Surgery

ENT surgeon

Nasal Surgery for Normal Nasal Airflow

Any surgery that involves is performe inside or on the outside of the nose is called Nasal surgery.

Nasal obstruction results from anatomic and functional problems, which cause dysfunctional airflow in the upper airway. Therefore playing a vital role in OSA and snoring and prevent CPAP use. The cause of nasal airflow problems is also due to deviated nasal septum, nasal polyps, enlarged nasal turbinate, and swollen nasal mucosa. Due to allergies, narrowing or collapse of the nasal openings, other irritants, or a combination of all.

Conditions Treated With Reconstructive Nose Surgery

Usually, Reconstructive, cosmetic surgery, nasal surgery is carrie out to accomplish the following:

  • Resolve breathing issues
  • Repair nasal injuries
  • Correct congenital or acquired deformities
  • Change size or shape of the nose (cosmetic)

Issues Treated with Sinus Surgery Include

Obstructive sleep apnea (OSA)

It happens when a patient quits breathing during times of rest, generally because of blockage (hindrance) in the aviation route.

Types of Nasal Surgery

  • Turbinate reduction
  • Septoplasty
  • Rhinosseptoplasty
  • Rhinoplasty

About the Procedure

Although nasal surgeries vary from patient to patient, generally, nasal surgeries follow this process:

Hospital outpatient

Location options may include:

  • Surgeon’s office-based surgical facility
  • Hospital inpatient
  • Outpatient surgery center

Learn more about preparing for your surgery.

Anesthetic Options for Nose Surgery may Include

  • Local anesthesia
  • General anesthesia
  • The average duration of the nasal surgery is around two hours
  • The recuperation period is usually up and around for a few days
  • Patient typically return to school or sedentary work a week or so after surgery
  • The surgeon provides guidelines to resume routine activities

Side effects of Nasal Surgery

Following are some of the possible short-term side effects of nasal surgery:

  • A splint applied to the nose helps retain the new nose shape.
  • Nasal packs or soft plastic splints are also place inside the nostrils, which stabilize the septum.
  • After nose surgery, the face might feel puffy.
  • There are chances that the patient’s nose may ache.
  • The patient may experience swelling around the eyes, dull headaches, or bruising around the eyes.
  • small amount of bleeding is also expect during the first few days.
  • Small burst blood vessels appear as tiny red spots on the skin’s surface.

A Short Brief on After Effects of Nasal Surgery

  • Healing from any surgical procedure takes time and is a gradual process.. The final results of nasal surgery take a year or more to appear.
  • At the point when conventional open a medical procedure is performe on limited erupted nostrils, it causes little scars on the foundation of the nose. The injuries typically stay unnoticeable. Scarring is invisible when Rhinoplasty is performe from inside the nose.

Nasal Surgery Postoperative Instructions

Nasal Splints

Splints are two pieces of plastic that an ENT surgeon stitches inside the patient’s nose. Although they provide long-term results, they can cause temporary discomfort and difficulty in breathing through the nose.

Pain Control

ENT doctors prescribe pain killer medications after sinus surgery. If you avoid narcotics, you must feel free to use acetaminophen.

Bleeding

It is usual to experience slight bleeding after nasal surgery for a couple of days. You may dab your nose gently with a tissue but never blow your nose. The patient must avoid Advil, aspirin, NSAIDs (such as ibuprofen, Motrin, Aleve or naproxen) for approximately two weeks because they increase the risk of bleeding.

Nasal saline two sprays in each nostril four to five times a day for about two weeks. Nasal saline washes away all crusts, dried and clotted blood. Thus accelerating healing by cleaning the nose after surgery and maintaining a moist environment inside the nose.

Minimize physical activity for two weeks

Patients can resume routine activities after undergoing isolated nasal surgery. Regular walks reduce the risks of developing pneumonia or blood clots in the legs. However, patients must avoid strenuous exercise and activities because that shall increase swelling and cause bleeding.

PATIENT MUST NOTIFY THEIR ENT DOCTOR IMMEDIATELY IF SIGNIFICANT BLEEDING OCCURS!

What Are The Possible Complications Associate with Nasal Surgery?

Potential intricacies related with nasal medical procedure might incorporate, but are not limite to, the following:

  • Infection
  • Nosebleed
  • Anesthesia problems
  • Rhinoplasty complications

Possible Complications that are associated with Rhinoplasty

Possible complications that are associate with Rhinoplasty include, but are not just limited to, the following list:

  • Sometimes, the patient may require a second nasal surgery to treat a minor deformity resulting from the initial Rhinoplasty.
  • Like other surgical procedures, there is also a risk of infection or reaction to the anesthesia in nose surgery. Nosebleeds also occur after sinus surgery.
  • Sometimes, small blood vessels can also burst, which may cause tiny red spots on the nose surface. These spots appear minute but can stay permanent if not treated timely.
  • In the “open” procedure, there is this possibility of occurring scars on the base of the nose
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ENT surgeon

ENT surgeon Talking about Rhinoplasty

What is Rhinoplasty?

Another name for Rhinoplasty is nose surgery. It involves changing the outer shaper or inner structure of your nose to improve its appearance or treat breathing issues. You can also call it a ‘nose job.’

There are three parts of a nose:

  • Bone
  • Skin
  • Cartilage

Through Rhinoplasty, you can change all three of these according to your requirement or need. Moreover, there are two general types of nose procedures:

  • Medical
  • Cosmetic

An experienced ENT surgeon carries out the Rhinoplasty. In comparison, cosmetic nose procedures involve modifying the shape of your nose for the sake of beautifying its appearance.

What is Rhinoplasty for?

There are either medical reasons or cosmetic purposes for Rhinoplasty surgery. Shared below are the most common reasons to performed for nose surgery:

  • Changing the size of the nose to your facial structure
  • Changing nose width or the size and position of your nostrils
  • Treatment of enlarged, upturned, or hooked nasal tips
  • Treating large or wide nostrils
  • Treating nasal asymmetry or deformity

What are the Risks factors with Rhinoplasty ask from ENT Surgeon?

Any major nose procedure can involve the risks of:

  • Nose Bleeding
  • Nasal Infection
  • An adverse or unexpected reaction to the given anesthesia

The above are the significant risks that might be uncontrollable. However, the following are the risks that you might suffer from because of an unexperienced surgeon:

  • Temporary or permanent difficulty in breathing through your nose
  • Temporary or permanent numbness in and around your nose area
  • An uneven or deformed looking nose
  • Persistent pain, swelling, or discoloration
  • Permanent scarring due to carelessness
  • Possible need for an additional nose job

First, you must talk all of these out and discuss them with your surgeon before going under the knife.

How to Prepare Patients before Nasal Surgery/Nose Job?

Discussion

Before going for the surgery, meet with your surgeon and discuss the pros and cons of nasal surgery. You can:

  • Discuss your medical history
  • Go for a physical examination
  • Take photographs to see the before and after results
  • Discuss what you are expecting from the surgery

After Rhinoplasty/nasal surgery, you might feel the after-effects of anesthesia as it can cause:

  • Slowed reaction
  • Dizziness
  • Memory lapses
  • Impaired judgment

These effects depend on how strong the anesthesia was and the number of dosages.

Food and Medications you can take

Avoid self-medications. Do not take medicines that contain aspirin or ibuprofen (two weeks before and two weeks after the surgery or as per the ENT specialist’s recommendation. The reason for it is that these particular medicines can cause an increase in bleeding. Patients that are going to do Rhinoplasty must only take medications that their ENT or cosmetic surgeon prescribes. Moreover, herbal remedies are also popular as they can prove beneficial in soothing aches.

What can you expect from the surgery?

In Rhinoplasty, each surgery is unique and different from the other. Therefore, there are no defined steps that take place. It depends on the anatomy of the surgery and the surgeon that is performing it.

During the Surgery

When you go for nasal surgery, then expect to be given one of the following anesthesia:

  • Local anesthesia with sedation

It is a sedative that helps numb a specific area, an area that is under the surgery region. Additionally, pain-relieving medicines and sedatives are also there to help in this regard. This type of anesthesia causes grogginess, but you do not sleep soundly.

  • General anesthesia

With the help of an IV line, the ENT surgeon will inject a drug-based anesthetic into the patient’s body i.e.

  • Hand
  • Neck
  • Chest

It affects your entire body and makes you completely lose consciousness. Additionally, a breathing tube is used that makes breathing easier.

After the nasal procedure, you can expect to rest on a complete bed for a while. Your nose may feel congested due to the swelling. Moreover, there may be a slight difficulty breathing, and mucus might flow from your nose, but that is all temporary.

Pros and Cons of Rhinoplasty

Following are the advantages that may come from Rhinoplasty:

  • More self-esteem
  • Treatment of breathing issues
  • Correction of birth deformities
  • Improved breathing leads to a better quality of life

Now that you know the advantages of a nose job, here are some of the cons or disadvantages of Rhinoplasty surgery:

  • Minor aches
  • Temporary difficulty in breathing
  • Special post-surgery care

So, now you know what Rhinoplasty is and how it can benefit you and improve your quality of life. Moreover, always consult an experienced, well-reputed ENT surgeon for Rhinoplasty. An experienced otolaryngologist will help avoid any accidents or unrepairable damage.

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ENT Surgeries

ENT Surgeries

The three most common ENT Surgical procedures include:

  • Myringotomy with Tube Insertion (Ear Tubes)
  • Tonsillectomy and Adnoidectomy (Tonsils)
  • Sleep Apnea Inspire Therapy
  • Functional Endoscopic Sinus Surgery (FESS)
  • Ear:
    • Tympanoplasty with Ossicular Reconstruction
    • Ear tubes (tympanostomy)
    • Tympanomastoidectomy
    • Tympanomastoidectomy with Ossicular Reconstruction
    • Myringoplasty
    • Stapedectomy
    • Tympanoplasty
  • Nasal /  Sinus:
    • Rhinoplasty
    • Nasal valve reconstruction
    • Functional Endoscopic Sinus Surgery (Complex)
    • Nasal fracture reduction  (open)
    • Nasal fracture reduction (closed)
    • Septoplasty
    • Septoplasty with turbinate reduction
  • Throat:
    • Tonsillectomy

Larynx Surgical Procedures:

  • Laryngoplasty
  • Laryngoscopy with biopsy
  • Esophagoscopy
  • Microlaryngoscopy with biopsy
  • Thyroid / Parathyroid:
    • Thyroidectomy (total)
    • Thyroidectomy (partial)
    • Parathyroidectomy
    • Thyroidectomy with lymph node excision

Neck Procedures:

  • Submandibular gland removal
  • Biopsy neck mass (deep)
  • Biopsy neck mass ( superficial)
  • Parotidectomy

Pediatric Procedures:

  • Adenoidectomy
  • Ear tubes with T&A
  • Ear tubes (tympanostomy, BMT)
  • Ear tubes with adenoidectomy
  • Tonsillectomy with adenoidectomy (T&A)
  • Tonsillectomy
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