Septoplasty: Do I Need Turbinate Reduction Too? - Otolaryngology

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Septoplasty is a surgical procedure aimed at correcting a deviated septum, which is the cartilage and bone that divides the nasal cavity into two nostrils. This surgery can significantly improve airflow through the nasal passages, alleviate breathing difficulties, and reduce symptoms associated with nasal obstruction. However, many patients often wonder whether turbinate reduction is necessary alongside septoplasty.

Turbinate reduction is a procedure that involves reducing the size of the turbinates, which are structures inside the nose that help humidify and filter the air we breathe. When these turbinates become enlarged, they can contribute to nasal obstruction and other symptoms similar to those caused by a deviated septum. Therefore, it is not uncommon for surgeons to recommend turbinate reduction during septoplasty, especially if the turbinates are significantly contributing to the patient's symptoms.

In your case, the surgeon has indicated that you have hypertrophied turbinates and has suggested that they be reduced during the septoplasty. This is a common practice and can lead to better overall outcomes for patients suffering from nasal obstruction. If you have previously undergone turbinate reduction, it is not unusual to have it done again if the turbinates have enlarged once more or if you are still experiencing significant symptoms.

Regarding your concern about whether the previous surgery was a turbinate reduction or not, it is essential to review your medical records. If you had a procedure that specifically addressed the turbinates, it would typically be documented as such. If there is any ambiguity, discussing this with your current surgeon can provide clarity.

As for your question about whether the current procedure for turbinate reduction relates to sinusitis or chronic rhinitis, it is important to understand that these conditions can often coexist with nasal obstruction. Chronic rhinitis, which can be allergic or non-allergic, may lead to inflammation and swelling of the nasal tissues, including the turbinates. If your symptoms of nasal congestion and runny nose are persistent, they could indeed be linked to chronic rhinitis, which may necessitate the turbinate reduction.

Regarding your insurance concerns, it is crucial to understand the specific terms of your policy. Many insurance plans have exclusions for certain conditions or procedures, and chronic sinusitis or rhinitis may fall under those exclusions depending on the policy. If you believe that your treatment is necessary and should be covered, it may be beneficial to appeal the insurance company's decision or seek clarification on the terms of your coverage. Consulting with your healthcare provider's office may also help, as they often have experience dealing with insurance matters and can assist in advocating for your case.

In summary, turbinate reduction is often performed alongside septoplasty to enhance nasal airflow and alleviate symptoms of obstruction. If you have had prior surgeries, reviewing your medical history is essential for understanding your treatment path. Additionally, addressing your insurance concerns with your provider can help clarify coverage issues related to your condition. Always feel free to ask your surgeon any questions you may have about the procedures and their necessity, as open communication is key to ensuring you receive the best care possible.