OtoRhinoLaryngology Portal

The Leading Online Gallery of Otolaryngology and Head & Neck Surgery Specialty

OtoRhinoLaryngology Portal Video Collections @

YouTube & MEDtube

Little's Area Abnormal Vessels Ablation: Topical Trichloroacetic Acid (TCA) Cautery Application

                  Abnormal vessels                      Whitish appearance immediately

         which had caused  epistaxis                   after topical TCA application


50% and 20% TCA solution are available for use in adult and children respectively.  Beware the risk of septal perforation if the procedure performed bilaterally at the same time. Thus, application on the opposite site

be advised to be done once the earlier application site has healed. 


Commercialized TCA stick are available for similar purpose. 

Alternatively, bipolar cautery at low power setting can be done if this is available.


Watch video on Stopping Nose Bleeds by Nasal Cauterization @ YouTube

Watch video on Trichloroacetic Acid (TCA) Cautery for Epistaxis @ YouTube 

Watch video on Stopping Anterior Epistaxis by Using Bioresorbable Nasal Dressing @ YouTube

Turbinate Reduction Procedure


These figures show a technique used to reduce the inferior turbinate size in refractory nasal obstruction caused by its hypertrophy.  Radiofrequency Volumetric Reduction (RAVOR) uses radiofrequency waves delivered into the tissue by a double-prong tip.  Instance reduction is seen during procedure.  However, the actual effect is best assesed few weeks after the procedure performed.  Symptomatic relief obtained without compromising the nasal epithelium with preservation of its mucociliary function.  Similar bipolar radiofrequency diathermy technique is also available by a using longer single needle probe e.g Celon.  Microdebrider submucosal turbinoplasty by using a specially designed probe is another minimally invasive

alternative with similar intent.


Disclaimer: The probe featured is from Sutter

and informations given are for educational purposes only.


Watch video on Turbinate Reduction: Surgeon's Perspective @ YouTube

Watch video on Radiofrequency Volumetric Reduction (RAVOR) for Inferior Turbinates Hypertrophy @ YouTube

Transillumination of Paranasal Sinuses

Figure shows transillumination of frontal sinus by using light source emitted

by endoscope.  The 'lightened" areas corresponds to the sites palpated

for tenderness in frontal sinusitis.  In baloon sinuplasty, similar feature

being utilized for confirmation of entrance into its ostium.  A darkened room

is preferred for better appreciation of this phenomena.