Clinical case:Turbinate Hyperplasia
Ablation of Inferior Turbinate
Laser used:Epic-S Diode Laser 940 nm
Accessory used:400 um bare fiber tip, initiate, black tip
Surgery handpiece
Treatment parameters:6W CW, submucosal ablation, or
3 interstitial passes.
Authored by physician:Yosef Krespi, MD
Professor of Otolaryngology, Hofstra School of Medicine, New York

Patient symptoms:

Nasal obstruction with or without rhinorrhea. Possible symptoms include itchy nose, sneezing and runny nose. Nasal obstruction may aggravate underlying conditions such as asthma, sleep apnea and snoring.


Fleshy mulberry inferior turbinates with a reddish coloration due to engorged vessels and glandular structures. Usually associated with large Swell Bodies with significant reduction of airspace.


Medical treatment includes nasal sprays steroids or anti-histamine with or without oral anti-histamines, steroids, montelukast (Singulair). When medical management fails or patient is unwilling to continue with it surgical solution is attempted.

Laser surgery, Pre-Op:

Anesthesia is achieved with a topical application of a mixture of lidocaine 2% and neosynephrine, followed by injection of 2% lidocaine with epinephrine 1:100,000.


Bacitracin is applied and vigorous nasal saline sprays for the following week is advised.


The laser treatment parameters above are provided as a guide and are based on results published or reported by physicians with experience in this indication. Individual treatment should be based on clinical training, clinical observation of laser-tissue interaction, appropriate clinical endpoints and each physician’s own medical judgment.