RF turbinate reduction when my turbinates fluctuate dramatically - concerned about over-reduction
p.s i know this is a lot to help a stranger, but please help me out, im literally dying because of this, i don’t sleep much maybe 2-3 hours per day if lucky
I’d even award $25 for taking your time
My nasal obstruction is very variable. When I’m upright and NOT taking tadalafil, my nose can actually be pretty clear. My main problem is that my turbinates swell and block my nose when I lie down with and without medications, and tadalafil/PDE5 inhibitors make them swell enough that I can feel congested even while standing.
My ENT has confirmed turbinate swelling(No medications on day of exam), and I’m scheduled for RF reduction.
My concern is: if I happen to be more congested than usual on the day of surgery (because I took tadalafil, allergies, lying down, etc.), could the turbinates look substantially larger than their normal baseline? Could that result in the surgeon reducing more tissue than would actually be appropriate for my normal, non-congested state?
I also have a failed root canal/infection on my upper-left first molar (#14). My dentist says there is an abscess/infection around it, and I’m considering extraction about a week after the RF. I’m wondering if the dental infection could be contributing to my left-sided nasal/sinus inflammation.
So my questions are:
- Does the amount of turbinate swelling on the day of RF affect how much tissue is actually reduced?
- Is RF normally performed conservatively enough that temporary congestion wouldn’t matter much?
- Has anyone had RF turbinate reduction when their turbinate size fluctuated significantly depending on position/allergies/medications?
- Would you personally ask the ENT to be especially conservative in this situation?
- Could treating an upper molar infection afterward reduce nasal/turbinate inflammation enough that the combination could leave the turbinate functionally too small?