
Audiologist-otorhinolaryngologist
Kaspranskaya Galina Rustemovna
Experience 27 years
Make an appointment
Kaspranskaya
Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Koblova Tatyana Alexandrovna
Experience 22 years
Make an appointment
Koblova
Tatyana Alexandrovna
ENT doctor
Punkov Maxim Anatolevich
Experience 20 years
Make an appointment
Punkov
Maxim Anatolevich
ENT doctor
Varenkova Olga Vladimirovna
Experience 25 years
Make an appointment
Varenkova
Olga Vladimirovna
Otorhinolaryngologist
Budeikina Liliya Sergeevna
Experience 11 years
Make an appointment
Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
Kornienko Roman Anatolievich
Experience 27 years
Make an appointment
Kornienko
Roman Anatolievich
Otorhinolaryngologist
Budnitskaya Elena Vasilievna
Experience 12 years
Make an appointment
Budnitskaya
Elena Vasilievna
Otorhinolaryngologist
Varvyanskaya Anastasia Vladimirovna
Experience 21 year
Make an appointment
Varvyanskaya
Anastasia Vladimirovna
Otolaryngologist, surgeon, leading specialist, expert in olfactory dysfunction
Mamedov Vasif Eivaz ogly
Experience 8 years
Make an appointment
Mamedov
Vasif Eivaz ogly
Audiologist
Chekaldina Elena Vladimirovna
Experience 13 years
Make an appointment
Chekaldina
Elena Vladimirovna
Otorhinolaryngologist
Samusenkova Ksenia Vladislavovna
Experience 5 years
Make an appointment
Samusenkova
Ksenia Vladislavovna
Otorhinolaryngologist
Polivoda Anna Mikhailovna
Experience 19 years
Make an appointment
Polivoda
Anna Mikhailovna
Otorhinolaryngologist, audiologist, otoneurologist
Balybina Natalia Alekseevna
Experience 4 years
Make an appointment
Balybina
Natalia Alekseevna
Otorhinolaryngologist
All specialists
2GIS Award
2GIS Award

This award is given to clinics with the highest ratings according to user ratings, a large number of requests from this site, and in the absence of critical violations.

«Good place» according to Yandex
«Good place» according to Yandex

This award is given to clinics with the highest ratings according to user ratings. It means that the place is known, loved, and definitely worth visiting.

Our doctors are laureates of the ProDoctors Award
Our doctors are laureates of the ProDoctors Award

The ProDoctors portal collected 500 thousand reviews, compiled a rating of doctors based on them and awarded the best. We are proud that our doctors are among those awarded.

Make an appointment at a convenient time on the nearest date

Price

Otorhinolaryngologist primary appointment
from 5 460 ₽
Otolaryngologist repeated appointment
from 5 460 ₽
Reception of an otorhinolaryngologist at home in Moscow within the Moscow Ring Road
from 18 810 ₽
Planned remote online consultation of an otorhinolaryngologist using telemedicine technologies
from 4 778 ₽

Reviews 44

I express my deepest gratitude to Natalia Alekseevna for her exceptional professionalism and humane approach. I especially appreciate her rare combination of competence and tact. Natalia Alekseevna knows how to create an atmosphere of trust, where you feel more than just a patient, but someone whose opinion and comfort truly matter. Thank you for your attention to detail, personalized approach, and ability to convey information in accessible language. I recommend Natalia Alekseevna as a doctor with an inner intelligence, a keen interest, and enthusiasm for her work. Doctors like her are worth everything. I was also pleasantly surprised by the atmosphere in the clinic itself: all the staff are polite and attentive, and there's convenient parking. And the bright, inspiring music playing on the first floor reminded me of Kamila Valieva's Olympic short program—the same purity, grace, and sense of wonder. Thank you!
28.11.2025
Anonymously
Very attentive and qualified doctor
25.11.2025
A. Nadezhda Valerievna
I really liked the doctor, and I also really liked Zhanna Andreevna. You can tell she's experienced and competent, and the office had a wonderful, open atmosphere. Special thanks to Olesya, the administrator on the first floor. She's very friendly and helpful. Overall, I really liked the clinic.
23.11.2025
P. Daniil Vyacheslavovich
The doctor always listens and hears attentively, which is even unusual. He is genuinely interested in how the patient is feeling and sees them as people.
04.11.2025
O. Tatyana Alexandrovna
The best doctor. Thank you so much.
31.10.2025
Ya. Tatyana Petrovna

About doctor:

Osipova Irina Andreevna

Wonderful doctor! A top-class professional!
28.10.2025
I. Stanislav Arkadevich
A sensitive doctor, it's immediately obvious she's a true professional. She outlined the risks, and we're seeing great progress in treatment.
18.10.2025
E. Stanislav Yurievich
A very knowledgeable and responsible doctor.
16.10.2025
P. Evgeny Arnoldovich
Very attentive and professional doctor.
14.10.2025
R. Evgeniy Anatolyevich
Irina Andreevna is a professional and a master of her craft. That says it all.
14.10.2025
K. Andrey Maksimovich

About doctor:

Osipova Irina Andreevna

A true professional! Highly recommended.
10.10.2025
G. Irik Azamatovich
Tatyana Alexandrovna is a very attentive doctor. She prescribed treatment that helped immediately. She's a pleasant person to talk to. Thank you!
09.10.2025
T. Elena Nikolaevna
Irina Andreevna is a wonderful person, a professional, and what's called a "God-given doctor." The prescribed treatment produced immediate positive results. And despite my disappointing diagnosis, after every conversation with Irina Andreevna, I feel a boost of optimism!
06.10.2025
Sh. Lyudmila Alexandrovna

About doctor:

Osipova Irina Andreevna

Very pleasant to talk to, a professional in her field)
02.10.2025
L. Alexander Gennadievich
I've been seeing Zalina Muratovna for many years. She's a highly qualified doctor with an incredibly attentive and caring attitude toward her patients. Zalina Muratovna performed a septum correction surgery on me several years ago. I'd been advised to have this procedure for years, but it wasn't until I saw Zalina Muratovna that I decided to have it. And I'm so glad I did. My breathing is now free of difficulty, and I no longer suffer from lingering runny noses. Thank you, Zalina Muratovna.
02.10.2025
B. Nadezhda Sergeevna
Everything went great, the doctor was very kind and explained the reason for prescribing each drug.
01.10.2025
Ya. Sergey Sergeevich
Excellent specialist, very pleased with the visit, thank you
01.10.2025
E. Elena Vitalievna
This isn't my first time visiting Anastasia Vladimirovna. I feel like I'm visiting a relative. She's the best doctor. Everything is always delicate, precise, meticulous, and she shows immense care and love for her profession.
25.09.2025
B. Evgeniya Evgenievna
A very competent specialist
24.09.2025
S. Elena Vladimirovna
A very good doctor!) Unfortunately, there are few like him...
18.09.2025
K. Olesya Vyacheslavovna

About doctor:

Punkov Maxim Anatolevich

A professional in his field. An excellent doctor.
16.09.2025
M. Natalia Vladimirovna
Wonderful doctor, simply wonderful! Tactful, kind, very responsive!
08.09.2025
E. Ekaterina Alexandrovna
Good afternoon! I would like to express my gratitude to Maria Pavlovna Portnyagina. A competent doctor, an impeccable appointment, an examination was conducted, an ultrasound was immediately agreed upon, a full examination and a set of measures to identify the problem were conducted. Thanks to Maria Pavlovna's appointment, we found out what was going on. I left with an understanding of my health condition and exhaled after the examinations, this rarely happens when you think - this is a doctor, it was not in vain that I came to her. I ask the management to note according to the procedures and policies of the Clinic. I left the appointment with a feeling that you were heard, the problem was considered, the most valuable thing is quickly, efficiently, and not indifferently. That very case when you think - it was not in vain that I went to the doctor. Everything is clear, precise, competent. Time is always very precious, you can spend a lot of time and leave with nothing. Whether you were or were not at the doctor, with the same questions, fears, uncertainty. The best ENT doctor in my life! Maria Pavlovna - thank you. Sincerely, Elena
07.09.2025
K. Elena Vladimirovna
I was extremely satisfied. The doctor was very attentive and competent. Thank you very much.
01.09.2025
L. Vladislava Vasilievna

About doctor:

Osipova Irina Andreevna

Excellent professional, attentive, neat.
28.08.2025
L. Alexander Sergeevich
After the injury, I started having serious hearing problems. I didn't go to the doctor right away and let the disease get worse. I made an appointment with audiologist-otorhinolaryngologist M.P. Portnyagina. The doctor is experienced, responsive, with a lot of work experience. She identified my problem from the first minutes of the appointment and was generally very pleasant to talk to. The doctor showed me all possible hearing aid options - the consultation was clear and understandable. Thank you for the opportunity to be observed by such competent specialists.
25.08.2025
Anonymously
I was very pleased with my visit to Doctor Varvyanskaya A.V. The doctor listened to me attentively, examined my larynx in the most thorough manner, asked me in detail about the symptoms, compared the data from various tests, sorted out my problem, gave detailed explanations of the diagnosis and recommendations for treatment. I left calm and confident that everything would be fine with me.
18.08.2025
Goryunov M. A.
I express my heartfelt gratitude to the ENT doctor Tetsoeva Z.M. for her professionalism, attentiveness and kindness. The doctor carefully examined my throat, explained everything and gave recommendations for treatment. At the appointment, I felt a sincere desire to find the cause of my illness and help with the solution of this health problem. I confidently recommend this specialist.
18.08.2025
Goryunov M. A.
I liked everything, the doctor examined me and explained everything within the framework of my request, and the doctor was also very pleasant to talk to!
12.08.2025
D. Dmitry Vladimirovich

About doctor:

Punkov Maxim Anatolevich

The best clinic I've ever been to! Doctor Osipova I.A. is the best ENT!!! I had an appointment with Fotina E.V. A real female doctor, a wonderful specialist and person❤️
11.08.2025
Vasilisa M.
Appointment with Dr. Samarin. The only otolaryngologist in Moscow that I trust. Thank you for your professionalism and sensitivity.
08.08.2025
Anonymously
I visited the ENT doctor Varvyanskaya A.V. twice. I liked everything, the appointments are very comfortable, I will be happy to recommend the clinic and the doctor to my friends.
08.08.2025
Anonymously
Amazing doctor, helped me to understand my ear and nose issues, explained everything and prescribed adequate treatment
06.08.2025
K. Andrey Yuryevich

About doctor:

Punkov Maxim Anatolevich

I would like to express my sincere gratitude to the ENT doctor Irina Andreevna Osipova. She is a true professional with extensive experience and deep knowledge in the field of ENT rheumatology. She listened carefully to all the complaints, and approached my case — Wegener's vasculitis — very competently. She gave clear, well-founded recommendations, explained everything in understandable language, and instilled confidence. It is obvious that the doctor works with soul and sincerely cares about her patients. Thank her for her sensitivity, attentiveness, and high professionalism!
06.08.2025
K. Sergey Alexandrovich

About doctor:

Osipova Irina Andreevna

The doctor is very attentive and professional. I really enjoyed the visit.
30.07.2025
V. Yulia Nikolaevna
Excellent doctor, very competent in resolving the issue. Listened to the complaint, provided due assistance.
29.07.2025
D. Nikolai Dmitrievich
Everything is great as always, I hope the treatment will be beneficial!
23.07.2025
K. Ekaterina Alexandrovna
Everything is great, they prescribed treatment, we will continue!
01.07.2025
N. Roman Gennadievich
Irina Andreevna, simply the best! The problem I have lived with for the last 15 years has been solved! In January 2025, an operation was performed, after which life became easier. I visited a lot of doctors, they all advised the same thing: washing, rinsing, etc. And only Irina Andreevna said that surgery was necessary. After the operation, I was a little nervous about how everything would heal. Thanks to the doctor, I didn't have any of this. Everything was explained in detail. I am incredibly grateful to her!!!!!
05.02.2025
Khazhar Ruslanovna K.

About doctor:

Osipova Irina Andreevna

Zalina Muratovna, super professional doctor. I am being observed and had surgery with her two weeks ago to remove tonsils. With her light hand, healing is going very well. I definitely recommend the doctor. In addition to her professionalism, she is also a very pleasant doctor to talk to! Thank you, Zalina Muratovna! Elena P.
29.07.2024
Pogibelnaya Elena Anatolyevna
Nikolai Nikolaevich performed surgery on my tear ducts. In this review I want to once again convey to him my deepest gratitude. He is a surgeon from God. I am glad for all future patients with the problem of dacryocystology (and on its basis, for example, dangerous purulent processes), if they end up being treated by Nikolai Nikolaevich.
12.07.2024
Tamara Veniaminovna
Many thanks to Zalina Muratovna!!! I had severe otitis media. Other doctors in other clinics whom I initially contacted could not help. Life has become a nightmare. Pain, deafness, panic attacks, deterioration in health. And when I finally found this wonderful doctor, I came back to life. In 2 days of intensive I came back to life, and then competent treatment returned everything to its place. Thank you for a full and bright life. Good luck and happiness to everyone
30.05.2024
Tatyana Grigorievna Sokolova
Zalina Muratovna is a doctor from God! Thanks to her, my entire family’s noses can breathe, their ears can hear, and their throats don’t hurt)))
23.05.2024
Stepanova Oksana Nikolaevna
I would like to express my gratitude to my attending physician - the wonderful otorhinolaryngologist Anastasia Vladimirovna Varvyanskaya for his professionalism, attentiveness and kindness! And also to all employees of the K+31 West clinic who took part in the operation and the pre/postoperative period, these are: head of the ENT department Zalina Muratovna Tetsoeva, anesthesiologist Kristina Inalovna Siukaeva, head of the anesthesiology and resuscitation department Zarina Igorevna Sypkova, all nurses, secondary and to the junior medical staff, Alexander, who drove me to the operating room and back, hospitalization managers, administrators and everyone, everyone, everyone! I had surgery on March 14, 2024 for a deviated nasal septum and hypertrophied nasal turbinates (septoplasty + osteoconchotomy). I have been suffering from difficulty breathing through my nose for a long time. I got an appointment with Dr. A.V. Varvyanskaya. I immediately realized that I was ready for surgery with this specialist. The surgery and recovery went flawlessly. Finally, after many years of torment, my nose could breathe freely. Thank you!
Write a review

Registration for a consultation

Fill out the form, our managers will contact you within 15 minutes
Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and WhatsApp.

Our clinics

K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

Subway
1
11
Prospect Vernadsky Station
By a car
Lobachevsky, we pass the first barrier (security post of the City Clinical Hospital No. 31), turn right at the second barrier (security post K+31)
Parking pass
Opening hours
Mon-Fri: 08:00 – 21:00
Saturday: 09:00 – 19:00
Sunday: 09:00 – 18:00
K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131

Subway
9
Tsvetnoy Bulvar
10
Trubnaya
By a car
Moving along Petrovsky Boulevard, turn onto st. Petrovka, right after - on the 1st Kolobovsky per. Municipal parking
Opening hours
Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 19:00
K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

74999993131

Subway
3
Molodezhnaya
By a car
Moving along Orshanskaya street, we turn to the barrier with the guard post K+31. You do not need to order a pass, they will open it for you
Opening hours on holidays

01.11: 09:00—20:00

02.11—04.11: 09:00—18:00

Didn't find the service you were looking for?

Экстренная помощь