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Concerned

What kind of testing should be done or ordered by your plastic Suergeon if there demanding you do a

turbinectomy? Should your Suergeon order a recent ct? Or records from your ENT before this surgery?
Poster
  • Female | 32 years old
  • Complaint duration: 90 days
  • Ethnicity: Caucasian / White
  • Medications: Thick nasal coumpound for moisture/saline rinse at times.
  • Conditions: No ,mild allergies were diagnosed a year prior to seeing the plastic Suergeon.
November 25, 06:08 PM

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Featured Answer

1 UpVoted this answer
The inferior turbinate can be a source of nasal airway obstruction. It can be examined with and without the use of Affrin to determine its true significance. Clinical exam through an internal nasal exam should suffice in determining the size and significance of the inferior turbinate by your plastic surgeon during your rhinoplasty (nose job) consult. The turbinate can be reactive in balancing nasal air flow with septal deviation and/or internal valve collapse, and typically should be addressed in an airway case.
Andrew P Trussler
Andrew P Trussler, MD
Plastic Surgeon in Austin, TX
Level: Master Contributor (67)
Website: Andrew P. Trussler MD
December 01, 04:21 AM
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1 UpVoted this answer
Yes to all of the above. Turbinectomy's have serious risks. Find another doctor.
Howard Bellin
Howard Bellin, MD
Plastic Surgeon in New York, NY
Level: Contributor (20)
Website: Cosmedica
November 26, 03:53 PM
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1 UpVoted this answer
A "partial turbinectomy" might be recommended, not demanded, if you are symptomatic and have not responded to conservative medical therapy

Dr Corbin

www.noseexpert.com
Frederic H. Corbin
Frederic H. Corbin, MD
Plastic Surgeon in Beverly Hills, CA
Level: Master Contributor (71)
Website: http://www.drcorbin.com/
November 26, 02:43 PM
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1 UpVoted this answer
Whether or not to do a turbinectomy is usually a clinical decision made by your surgeon after assessing your airway and the state of the turbinates. There really is no good objective way to measure and then insist on doing a turbinectomy. Modern thinking is very conservative when it comes to removing turbinate tissue but there are situations where it is certainly advisable and you should clear this up with your surgeon in a frank discussion.
Louis Mes
Louis Mes, MD
Plastic Surgeon in Lafayette, LA
Level: Top Contributor (39)
Website: Louis Mes, MD
November 26, 02:52 AM
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1 UpVoted this answer
The need for turbinate modification is based upon physical examination and the response of symptoms to medical treatment before surgery, which can be obtained from medical records. No other tests are needed. You should inquire about the procedure since there are many ways to modify the turbinate without taking it out as this nomenclature implies.
Brian Machida
Brian Machida, MD
Facial Plastic Surgeon in Ontario, CA
Level: Candidate (2)
November 26, 01:59 AM
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1 UpVoted this answer
Hi.

I believe the best way to solve this situation is by communication. This is an elective operation so nobody has the right to demand anything. If this is the situation, consider a second consult.

I also believe that wherever possible, all relevant records should be evaluated prior to surgery. I think a CT should be ordered only if there is a clinical need, as it will generate costs and radiation exposure.

Aside from this, routine lab work is indicated.

I bet your ENT also does turbinectomy, and since he knows you, ask him about it. Turbinectomy is a small (minor?) procedure, but it can carry significant complications.

All the best.

sek
Scott E. Kasden
Scott E. Kasden, MD, FACS
Plastic Surgeon in Southlake, TX
Level: Candidate (2)
November 25, 11:56 PM
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1 UpVoted this answer
First of all, no one demands a turbinectomy. It is an elective procedure most commonly performed for improvement of airway restriction. Laboratory studies are not necessary unless a complicated medical history or medications. No CT scans or X rays a needed
Erik Nuveen
Erik Nuveen, MD
Cosmetic Surgeon in Oklahoma City, OK
Level: Contributor (7)
November 25, 10:34 PM
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1 UpVoted this answer
One would hope that you have enough confidence in your surgeon that you would be satisfied with their opinion. Usually only a good intranasal exam is all that is needed.
William B. Rosenblatt
William B. Rosenblatt, MD
Plastic Surgeon in New York City, NY
Level: Master Contributor (58)
Website: Lenox Hill Plastic Surgery Center
November 25, 10:30 PM
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1 UpVoted this answer
Records might be helpful but not really needed. An examination is usually sufficient. CT scan is a waste of $.
Howard S. Caplan
Howard S. Caplan, MD
Plastic Surgeon in Exton, PA
Level: Contributor (21)
November 25, 10:26 PM
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1 UpVoted this answer
The need for turbinectomy is best determined with physical exam to note findings of diminished air flow through a nostril with a visibally enlarged inferior turbinate. I would have your nose examined by a qualified practitioner and request any old records related to the nose. If still unclear then CT scan would be indicated.
Barry S. Handler
Barry S. Handler, MD
Plastic Surgeon in San Diego, CA
Level: Candidate (3)
Website: http://www.barryhandlermd.com
November 25, 10:26 PM
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