NOSE MEAT AESTHETICS (CONCHA)
In case of growth of lower nasal meats called turbinate hypertrophy, surgeries may be required for the treatment of nasal obstructions that usually increase at night.
Conchas (lower nasal meats), which have a very important place in nose functions, should not be removed completely. Nose functions are impaired following the type of surgeries performed in the past, besides the negative results in respiratory physiology, the complaints such as dryness, crusting, recurrent infections and burning sensation in the nose are extremely difficult and sometimes impossible.
For this reason, conchas are not taken down today and only techniques that do not damage the outer surface skin of the nose meat are preferred.
In the middle of the nose, there is a growth in the meat of the opposite nasal passage, which has a curvature on one side of the bone and cartilage structure, which separates the two nasal passages, and that is larger in volume in the majority of the patients who cause obstruction. For this reason, it is necessary to shrink the meat of the meat located in the nasal passage on the opposite side of the curvature with an appropriate intervention in order to obtain a satisfactory result in most of the deviation surgeries. Otherwise, by bringing the septum, which has shifted to one side, to the midline, the wider side will be narrowed relatively and congestion will occur because the conchas that have adapted to the preoperative volume of this section are not reduced.
The most common methods
Reduction of the lower turbinate by radiofrequency
Radiofrequency energy is given into the soft tissues with rich vein content under the lower concha skin without damaging the mucosa, thereby reducing the tissue volume by shrinkage, hardening caused by the damage occurring in the tissues.
Radiofrequency procedure of the lower concha can be performed under local anesthesia (regional numbness) in patients. Since there is no cut in the nasal flesh during the procedure, there is no significant bleeding after the procedure, no tampon is required. Pain is not felt after the procedure, patients can return to their daily activities immediately.
Nasal surgeries performed for aesthetics or congestion can be easily performed during operations for chronic sinusitis.
Dryness, light bleeding, crusting and obstruction continue after surgery for 2-3 weeks. Complete recovery happens after 4-6 weeks. In addition to shrinkage in meat, it decreases in enlargements caused by external stimuli, allergic diseases or body position.
The radiofrequency process, which can be applied very safely and comfortably in the treatment of lower nasal meat growths, which plays a major role in nasal congestion, which has serious negative effects on the quality of life, is about 80% in a single session. The procedure can be repeated with waiting periods of 2-3 months in those who cannot obtain the desired nasal opening completely.
In patients who have successful results with radiofrequency, the diseases such as allergic rhinitis, vasomotor rhinitis, nasal flesh may grow again in 6 months - 1 year if the patients are constantly dry and dirty, smoky or cold environments or using vasodilating drugs. Radiofrequency process can be repeated in patients with this condition.
Konka radiofrequency procedure is one of the most preferred procedures by patients and physicians due to its advantages such as high chance of success, no buffering, local anesthesia and bleeding, although the complaints may recur even if they are low.
Endoscopic Concha Reduction
In cases where there is growth in the bone part of the nose meat, using the endoscope and microdebrider, the soft tissue and bone tissue under the mucosa are shaved and shrunk.
This method is generally applied in cases where the size of the turbinates is an important factor in the bone in the turbinate, the turbinate is too large or deformed, the desired result cannot be obtained with radiofrequency applications or the radiofrequency process is not preferred due to the possibility of recurrence.
The procedure is performed under general anesthesia and takes around 20-30 minutes when applied with micro debrider technology. Since the size of the new micro debrider devices developed for the nose meat is very small, the mucous integrity is not disrupted during the procedure, so endoscopic reduction surgeries can now be performed without the use of tampons. Due to the rich blood vessel content of the turbinates, it is recommended that the patients should not squirt or force the nose for 72 hours against the possibility of bleeding after surgery.
Following the endoscopic turbinate surgery, which is a highly effective method, there is a significant reduction in meat. With the help of new micro debriders, the posterior parts of the lower nasal meat are also reached, and the lower conchas of these parts can be enlarged or deformed successfully. In some patients with this condition, it may be preferred to apply radiofrequency to the back of the lower concha.
Since the endoscopic reduction method is a technique that protects the concha mucosa, it is much more rare in patients who have diagnoses such as allergic rhinitis, vasomotor rhinitis, where the air is dry and dirty continuously, in non-smoky or cold environments or using vasodilating drugs. The application of radiofrequency in these patients gives very good results.
Konka Bulloza Surgery
Structurally, an air cell can be found in the middle nasal meats (middle turbinate). This situation is called concha bullosa.
The growth of this air cell prevents air flow in the mid-nasal passage, and it can also cause headaches and chronic sinus inflammation due to blockage in the sinus ejaculation channels located on the outer wall of the passage.
In the presence of concha bullosa that causes such problems, an operation called concha bullosa plasty should be performed using endoscopic surgical technicians suitable for the muzzle of the nose. Although the removal of medium meats, which are not as critical as the sub-meats, does not cause serious problems in nose physiology in terms of the task it performs, it is preferred to remove some of them without removing them in order not to disrupt the anatomical structure.