Submucous Resection

Submucous Resection is type of surgery that is performed to reduce the size of the nose's inferior turbinates.

May 6, 2022

Submucous Resection is type of surgery that is performed to reduce the size of the nose's inferior turbinates.

Some facts about Submucous Resection:

  • Unnecessary tissue from the nose's filters, also called enlarged turbinates can be eliminated by performing Submucous Resection.
  • Proper breathing as well as drainage of mucous from the sinus is prevented because of turbinates with excess tissue.
  • Excessive turbinate tissue can also cause aches, sinusitis and pains.
  • A submucosal resection operation should be undertaken when the tissues in the inferior turbinates interfere with both of the nasal cavities.
  • Patients who have enlarged turbinates that cause complicating symptoms with breathing may require a Submucous Resection.
  • It is performed alongside the septoplasty to help the patient breathe better.
  • The turbinates inside the nostril work to humidify and warm the air that we breathe in.
  • It is known as the inferior turbinate when the turbinate closest to the bottom of your nose, which can become enlarged making breathing through the nose more difficult.
  • Allergy and sinus medications are used as the first line of treatment to treat your nasal breathing problem.

Preparation for Submucous Resection:

  • Your doctor will be informed about your medical history such as about conditions you have or have had, as well as any current medications or supplements that you are taking.
  • A physical examination will be conducted by your doctor including any relevant tests to inspect your skin and the inside and outside of your nose.
  • Photographs of your nose from different angles will be taken to use these for discussion before Submucous Resection or for reference during and after surgery.
  • Medications containing aspirin or ibuprofen (Advil, Motrin IB, others) should be before and after surgery as these medications may increase bleeding.
  • Stop smoking if you smoke as smoking can increase your risk of having problems during and after surgery and also can slow the healing process.

Procedure for Submucous Resection:

  • Submucous Resection is usually conducted with the help of an anesthetic.
  • Packing is put inside of the patient's nose by the surgeon. It will not require a splint unless a septoplasty is being performed at the same time.
  • An incision will be made inside the nose and a tiny spinning blade is used to cut away the extra tissue.
  • The investing mucoperichondrial flaps are elevated for removal of bone and septal cartilage that becomes obstructive.
  • Vascular tissues as well as bone from the inferior turbinate will be suction out by using a microdebrider.
  • A submucosal resection is known as a 'function preserving technique' as the mucosa is preserved during this process.
  • Patients who undergo the procedure will still have the risk symptoms of ENS.
  • The turbinates are typically outfractured once the submucosal resection is completed.
  • Patients should only eat very soft foods that are cold after the surgery as it will help to stop nose bleeds.
  • Short lived bleeding as well as the hardening of blood during the healing process are side effects of a submucosal resection.
  • Burning sensation, commonly called 'dry nose' may sometimes occur after the surgery which can result in an infection as well as pain and irritation.
  • Dry nose or atrophic rhinitis occurs when too much functional tissue is removed during a a submucosal resection operation.