
A 26-year-old female was referred to the ENT Department by her GP complaining about bilateral nasal blockage, notably worse in the course of occasional viral infections, constant clear nasal discharge and occasional sneezing. The patient had tried courses of intranasal steroids and oral antihistamines prescribed by her GP, which improved her nasal discharge and sneezing; however, her nasal blockage was not improved significantly and the patient was experiencing troubled sleep and declination in her overall wellbeing and quality of life. On examination, anterior rhinoscopy and flexible nasendoscopy demonstrated evidence of allergic rhinitis and significant hypertrophy of inferior turbinates bilaterally. The septum was not deviated and there was no evidence of alar collapse. Skin prick testing was undertaken and depicted allergy to house dust mites. Given that the patient has already tried several courses of antiallergic medication, with minimal improvement regarding her nasal blockage, she was offered the option of a turbinate reduction under general anesthesia. Superficial linear diathermy of the inferior turbinates bilaterally was performed, utilizing a monopolar electrocautery needle (20 W). No nasal packing was necessary and a chlorhexidine dihydrochloride and neomycin sulfate nasal ointment and a salty water spray were prescribed for postoperative treatment. The patient was reviewed 6 weeks following treatment and she reported a significant improvement regarding her nasal blockage and sleep quality.
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