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Medical Forum / Diseases and Disorders / Sinusitis / May 2005

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P.R.I.T. Cautery

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Lynn - 11 May 2005 20:01 GMT
Hi, after years of suffering, I am making
a move to have some surgical help in opening
my nasal passageways.

My Dr. said he would cauterized by turbinates.
I assumed that this would be submucos.  But the
healing time on my form says 3-6 weeks and sounds
more like surface cauterization.

My form says P.R.I.T ( partial resection of inferior
turbinates)  Has anyone had this procedure, or have
knowledge of it? Is this procedure normally surface or
submucos?

I know I have to find out from my Dr ulitimately, But there
is always so much knowedge here..And I am really afraid of
making my condition worse, which is why I have suffered
for so long without any surgery. Thanks! Lynn
Don Brady - 12 May 2005 03:14 GMT
>Hi, after years of suffering, I am making
>a move to have some surgical help in opening
[quoted text clipped - 14 lines]
>making my condition worse, which is why I have suffered
>for so long without any surgery. Thanks! Lynn

See what Dr. Grossan and others say but it does not sound good to me......
Lynn - 19 May 2005 04:17 GMT
so..I called my Dr and asked him if he does the cauterization on the
surface or submucous.

He said "both"

Then he said "why are you asking?"

I said that I had the impression that surface cautery was a longer
healing time and that submucous preserved the cilia and was less
healing time.  So I just want to know how you are doing the procedure.

He said I can do under the surface, without doing the surface, but it
will change the surface evenso.

So, I am feeling like this Dr. is not the best to see.  He doesnt
handle questions very well.  Almost acts intimidated.  I am so tired
tho, of going from dr. to dr.  He is the only one so far that will try
cautery first without doing a septoplasy, (every other dr wants to do
both)which I dont feel I really need.  Or at least will be able to tell
if this doesnt help.....

Should I be worried?  I just dont want to end up worse.  That would be
unbearable.
Don Brady - 19 May 2005 07:56 GMT
>so..I called my Dr and asked him if he does the cauterization on the
>surface or submucous.
[quoted text clipped - 16 lines]
>both)which I dont feel I really need.  Or at least will be able to tell
>if this doesnt help.....

Often they need to do a minor septoplasty so that they can get the endoscop
in.

If done minimally and carefully, it is not  a problem.  I had a minimal
septoplasty  (along with comprehensive sinus surgery) with no problems,

>Should I be worried?  I just dont want to end up worse.  That would be
>unbearable.

See Dr. Grossan'e site for a discussion.

http://www.ent-consult.com/emptynose.html

I think that sub-mucus resection is the best procedure.  He has some cautions
there about cautery when done too widely.  
 
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