Located in the metro Atlanta area, Northwest ENT and Allergy Center is a state-of-the-art facility specializing in otolaryngology. Our providers evaluate and treat both adult and pediatric patients for a wide range of ear, nose, throat, and neck conditions. At Northwest ENT and Allergy Center, our board certified physicians and compassionate nursing staff work together to provide comprehensive, patient-centered care for all of your ENT needs. We pride ourselves on delivering personalized medical care at each of our locations.
I would like to discuss few things with you 1. Had DNS , Crooked nose 2. CRS worsened during last 5-6 years 3. Underwent septorhinoplasty 2021 plus right FESS done 4. 2022 again 2episodes of sinusitis 5. Regularly on medical therapy 6. Left middle concha bullosa . OMS blockade. Right lamellar middle concha. 7. Constant symptoms blockade, poor sleep, headache. 8. Last 15days again sinuisits ( pansinusitis ). MSSA isolated. What's your opinion? For persistent CRS problem 1. Middle conchoplasty with FESS ( how likely is the success rate according to your experience over the years ) 2. *Do you prefer to reduce inferior turbinates along with FESS* ? ENS chances?
I had two episodes of major nose bleeding. I think it was caused from sneezing. Once the nose started to bleed it was like a faucet. Two trips to the ER. Now just waiting to see when I can get this new packing removed.
Here is my take on this all, you should consider surgery only after exhausting all other methods first. Your nose swells due to allergy, infection, etc. So you need to control this before surgery to see if your nose returns to normal again, also get allergy tested and shots to see if that helps if the cause. After all this and every option then you consider surgery, but remember usually your swollen due to something, even with surgery your swelling will continue if not resolved. Regarding ENS, yes its real but its rare in most cases and most involved TOTAL removal or substantial reduction. Yes, I know some got it from minor ops but there could have been something there already that just brought it out sooner. At the end of the day its about quality of life. I personally am in the allergy testing stage and meds, my nose is almost 100% blocked both sides daily for 8 weeks now. Life stinks because I am totally healthy but cannot breath due to my nose. So my take is my quality of life is poor and its causing job issues, workout issues, and general issues with day to day things. With that said I now have to weigh out two things, is my life good right now and will it improve with turbinate reduction, the answer is yes to improve and no to good right now. See when you are congested at 100% both sides its living hell, you have no sense of smell, taste, and are winded most days due to poor airflow, your sleep is poor, mental fog, and loss of ability to workout, sports, etc. So for people like me what are my options? Live with this and be miserable daily or do surgery and improve breathing and most likely get back to normal and thrive. People will say you get ENS but my life is hell now, so what do I do then, I suffer now so some rare event will keep me from living? That is the issue, others probably in same boat as me, its like I am miserable now and have option to improve but I could get a rare issue most don't get, so then what are the options LOL. In the end I think you don't get surgery if minor issue or only little blockage, those of us like 90-100 blocked have little option but to do this to get our life back. Post thoughts but its a hard one, I hate surgery but have spent so long using meds and sprays with zero help its like now what, sit in chair and feel sick for 50 years or do this and get life back in two weeks. Good luck all, educate and get a good doctor and do as little as needed and I hope that works for us, we are all in bad spot so rather than be negative support is key we all suffer and just want relief from this pain of lack of air, the ENS crew needs to know we are not their enemy just folks who are suffering also, and we have little options to improve.
I'm in pretty much the same boat as you, not quite as bad, but know exactly how you feel. I'm opting to do it in a few weeks with the EXACT same method as described in this video. Do your research, and make sure that your surgeon is using the microdebreider method and isnt going to be overly aggressive un the reduction. It's hard to get real incidence stats on ENS, but based on data available I would estimate it to be 3 in 1500 turbinate reductions with microdebreider. The other methods seem to have a higher incidence rate, but not by much.
Hey,I hope that you are still Okay who have gone through the surgery. I'm Now 25 years old,and I've been suffering from Nasal Obstruction (Heavily Breathing problem) due to allergic Rhinitis Since 2010! I almost spent my childhood and whole teenage life horribly. Finally after 12 years i had the surgery 9 days ago! Yes,i feel better,but my nose is still congested. Still my air flows are obstructed. Though,My doctor said that i'll feel better after 1 months! Yet,i feel terrified as i said earlier that i spent my Childhood and teenage life having breathing problem that caused my quality of life go down! I sometimes feel like i've never realized how blessed to have great Nasal airflow. I never breath so smoothly in my life. Still,i'm in trauma as after 9 days of surgery my Nose is still congested! Will it be okay after 4-5 weeks? Will i be able to take fresh air like Normal people?
@@hmody50 I wouldn't be thinking about that for at least 2 weeks if your post-op is going smoothly, you run the risk of blowing a nasal blood vessel or passing out.
My son is having it done there next Thursday! As his post surgery caretaker I wanted to see how you perform the surgery and post care! Prayers up for a successful surgery and swift recovery and they never return! 🙏 Thank you for your expertise an all you do! 🌹
i am a little nervous. a couple days ago , andsometimes i use a cotton swab to just see if I have wax in and only go only a little bit inside the ear. it felt like i had a lot so i was just tryign to see. usually i use peroxide to do the cleaning. i stuck int in just beyond the l begning barely in and didn't angle it down ward, i am always very careful. but 2 nights ago for some reason when i did that, my arm made a suddenmovemnt and it seem slike a quick movmen that went in an out real fast however, i am very certian i have tons of wax deep in because it sounds and feels like ( even prior to this) that i have some blockage. i hope I didn't do anything to my eardrum . if I did something would it hurt really really bad?
I was told by my doctor not to use any blood constricting nasal sprays after the surgery and it also makes sense to me since the bleeding is what heals the damage.
I had same surgery done, but unable to breath through nose at all since out of surgery and doctor tells me no rinses of any kind until 6 days after surgery. I did have stitches and a splint I think. I'm bleeding badly, changing gauze every hour, and gurgling my mouth with listerine spitting up huge dark chunks of blood. My uvula is swollen hanging low and discolored. Was feeling feverish yesterday. But no temperature. I am not a happy camper and feel completely let down by my scheduling nurse, surgeon, hospital discharge, and my pharmacy.
Swollen uvula is caused by the breathing tube they insert into you when you're asleep. Very common side effect. Every operation has risks and it sounds like you were just unlucky.
@@fuuzzzy honestly for me the first week was torture. But i think to make it better i would use the nasal spray often (use distilled water cause tap water has bacteria that will survive and grow in your nose) and use Q-tips with hydrogen peroxide to clean around the tubes. Also get a humidifier for your room to try and keep the air moist and use chapstick cause you’re going to be breathing through your mouth once you get the splints in. But once they’re removed and they suction out the mucous you’ll feel great and it’ll only get better :)
To repair near obstruction of left nasal passage, I had a septoplasty and turbinectomy. Recovery was not pleasant and at post op exam the doc removed packing and long thin blades from the opening(s), not sure if blades were removed from both sides or just one, I was pretty out of it. Now, about 18 years later, the right nasal passage is nearly obstructed and I'm almost afraid to have it checked. Why did this happen again (on other side)? No new injury occurred.
The turbinates can regrow. I had this op done yesterday and I was told the turbinates (as they are bone) will likely regrow. For some patients, this can occur in a few months, in others it takes decades.
i got Empty nose syndrome and severe nasal nerve pain from this exact method!!!! from RAVOR CURIS radiofrequency to turbinates and septoplasty. THE ENT SAID IT WAS TOTALLY SAFE.
seeing those comments make me feel scared, I had a turbinate reduction (without my knowledge or consent) a year ago but I seem to be fine except that my nose feels drier than before. hopefully I won’t develop ens
They call that awareness but this is sounds like if you get this surgery you are going to die , they create depression , anxiety for other people , they think they save people but they only think of themselves . there are risks everywhere , now think about this , there are millions of people who get this surgery anually all around the world , how many you see them commenting to these videos ? Most people feel much better no reason to come here , you only see few guys commenting on every single video about ens . You will be fine !
i suffer badly from empty nose syndrome 24/7.i have constant dyspnea constant suffocation feeling .total lack of air resistance.chronic face and nasal pain post nasal drip.dryness in throat and nose .my body ends up hyperventilating every day on and off because of this.if this ent could spend 5 mins suffering with ens he would be talking about ens straightaway on youtube instead of talking about turbinate reductions.i am constantly mentally and physicly drained because of my ens.i am very sick and tired all the time because of this. both my inferior turbinates where reduced by 20 to 30 %.smd submucous bipolar diathermy and debrider was the procedures i had done on my inferior turbinates that caused my empty nose syndrome.empty nose syndrome is not rare eithers.my ent did not say anything about ens risks to me beforehand.and nothing was written about empty nose syndrome on my operation agreement form i sighned.😠😧
Choose your surgeon carefully. I managed to get a top ENT surgeon at a teaching hospital and everything went as planned.There's still some soreness after a month but otherwise I can breathe properly for the first time in my life. Insurance paid for every procedure surgeon recommended. I just wish I'd have had the surgery 10 years ago instead of suffering.
For the love of god don't promote this as a routine surgery there is nothing routine about altering the natural anatomy and aerodynamics of the nose. That's for the doctors. As for the patients DON'T FALL FOR IT because all it takes is one surgery and you're in this mucky swamp that you can never get out of. *EMPTY NOSE IS REAL AND IS IRREVERSIBLE*
You can call any surgery altering natural anatomy. A deviated septum which is blocking the airway is natural anatomy sure but the nose is not working the way it should. Any surgery has risks.
@@bakirev The issue is when a patient is not being informed of ALL risks involved. Many people have been persuaded to have septoplasties and turbinate reduction without really understanding if their complaint truly is severe enough to go into surgery. Most aren't going in for cancers or tumors that's for sure.💵
There is always the risk of getting Empty Nose Syndrome. Let it be! The potentiell benefits are nothing against getting disabled for life. No sleep, bad breathing!
Okay, I am going to copy and paste this - I would say a positive comment - to a couple of related videos the same as others are copy-pasting the comments about ENS as I feel like only negative stories are being spread. Before my radio-frequency inferior turbinate reduction, I was freaking out about it because I would read all the negative comments about the ENS and how these people are suicidal. Well, I was aware of this risk, but still, I went through this, because the blockage of my nose, especially the left nostril, was so bad, that I had headaches, dry eyes, could not have a good night's sleep..., basically I had constantly less energy and did not use my full physical and psychical potential. Yes, it can affect your life tremendously when you are not able to breathe freely for a long time. Anyways, before the surgery, I visited more doctors to have more information about the risks and potential ENS and they said that they could not disprove this, but they also said that in my case the risk was minimal as I would have only local anesthesia and the least invading technique. So here I am writing this comment, I am exactly one day after the inferior turbinate reduction done with the radiofrequency method, in the end, only the left nostril as my right side was okay. The procedure was not comfortable but for me less painful than visiting a dentist. I felt pressure, vibration, resonance, and heat, but it was manageable. After I got home, I removed the nose tampon from the left nostril and I knew right away that I was breathing through, but I did not feel the air going through the left nostril because it was still anesthetized from the tampon. There was a bit of blood, mucous, but after about the next two hours, I realized how much-left nose was blocked. I was finally breathing and I felt it, the air and you cannot imagine such relief. The nostril is still pretty sensitive though, so you must listen to what the doctor says, like no much blowing your nose for first days, no extreme temperature changes (no hot shower...), no high physical activity the first week, etc. This is my experience. It ended up well and I want to encourage you, that if you suffer a lot, it is probably worth taking the risk. My advice: before your surgery, make sure the doctor is experienced with this and talk to him about the complications he had experience with other patients. Talk to him that you would like to have the least invading method performed to minimize the risks. And those who are interested, the RF machine used for my surgery was The CURIS® 4 MHz radiofrequency generator, you can google it if you want. Wish you good health and a lot of strength to the individuals whose surgery did not end up as expected.
@@theuncanspan dryness or crusting is a normal side effect that does not last forever, it is getting better over time and is manageable. The ENS might be a different story, but I don't experience anything like that. :)
Never do this surgery. They have no idea what they're doing to your nose. Science does not even fully understand the role of the turbinates yet. I got a septoplasty for my deviated septum and it didn't change anything. I'm just as congested as before. Don't waste your money!
I have a badly deviated septum and the inferior turbinate on my left side is large (almost constant stuffiness during allergy season and air feels a bit cold & dry on the left side), I was scheduled for a septoplasty and turbinate resection (with scalpel and cauterizer) tomorrow but I called it off after researching empty nose syndrome and getting from my surgeon that he had "created" 3 cases over the past 40 years and that they're "a struggling bunch". I might have minor apnea and breathing problems that make sleeping and exercising a bit harder but that's way better than ruining my ability to do all of that completely.
It could get a little bit complicated and overpowering, but if you desperately want to make things simpler and just get rid of nasal polyps within days, not weeks, look for Devon Rifelone's site.
If you do not want to just mask the symptoms, but cut the main reason behind nasal polyps, cysts or sinusitis to never experience them again, then you should check out Devon Rifelone's internet site, googlee it if you want it.
I underwent this surgery with Dr. Ryan Kauffman(the guy In this video) and he did a phenomenal job. It has been 20 days since the procedure and I am now able to breathe a lot better through BOTH nostrils. I highly recommend Dr. Kauffman. I drove from Texas To Georgia to see him and I have no regrets. Thank you Dr. Kauffman!!
@@maestra.gabriela.lazalde Dr. Kauffman did not use any splints for me as his stitching technique is usually enough to keep your nose in place during recovery. Despite this, it is common to not be able to breathe through your nose for most of the first week after the surgery due to inflammation.
