Paediatric Nasal Turbinate Cautery/Coblation

Table of Contents

Paediatric Nasal Turbinate Cautery/Coblation Introduction

Cautery or Coblation of the nasal turbinates is a procedure used to reduce the size of enlarged turbinates in the nose. Turbinates are small structures inside the nose that help filter and humidify the air we breathe. In some children, the turbinates can become chronically swollen due to allergies, colds, or other causes, leading to a blocked nose, mouth breathing, snoring, or poor sleep.

When medications such as nasal sprays or antihistamines do not provide enough relief, a minor surgical procedure called cautery may be recommended to shrink the turbinates and improve airflow.

Reasons for surgery

Your child may benefit from turbinate cautery if they have:

  • Constant nasal congestion or blockage
  • Difficulty breathing through the nose
  • Snoring or disturbed sleep
  • Ongoing mouth breathing
  • Reduced response to allergy medications or nasal sprays

Benefits of the procedure

  • Improved nasal breathing
  • Less mouth breathing and snoring
  • Better sleep and quality of life
  • May reduce the need for long-term nasal sprays or decongestants

Risks & complications

All surgical procedures carry some risks, but complications from turbinate cautery are rare. Possible risks include:

  • Mild bleeding after surgery
  • Nasal dryness or crusting
  • Temporary blockage from swelling
  • Rarely, infection or need for repeat surgery

Dr Phillips will discuss all risks with you before the procedure.

Pre-operative instructions

  • Make sure to tell Dr Phillips about any medications your child is taking, especially blood thinners or allergy treatments.
  • Your child must not eat or drink for 6 hours before the procedure if under general anaesthetic. Follow the hospital or anaesthetist’s instructions carefully.
  • If your child has a cold or fever near the surgery date, please notify the clinic, as the procedure may need to be delayed.

Procedure details

Turbinate cautery is usually performed for younger children (<12 years of age) under general anaesthetic (your child will be asleep during the procedure). It takes approximately 5-10 minutes and is often combined with other procedures such as adenoidectomy to help alleviate nasal obstruction. Using a fine instrument, Dr Phillips applies controlled heat to the turbinates to reduce their size. This helps open the nasal passages without removing any major tissue.

The procedure is done entirely through the nostrils—there are no cuts on the outside of the nose or face.

Post-operative care & recovery

  • Your child may feel like they have a blocked or stuffy nose for 1–2 weeks due to swelling.
  • Mild discomfort or nasal irritation is common and can be managed with paracetamol or ibuprofen.
  • Use saline nasal sprays (e.g. FESS) 4–6 times a day to keep the nose moist and assist healing.
  • Avoid nose blowing for the first week. Encourage your child to sneeze with their mouth open.
  • Your child can return to school or daycare after 1–2 days if feeling well.

What to watch for

Contact the clinic or your GP if your child experiences:

  • Heavy or ongoing nosebleeds
  • High fever (over 38.5°C)
  • Foul-smelling nasal discharge
  • Severe or worsening pain

Follow-up instructions

A follow-up appointment with Dr Phillips will be arranged 1–2 weeks after surgery to check healing and ensure everything is progressing well.

Book a consultation

If you’d like to discuss this procedure or explore suitable treatment options, please get in touch with Dr Nicholas Phillips’ clinic.