Vasotomy of the nasal turbinates

Turbinate vasotomy is surgery on the blood nodes in the lower part of the nose. The purpose of this procedure is to reduce the blood supply to the enlarged nasal mucosa. This helps restore normal breathing.
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What is vasotomy?

Vasotomy is prescribed in cases where traditional treatment of chronic runny nose does not bring the desired effect, and the constant use of nasal drops and other medications is undesirable.

This solution allows patients to avoid long-term complications and significantly improve their quality of life.

Vasotomy is performed using different methods. Often the doctor decides to perform electrocoagulation. In this case, a special heated electrode is inserted into the nasal concha. The procedure usually takes place without blood loss, but at the same time there is a risk of damage to the mucous membrane and a decrease in its functions.

In some cases, a vasotomy is performed using surgical instruments. With this method, an incision is made with a scalpel, then the doctor inserts an instrument to destroy the vessels of the nasal concha. Considering that this method provokes significant blood loss and pain after surgery, the specialist installs a tamponade in the nasal cavity.

Many clinics use laser coagulation. In this case, a laser is injected under the nasal mucosa, which destroys blood vessels without blood loss or pain. The main advantages of this method are a short recovery period and minimal risk of damage to surrounding tissue.

Another modern method is radio wave vasotomy. In this case, high-frequency radio waves are used to heat and destroy tissue.

The most gentle method of exposure is ultrasonic destruction. Ultrasound is used to destroy tissue.

What is vasotomy?
Indications for vasotomy

The main indication for vasotomy is allergic rhinitis. This is an inflammatory disease of the nasal cavity caused by the body's immune response to allergens (pollen, dust, animal dander). This condition is characterized by frequent sneezing, nasal congestion, itching, and excessive secretion of clear mucus.

It is also prescribed for vasomotor rhinitis (breathing disorder caused by dysfunction of the regulation of vascular tone in the nasal cavity). This non-allergic condition causes intermittent nasal congestion, mucus, and difficulty breathing. The pathology is provoked by weather changes, emotional stress and chemical irritants.

Vasotomy is also performed against the background of hypertrophic rhinitis. This is a chronic inflammation of the nasal mucosa, which results in thickening (hypertrophy) of the mucosa. The main symptoms are difficulty breathing through the nose, constant congestion, increased secretion and (often) decreased sense of smell.

Contraindications
The main contraindication to the procedure is a violation of normal blood clotting (coagulopathy). Vasotomy is not performed for acute infectious diseases, or during menstruation.
General information about the procedure

How is vasotomy performed?

During the preparation process, the patient is given local anesthesia in the nasal area. First of all, tampons soaked in a 10% lidocaine solution are placed in the nasal passages. It provides initial surface anesthesia.

After a few minutes, when the effect of anesthesia begins, an additional anesthetic (2% solution of lidocaine or ultracaine) is injected into the area of the future operation. It is administered using a syringe with a thin needle. This stage allows you to completely eliminate pain during vasotomy. In some cases, sedation is additionally used to maximize patient relaxation.

Further steps:

  1. Access to the nasal turbinates. The doctor inserts special instruments through the nasal passages. This allows you to reach the turbinates
  2. Vasotomy procedure. The doctor carefully cauterizes or cuts the blood vessels on the turbinates. In doing so, he uses the selected method (laser, radiofrequency or electrocautery). This reduces blood flow and reduces swelling
  3. Completing the procedure. After processing the shells, the doctor removes the instruments and the patient recovers from anesthesia

After the intervention, the doctor gives the patient recommendations for nose care. In particular, to relieve pain and reduce swelling, it is necessary to take analgesics and antihistamines.

Vasotomy results and benefits

After the procedure, swelling decreases and the volume of the nasal turbinates decreases. This leads to easier nasal breathing.

The effect of the procedure appears within 2-3 days after the intervention, although the condition finally improves within several weeks.

Benefits of vasotomy

The main advantage of vasotomy is minimal invasiveness and safety. The procedure is performed using local anesthesia - this reduces the risks associated with general anesthesia.

Additional benefits:

  • Fast recovery. Most patients return to their normal activities the very next day after the procedure
  • Long-lasting effect. After vasotomy, improvement in breathing through the nose continues for many years

Another advantage of this procedure is the reduction in dependence on medications. In particular, the need to use vasoconstrictor drops and nasal sprays is reduced.

Preparation

Before the surgical procedure, rhinoscopy is performed - examination of the inside of the nose using an endoscope. Then echosinusoscopy is performed. This procedure, which involves the use of ultrasound technology, allows you to study in detail the condition of the paranasal sinuses. In some cases, a computed tomography scan is also prescribed.

In addition, laboratory tests need to be done. These include:

  • General blood test (allows you to clarify the level of leukocytes and platelets)
  • Coagulogram (allows you to evaluate blood clotting)
  • Urine and blood tests for the presence of HIV, syphilis and hepatitis

Additionally, it is recommended to sanitize the oral cavity and cure caries (if detected).

Immediately after vasotomy, most patients leave the clinic and return home. The recovery process usually takes 7-10 days. During this time, you should:

  • Avoid heavy physical activity
  • Avoid visiting places with high temperature and humidity (for example, saunas and swimming pools)
  • Abstain from alcoholic beverages

Regular care of the nasal cavity is also important: in particular, it is necessary to carefully remove crusts and rinse the nose with saline solutions. This helps to avoid the formation of adhesions, which often appear in the first days after surgery due to the formation of a protective layer on the treated areas. To prevent inflammation, it is recommended to use antibacterial and anti-inflammatory agents.

Additionally, at home it is useful to use specialized sprays and drops, as well as natural (peach or olive) oils - they promote faster healing.

To reduce swelling, you can take antihistamines. However, you should avoid vasoconstrictors - otherwise you can provoke a recurrence of the problem.

How is an appointment with an otolaryngologist

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.

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