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Laser nose unblocking of symptomatic nose septum spurs under local anaesthetic spray in clinic

Here’s a case where there was a small septal spur on the right side of the nose causing disordered flow and the sensation of blockage even though a turbinoplasty had worked well (blue arrow second picture). The spur can be seen on the first (left) photo opposite the indentation of the inferior turbinate caused by the turbinoplasty. On the second photo the white arrow shows the spur has been removed using co-phenylcaine spray only, and the Holmium YAG laser. There was an instant improvement in breathing sensation. The third picture, at the bottom, shows the septum 6 weeks later. The patient now feels that the constant feeling of something being there when breathing in or out has gone.

This is a form of laser septoplasty under local anaesthetic in the clinic.



2件のコメント


Grant Heather
Grant Heather
2021年11月22日

Hello Mike, I have been following your posts with interest waiting to match up my symptoms with your visual and explanatory notes. The septal spur is closest to my experience which has made life a misery for past four years. I had an MRI scan but only showed up 'veinous anomalies'. I have had an endescopy as you will know from your files but symptoms have been like drowning on one side of head accompanied by anxiety and loss of sleep. I think I now need to see you and hopefully you can help me finally get rid of this horrible feeling. Regards Mr G Heather

いいね!
Mike Dilkes ENT Surgeon MSFRCS
Mike Dilkes ENT Surgeon MSFRCS
2021年11月30日
返信先

Hello there I’m not sure if I replied! Anyway come and see me 02078709166 to arrange. Mike Dilkes

いいね!
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