RHINOPLASTY

Purpose of this surgical procedure known as rhinoplasty is to solve the nasal deformities and reshape the nose. Deviation, which is an obstacle to nose breathing, can be solved during the same operation. Rhinoplasty surgery, which is usually known to shrink the nose, is sometimes done to enlarge the nose.

 

Who should do the surgery? 

Should this surgery be done by an ENT (ear-nose-throat) dr or a plastic surgeon? Rhinoplasty surgery is a branch of facial aesthetic surgery. 60% of the members of the American Academy of Facial Reconstructive Surgery are ENT (ear-nose-throat) doctors. An ENT (ear-nose-throat) doctor is a head and neck surgeon. Facial plastic surgery is rapidly spreading all over the world as a branch of ENT.  An ENT doctor interested in facial plastic surgery can solve your problems in the best way. However, the right decision in choosing the surgeon is stil up to you.

It is important to determine all your problems about your nose before meeting your surgeon .Determining whether you have breathing problems, nasal discharge or headache will help to make possible the solution of these problems with this surgery.

Before opting to have rhinoplasty, discuss what you are hoping to gain from the operation with your surgeon and the result you can reallistically expect. Your surgeon will tell you if your expectations come true or not, and how it will look after the surgery. It is possible to get rid of the frustration of post-operative period by evaluating the pre-operative period in the best way. Taking joint decisions will relax both you and your surgeon. Assistance with your surgeon will make the operative period fun. Different expectations will have you to face with your surgeon at the beginning. The faults, which seem to be big according to you, can be solved with a simple surgery; on the other hand, sometimes a small detail can be solved with a tough surgery. The best should be remembered as the enemy of the good.

 

What ıs the purpose of rhınoplasty?

The purpose of rhinoplasty is to make the best nose which fits best to your face. The thickness of your skin, the fineness and form of the existing cartilage, the rhinoplasty operations you had previously determines the success rate of your rhinoplasty surgery and your recovery period. The best result is not to make the best nose, it is to make the most appropriate nose that fits to your face. Both reduction and augmentation can be done for the best appearance. The nostrils should not be appeared or the patient should not be seemed to have had an operation.

After the surgery

Rhinoplasty is the most common aesthetic surgery in the world. The surgery normally takes 1-1.5 hours but in some cases it takes a bit longer than the usual. Bruising and swelling after the operation is much less than the surgical techniques used in the past.

You will awake with nose pads in each nostril for a day or a special sponge without affecting the breathing and a medical plaster over your nose to support it. After the operation, you do not have much pain as it is feared. You will be quite comfortable with some simple painkillers during this short term. The day after the surgery the pads in your nose are removed so you can breathe comfortably. It is recommended that you should rest in a location that is not extremely hot and keep your head up as much as possible. After the surgery, people will make you different comments about your nose that is why people do not know your old nose as well as you or because of the different pleasures. Even the surgeons can make a comment about your nose only considering your old nose. Observing the changes of your nose with your surgeon is the most appropriate way.

DO’S AND DON’TS AFTER RHINOPLASTY

  •  The plaster on the nose will remain between 7-10-days. It must not be wet. Sweating may cause the loosen?? of the plaster so you should not stay in the hot places.
  •  During the first ten days you should brush your teeth carefully. Pay attention especially while brushing the front teeth. It is important that your brush must be softer.
  • Avoid excessive physical activities after the surgery.
  • Do not have a bath or shower and do not stay in steamy places until the plaster is removed.
  • Avoid excessive facial movements and laughing for a week.
  • Do not wear narrow-necked or polo-neck sweater for 20 days following the operation.
  • Do not touch your face and your nose for 3 weeks in a hard way.
  • Stay away from excessive sunlight for 6weeks following the operation. Excessive heat will cause your nose to swell.
  • Swelling on the face or under the eyes are normal after the rhinoplasty surgery. This situation occurs much less than the old techniques of surgery has caused. The swelling will be within 1-2 weeks.
  • Do not take any drugs other than the drugs you11. Do not wear contact lenses for 5 days following the operation.
  • Do not wear contact lenses for 5 days following the operation.
  • Do not use glasses for 16 weeks in any way, prefer light glasses for the subsequent period.
  • After having removed the plaster, clean your nose with liquid soap or special lotions. You can make up after the plaster has been removed.
  • For more information contact an ENT specialist.

Otoplasty

Improves the appearance of the ears.

Procedure

Otoplasty, also called ear surgery, sets prominent ears back closer to the head and/or reduces the size of large ears. Cosmetic ear surgery is most often performed on children between the ages of four and fourteen and may be covered by insurance.

Length

Approximately two hours.

Anesthesia

Young children are usually given general anesthesia. For older children or adults, a general or local anesthesia can be used along with sedation.

FIND A SURGEON

Inpatient/Outpatient

Usually this is an outpatient procedure.

Possible Side Effects

Temporary throbbing, aching, swelling, redness and/or numbness.

Risks

Infection of cartilage, excessive scarring, blood clots that may need to be drained, mismatched or artificial-looking ears, or the recurrence of the protrusion, which requires repeat surgery.

Recovery

The patient may return to school or work within five to seven days, and resume strenuous activity, such as contact sports in one to two months. A compression garment is required to use for 4 weeks.

Results

Usually permanent.

A deviated septum is a condition in which the nasal septum — the bone and cartilage that divide the nasal cavity of the nose in half — is significantly off center, or crooked, making breathing difficult. Most people have some sort of imbalance in the size of their breathing passages. In fact, estimates indicate that 80% of people, most unknowingly, have some sort of misalignment to their nasal septum. Only the more severe imbalances cause significant breathing problems and require treatment.

Deviated Septum Causes

Some people are born with a deviated septum. Other people develop a deviated septum after injury or trauma to the nose.

Deviated Septum Treatments

Sometimes symptoms of a deviated septum can be relieved with medications. If medicine alone doesn’t offer adequate relief, a surgical procedure called septoplasty may be needed to repair a crooked septum and improve breathing.

Deviated Septum Surgery

During septoplasty, a surgeon, working through the inside of the nose, makes a small incision in the septum and then removes the excess bone or cartilage required to even out the breathing space of the nostrils.

Sometimes, a rhinoplasty, or “nose job,” is combined with septoplasty to improve the appearance of the nose. This procedure is called septorhinoplasty. Septoplasty may also be combined with sinus surgery.

Surgery to repair a deviated septum is usually performed in an outpatient setting under local or general anesthesia and takes about one to one and a half hours, depending on the amount of work being done. You should be able to go home three to four hours after surgery.

Internal splints or soft packing material may be put in the nose to stabilize the septum as it heals. If a septoplasty is the only procedure performed, there should be little to no swelling or bruising after surgery. However, if a septorhinoplasty is performed, a week or two of swelling and bruising is normal following the procedure.

If possible, it is best to wait until after the nose has stopped growing, around age 15, to have surgery.

Newer procedures are becoming available that use balloon septoplasty techniques that avoid actual surgery and are done in the office setting. These are being done for milder cases.

Deviated Septum Surgery Risks

No surgery is completely risk-free, and the benefits of undergoing surgery — in this case, being able to breathe better — must outweigh the risks. Septoplasty and septorhinoplasty are common and safe procedures; side effects are rare. Still, talk with your doctor about the possible risks of surgery before you make a treatment decision.

If you are having nasal symptoms and think you may have a deviated septum, make an appointment to see an ear, nose, and throat doctor, or ENT. There are a number of reasons why you may be experiencing these symptoms, including chronicsinusitis or nasal allergies. Make sure you get the right diagnosis so that you can get the treatment you need.

 

In endoscopic sinus surgery, an endoscope is inserted into the nose, providing the doctor with an inside view of the sinuses.

Surgical instruments are inserted alongside the endoscope. This allows the doctor to remove small amounts of bone or other material blocking the sinus openings and remove growths (polyps) of the mucous membrane. In some cases a laser is used to burn away tissue blocking the sinus opening. A small rotating burr that scrapes away tissue may also be used.

The surgery may be done in a hospital or in a doctor’s office or clinic. Either local or general anesthesia may be used. The procedure takes 30 to 90 minutes.

Why It Is Done

Endoscopic surgery may be needed when medicine has failed to improve or cure chronic sinusitis. It is the preferred method of surgery for most cases of chronic sinusitis that require surgery.

How Well It Works

Endoscopic surgery improves symptoms in about 90 out of 100 people.

But surgery does not always completely eliminate sinusitis. Some people may need a second operation.

Surgery is most successful when used along with medicine and home treatment to prevent future sinus infections. A second surgery and future sinus infections may be avoided if antibiotics are taken to prevent reinfection.

RISKS

As with any surgery, there are always some risks involved. But endoscopic sinus surgery is very safe when performed by an experienced surgeon who has special training with endoscopic surgical techniques.

Minor complications (such as scar tissue attaching to nearby tissue, or bruising and swelling around the eyes) occur in a small number of people who have the surgery. Major complications (such as heavy bleeding, eye area injury, or brain injury) occur in fewer than 1 out of 100 cases. Most complications of endoscopic sinus surgery can be managed or prevented.

What To ThInk About

Endoscopic sinus surgery does not cause as much visible scarring as traditional sinus surgery. Also, it may not cost as much as

 

A new study shows a radiofrequency treatment currently used to reduce enlarged tonsils associated with obstructive sleep apnea a sleep disorder associated with snoring, may also be a safe and effective alternative to traditional tonsillectomy for treating people with chronic sore throats or tonsillitis.

Researchers say more than 400,000 tonsillectomies are performed each year, making it one of the most commonly performed surgical procedures. Despite its popularity, conventional tonsillectomy techniques have changed little in the past 50 years, and the procedure is known for producing a lot of postoperative pain that requires a long recovery time.

The electronic alternative treatment involves using a blunt-tipped probe that delivers a low-temperature dose of radio waves to the tonsils to promote shrinkage. Because the procedure doesn’t create an open wound as in traditional tonsillectomy, there is less postoperative pain and less recovery time. And in most cases, the patient doesn’t require anesthesia.

More Waves, Less PAIN

In the first major test of the radiofrequency technique in treating people with persistent sore throats, researchers studied the effectiveness of the procedure on 85 patients.

Twelve of the patients were children between the ages of 4 and 12 years, and the rest were adults with an average age of 32. All of the patients were recommended for tonsillectomy because of persistent tonsillitis, obstructive sleep apnea, or enlarged tonsils.

The results are to be presented at the American Academy of Otolaryngology Head and Neck Surgery Annual Meeting in Orlando.

Overall, researchers found 92% of the patients treated with the new technique had an improvement in tonsil-related symptoms, and most said they would undergo the procedure again and would recommend it to friends.

After about 13 months of follow-up, 78 of the patients had a significant reduction in sore throats, number of tonsillitis episodes, use of antibiotics, and a reduction in snoring and sleep apnea symptoms.

Tonsil size was reduced in all patients, and both the patients and doctor noted that the initial effects of the treatment began to emerge about two weeks after the procedure. Shrinkage of the tonsils continues for up to nine months in some patients.

All patients were given narcotic pain relievers after the procedure, but the vast majority of patients switched to nonprescription pain relievers, such as Tylenol or Motrin, within the first 24 to 48 hours after treatment.

No bleeding or other major complications were reported. Eleven of the patients required anesthesia during the procedure, including three patients that had to be re-treated.

Researchers say the results suggest further research on the use of radiofrequency as an alternative to tonsillectomy is needed. Future studies should directly compare the safety and effectiveness of the two treatments in treating tonsillitis.

 

Radiofrequency palatoplasty is a new procedure that uses an electrical current to shrink and stiffen the back part of the roof of the mouth. When the soft palate and uvula are stiffer, they are less likely to vibrate and you are less likely to snore.

What To Expect After Surgery

After the surgery, most people report a little pain, such as a mild sore throart, that lasts 1 or 2 days. Taking acetaminophen (such as Panadol or Tylenol) usually eases this pain. Radiofrequency palatoplasty is usually performed in a doctor’s office, and many people return to work and other regular activities in about 3 days.

Why It Is Done

Radiofrequency palatoplasty is sometimes used to treat snoring in people so that their bed partner can sleep better. One of the most common causes of snoring is the vibration of the soft palate and uvula. Radiofrequency palatoplasty shrinks and stiffens these areas of the mouth, making them less likely to vibrate.

How Well It Works

Compared with other surgery procedures for snoring, radiofrequency palatoplasty is relatively painless and it takes only a short time to recover.

It takes about 4 weeks after the surgery for you to notice a decrease in your snoring. You may need additional treatments if the first one doesn’t decrease your snoring enough. Because radiofrequency palatoplasty is a new procedure, how well it works over the long term is not known.

What To Think About

Surgery is rarely used to treat snoring. It may not completely cure snoring, and the risks of surgery may not be worth the small benefit you gain.

If you develop sleep apnea after having radiofrequency palatoplasty, diagnosis may be delayed because you do not snore. Snoring is common with sleep apnea, but most people who snore don’t have Sleep apnea.

Snoring is not always considered a medical problem, so insurance may not cover treatment.

Before considering surgery, all people who snore should try nonsurgical treatment.

 

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