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Nasal Cautery: Relief for Chronic Congestion

Nasal Cautery: Relief for Chronic Congestion

Nasal mucosal cauterization (or coagulation) is a surgical procedure that helps reduce hypertrophied areas of the nasal mucosa.

Table Of Contents

Nasal mucosal cauterization (or coagulation) is a surgical procedure that helps reduce hypertrophied areas of the nasal mucosa. Chronic rhinitis, which is often associated with breathing difficulties, can lead to dependence on decongestants. However, cauterization of the nasal mucosa reduces its blood supply, which promotes contraction of the mucosa itself, restoring the ability to breathe through the nose. Furthermore, this method can help manage frequent nosebleeds, as well as other types of rhinitis, such as vasotonic, allergic, and medicamentous rhinitis. Nasal cautery is a safe and effective treatment option that provides long-term relief for patients suffering from persistent nasal congestion and recurrent nosebleeds.

Indications for coagulation

  • This procedure is indicated in the following cases: chronic rhinitis that does not respond to other treatment methods, inability to breathe through the nose without the use of vasoconstrictor drugs, recurrent nosebleeds, and hypertrophy (enlargement) of the mucous membrane.
  • There are several methods for cauterizing the nasal mucosa, including silver cauterization, cryocoagulation, electrocoagulation, laser cauterization, and radio wave disintegration of the inferior turbinate mucosa. Each method has its own characteristics, and the choice depends on the indications and individual patient needs.

Advantages

  • The advantages of nasal mucosal cauterization include the fact that the procedure does not require general anesthesia and can be performed under local anesthesia. Treatment is performed only in the affected area, thereby preserving the surrounding tissue. Furthermore, the procedure requires no special preparation, has a relatively short recovery period, and does not require a hospital stay.

Rehabilitation after cauterization of the nasal mucosa

To ensure successful recovery after the procedure, it is necessary to follow the doctor’s recommendations, including not blowing your nose for several days, avoiding nasal manipulation, avoiding physical activity and hot water treatments, avoiding irritating foods and alcohol, and using topical treatments prescribed by your doctor. Like any medical procedure, nasal mucosal cauterization has its risks and limitations, and it’s important to consult a doctor and review the indications and contraindications before undergoing it. However, with the right approach and following post-procedure recommendations, nasal mucosal cauterization can significantly improve a patient’s quality of life, as it resolves breathing problems and nosebleeds, restoring free nasal breathing.

Radiowave cauterization of the nasal turbinates

It is a minor surgical procedure performed on an outpatient basis to treat nasal breathing difficulties using modern radiofrequency equipment. This procedure restores normal breathing in cases of epithelial hypertrophy and chronic mucosal edema. This technique is considered the safest and most effective in ENT practice, and due to its rapid procedure and short recovery period, it is also the most acceptable for patients.

Recovery

Postoperative mucosal swelling persists for 3-4 days, making nasal breathing difficult. Moderate pain is possible. After this, the swelling gradually begins to subside.

Full recovery may take 1-2 weeks, depending on individual circumstances. During the recovery period, the patient must regularly visit the clinic so the doctor can cleanse the mucosa of fibronecrotic plaque (crusts). Exudate from damaged mucosa has a high adhesive capacity. Neglecting professional treatments can lead to the formation of adhesions. Two weeks after surgery, the swelling subsides completely, and the patient can breathe freely through the nose again.

Doctor’s advice and recommendations

For two weeks after coagulation, avoid strenuous physical activity. During this period, a measured and calm lifestyle is recommended, avoiding overexertion and nervous tension. Avoid removing the scabs that form during tissue healing. This further injures the mucous membrane, increasing the risk of bacterial infection, adhesions, or scarring.

Indications for examination

  • chronic vasomotor rhinitis;
  • hypertrophic rhinitis;
  • snore;
  • medicamentous rhinitis
  • Surgical intervention is resorted to in cases where symptomatic and etiotropic therapy do not produce results.

Preparing for the examination

  • Before the operation, it is necessary to take tests and undergo a series of clinical examinations:
  • General clinical blood test (+ESR) – results are valid for 7 days;
  • General urine analysis – results are valid for 7 days;
  • blood coagulation test (PTI, INR, APTT, fibrinogen) – results are valid for 7 days;
  • blood test for HBsAg (hepatitis B virus antigen), a-HCV (antibodies to hepatitis C virus), RW, HIV – results are valid for 1 month.

 Cauterization of the nasal mucosa

Trauma, past illnesses, and chronic nasopharyngeal conditions can lead to mucosal proliferation. This condition obstructs airflow through the nasal passages and causes difficulty breathing. Nasal mucosal cauterization, a simple and safe procedure that serves as an alternative to surgical excision of excess tissue, helps normalize respiratory function.

Indications

Cauterization is recommended for chronic nasal conditions that cause respiratory distress due to mucosal proliferation. These conditions include allergic and vasomotor rhinitis, chronic sinusitis, polyposis, and recurrent nosebleeds.

Chronic swelling of the mucous membrane caused by one of the following factors may also be an indication for cauterization:

  • allergic reaction of any origin;
  • viral or bacterial infections, as well as their complications;
  • hormonal changes, including those associated with pregnancy and menopause;
  • endocrine pathologies leading to swelling of the nasal sinuses;
  • injuries and congenital anatomical features of the nose – a deviated septum, narrow nasal passages;
  • the appearance of neoplasms in the nose;
  • the entry of foreign bodies into the nasal passages and sinuses;

 

  • uncontrolled use of medications, especially vasoconstrictor drops.

Nasal mucosal cauterization surgery is performed only in cases where all possible conservative methods have been tried and have not produced the desired result.

Operation

Cauterization of the mucous membrane is simple and quick. The procedure is painless and can be performed under local anesthesia.

The method by which the nasal mucosa is cauterized depends on the chosen method:

  • During radio wave coagulation of the nasal mucosa, an electrode is placed inside the nasal cavity, which emits radio waves of a certain length and heats the tissue.
  • Laser coagulation is performed using a laser, which painlessly cauterizes tissue, stops bleeding, and has a disinfecting effect.
  • During ultrasonic cauterization, the nasal mucosa is affected by ultrasonic waves.
  • Electrocoagulation is performed using a long cylindrical electrode, which heats the mucous membrane with a high-frequency electric current.
  • All procedure options are minimally invasive, safe, and do not require a long recovery period.

Rehabilitation

For the first few days after nasal cauterization, avoid excessive physical activity, alcohol, and exposure to heat. Avoid saunas, hot showers or baths, and sunbathing. Failure to adhere to these restrictions can cause blood vessels to dilate, which can lead to bleeding. You should also avoid blowing your nose vigorously, as this will damage the sensitive mucous membrane.

For 3-4 days after surgery, crusts will remain inside the nasal cavity. Do not attempt to pick them off; they will soften and fall off on their own over time. To relieve the crusts, you can soak them in salt water or apply ointment. The first week after the procedure, you may experience a burning sensation, frequent sneezing, and a tickling sensation in the nose. This is normal. Once all the scabs fall off, the symptoms will subside.

Benefits of contacting the Best ENT Doctor

The otolaryngologists at the Consultant ENT have extensive experience and is proficient in all modern treatment methods for breathing problems. Our specialists will quickly and painlessly perform mucosal cauterization surgery, allowing you to breathe deeply again. If you’re experiencing chronic nasal congestion or frequent nosebleeds, don’t wait for the symptoms to worsen. Book a consultation with an experienced ENT specialist today to find out if nasal cautery is the right solution for you.

Arfa Malik

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