It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....

Sinus Problems Message Board

Sinus Surgery

Post New Thread   Closed Thread
LinkBack Thread Tools Search this Thread
Old 04-21-2005, 11:01 AM   #1
Join Date: Apr 2005
Posts: 1
partipilopf HB User
Sinus Surgery

My dr suggested for me to have NAR SMR Turbinates done to my sinuses. Does anyone know what that means and can direct me to resources to learn more? I wanted to know the recovery period and if there's bruising involved.


Sponsors Lightbulb
Old 04-21-2005, 03:50 PM   #2
Join Date: Mar 2005
Location: Texas
Posts: 465
frustrated35 HB User
Re: Sinus Surgery

Originally Posted by partipilopf
My dr suggested for me to have NAR SMR Turbinates done to my sinuses. Does anyone know what that means and can direct me to resources to learn more? I wanted to know the recovery period and if there's bruising involved.

I haven't had this done, but found out some info....

What are turbinates?
The turbinates are shelves on the side of the nose. The main ones are the middle and the inferior. They normally enlarge and shrink. They especially enlarge with a cold or infection because blood is coming to the area to fight infection. They enlarge with allergy, and become pale and swollen.

Sometimes they happen to be swollen on the day you see the doctor, and if you are complaining that your breathing feels blocked, it makes sense to reduce their size. Enlargement of the turbinates can, at times, be seen on an X- ray.


What Do Turbinates Do?
The turbinates serve a major function. They warm inhaled air before it enters the lungs. They are covered by millions of cilia which defend the body against contaigons and irritants in the inhaled air. They provide an environment for the good white blood cells, and a bacteria-fighting enzyme called lysozyme, to gather and fight infection. They act as a baffle to better direct the flow of air.

No matter how much your turbinates seem to cause you trouble, you don't want to just remove them. If you did, you would have dryness, crusting and sensations of burning pain. Doctors have therefore come up with various ways to reduce the blockage of your nasal passages without removing your turbinates and their cilia.

Surgery Methods
One technique is to just remove a small amount, not enough to take away too much cilia. In certain cases the position of the turbinates is such that the middle turbinate blocks sinus drainage. Here it is necessary to modify the turbinate to allow sinus drainage. Whatever is done to the turbinates, however, there are different ways of doing it.

One procedure is called a submucus resection of the turbinates. This means that you make an incision and lift up the turbinate skin called mucosa. Then you remove the bone so that the turbinate assumes a new position, close to the side walls. This technique usually preserves the cilia and all functions.

In yet another procedure, the turbinate is scored either with acid or a laser. Parallel lines are drawn with spaces in-between. Unfortunately, with this method you lose good cilia. A laser can be directed under the mucosa, so it only affects the tissue under the turbinate covering. I have seen patients loose some ciliary function with this method.

The physicians in our medical group use a radio frequency current to coagulate the material under the mucosa. This therapy is precisely directed, and does not damage nearby tissue as do other methods which generate heat. . It seems to be the best approach. It is an office procedure and is painless. This is the same system we use for snoring surgery or Somnoplasty, done in our office.

Sleeping and Turbinates
The turbinates are important for the sleep mechanism. When you sleep, you are supposed to turn some 50 times a night. This prevents you from getting pressure sores. What happens is that you sleep on the right side, with the right turbinate down. After a time, this right turbinate fills up with fluid, and expands so that it pushes against the septum in the mid line and this makes you turn on the left side until that side fills up and turns you again. This is why when you sleep cramped, where you can't turn, you get achey muscles and bed sores.

Turbinates and The Common Cold
Many factors contribute to getting colds, some rather surprising. It is generally believed that the viruses spread more easily during winter because we tend to spend more time indoors in poorly ventilated rooms. Another factor could be that sunlight kills viruses and that there is far less sunlight during the dark days of winter. However, in recent years these explanations of the seasonality of common colds have been modified as scientists have realized that changes in the weather affect humans in unexpected ways. The cold wet weather and lack of sunlight certainly makes many of us feel 'under the weather', or depressed, and these psychological changes can reduce the effectiveness of our immune system. However, not everyone who lives in cold places gets colds frequently, so there are other factors which we are still trying to figure out.

We do know that poor ciliary function increases the risk of contracting a cold. This is one of the reasons that getting chilled is associated with contracting a cold: when one gets chilled, the ciliary function is decreased.

Pulsatile nasal irrigation helps improve poor turbinate function. The pulsating action of the saline beating against the cilia help the cilia come back to moving at their normal speed. The pulsation also acts in a massaging manner to bring more circulation to the turbinates. The rinsing action of the saline removes thick mucus, which allows the turbinate cilia to recover. The removal of certain virus receptors called ICAM 1 and bacteria may help significantly in reducing colds.

Strange as it may seem, the cilia of the oyster work the same as the cilia of the nose and respiratory tract. If the water is stagnant, the cilia slow down. If you agitate the water, the cilia speed up. In humans, the pulsating saline provides the agitation to speed up the ciliary motion to the speed of healthy cilia.

Hope that helped. I learned something new. Maybe someone on here has had it done and give you thier take. Good luck!

The Following User Says Thank You to frustrated35 For This Useful Post:
Yolanda72 (07-14-2012)
Old 04-21-2005, 05:05 PM   #3
The Inquirer
Senior Member
Join Date: Oct 2004
Posts: 220
The Inquirer HB User
Re: Sinus Surgery

My guess is that NAR is nasal airway reconstruction and SMR is Sub-Mucous Resection. You might also hear the term FESS, which stands for functional endoscopic sinus surgery. I have had this done. As long as it is done endoscopically (through the nose, not the gums, etc), you should not have any bruising whatsoever. I also found it to be quite painless, unless you're having a deviated septum fixed as well -- that causes a little pain, but nothing excruciating.

You might want to post on the allergy board -- there's lots of people there who have had this done.

Good luck,

Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Severe ethmoid pain - sinus or nerve? Please help. dreemilyn Sinus Problems 5 11-27-2009 05:12 AM
Sinus Problems, nasal polyps, and allergies Jiminy_ND Sinus Problems 10 06-27-2008 05:46 PM
The Big Bad Sinus Infection collegefbfan Sinus Problems 14 03-05-2008 03:51 AM
Sinus surgery Minor... or slightly major...? nujai Sinus Problems 5 10-08-2007 06:32 AM
Doctor says I need sinus surgery! sjde Sinus Problems 7 09-30-2007 02:43 PM
What is sinus surgery? Overcash Sinus Problems 1 10-31-2006 01:33 PM
Has anyone here had sinus surgery? CruiseMomInSC Sinus Problems 6 08-10-2006 11:08 AM
Candidiasis, Is that what I have??????? Gab2000 Allergies 24 02-25-2005 06:14 AM
Bad, Bad news from the ENT-it is over guys, time for sinus obliteration Halls Sinus Problems 17 12-10-2004 08:12 AM

Thread Tools Search this Thread
Search this Thread:

Advanced Search

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off

Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 02:18 PM.

Site owned and operated by HealthBoards.comô
© 1998-2018 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!