Office-Based Procedures for Nasal Airway Obstruction

Treatment of common rhinologic problems with in-office surgical procedures has increased dramatically in response to patient preference, evolving insurance patterns, and changes in coding and reimbursement. Because this is an emerging practice, there is not a lot of evidence published about how to best perform these techniques. This article provides practical advice from experienced surgeons related to logistics and anesthetic techniques for conducting in-office surgical treatment of nasal airway obstruction, an overview of office setup and necessary equipment, and specific procedural considerations. Attention is also paid to pharmacologic issues. Logistics and clinical considerations for common office based procedures for obstructive pathology are reviewed.