What is cautery to inferior turbinates?

Cautery of the inferior turbinates is a medical procedure performed to reduce the size or swelling of the nasal turbinates, specifically the inferior turbinates. The turbinates are structures in the nasal passages that help humidify and filter the air we breathe. Sometimes, due to various factors, such as allergies or chronic nasal congestion, the inferior turbinates can become enlarged or swollen, leading to breathing difficulties and other symptoms.

Cautery is a technique used to shrink the inferior turbinates and improve airflow in the nasal passages. Here's how the procedure works:

General anaesthetic: Mr Farnan performs the procedure under general anaesthetic with the patient fully asleep.

Cautery or Diathermy: Mr Farnan uses a cautery device or diathermy instrument. This tool delivers controlled, localized heat to the inferior turbinates. The heat energy causes the blood vessels in the turbinates to coagulate or shrink, reducing the size of the turbinates.

What are the risks of cautery to inferior turbinates?

Cautery of the inferior turbinates is generally considered a safe and effective procedure, but like any medical intervention, it carries some potential risks and complications. These risks are usually low, but it's essential to discuss them with your healthcare provider before undergoing the procedure. Some of the possible risks and side effects of cautery to the inferior turbinates include:

Pain and Discomfort: It's common to experience some pain or discomfort after the procedure, which typically resolves within a few days. Over-the-counter pain medications or prescribed pain relief may be necessary.

Swelling and Congestion: Swelling and nasal congestion are common immediately after the procedure and can persist for several days. This can affect breathing and lead to temporary nasal obstruction.

Bleeding: Mild bleeding is a potential complication of cautery, although this is usually minimal and can be controlled by applying pressure. Excessive bleeding is rare but possible.

Scarring: In some cases, the cautery procedure can cause scarring or adhesions within the nasal passages. These can affect breathing and may require further treatment.

Temporary Dryness: Some patients may experience dryness in the nasal passages after cautery, which can lead to crusting and discomfort.

Infection: While the risk of infection is low, there is still a potential for postoperative infection. Surgeons often prescribe antibiotics or provide specific postoperative care instructions to reduce this risk.

No Improvement: While many patients experience relief from nasal congestion and breathing difficulties after inferior turbinate cautery, the procedure may not always provide the desired or long-lasting results for everyone.

Revision Surgery: In some cases, the effects of cautery may diminish over time, and patients may require additional treatments or revision surgery to address recurrent nasal congestion or other symptoms.

It's essential to have a thorough discussion with your healthcare provider about the risks and benefits of inferior turbinate cautery and to ensure that the procedure is suitable for your specific condition. A skilled otolaryngologist or ear, nose, and throat specialist will evaluate your medical history and conduct a thorough examination to determine the most appropriate treatment for your nasal issues. Additionally, postoperative care instructions and regular follow-up appointments are crucial to minimize the risks and ensure a successful recovery.

How long should I take off work after cautery to inferior turbinates?

Mr Farnan recommends taking two weeks off work after cautery to inferior turbinates