How fat grafting increases airflow sensation in the nose after inferior turbinate reduction?

Question

Does grafting the fat in the inferior turbinate help stimulate the growth of new nerves , and therefore, establish better nerve connection between the nerves on the mucosa and the nerve tree below the mucosa? Or it just increases the size of the inferior turbinate resulting in a better airflow sensation?

R. Laurence Berkowitz, MD · Answer

Over zealous turbinate resection can create an uncomfortable airflow sensation often referred to as an empty nose syndrome. I have neither read nor heard of fat grafting the residual turbinate but it is a logical way of increasing volume with a safe substance.  I have experience with fat grafting the external nose as a way to rejuvenate and thicken the tissue cover.  It is recommended to use a blunt cannula to avoid vascular injection and vasoconstrict the tissues before injecting. Fat grafts improve tissue health elsewhere by increasing blood supply to the microcirculation. There has been observation of improved sensibility in breast tissue with fat grafts. I would get a few opinions

Mats Hagstrom, MD (license on probation) · Answer

I'm not an ear nose and throat specialist but I've never heard of fat transfer to the turbinates.Having done many turbinate reductions and nasal surgery I would find it technically difficult or almost impossible to do fat grafting in this anatomical location.I also don't think any nerve regeneration would be achieved.I'm curious where you heard of this or thought of the concept.if this by any chance is something that has medical legitimacy, was told to you from a reputable source I would be highly appreciative if you would forward where you heard it from.Best,Mats Hagstrom M.D.

How fat grafting increases airflow sensation in the nose after inferior turbinate reduction?

Answers (2)

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