Functional Rhinoplasty– Patients where septal and nasal bone problems interfere with nasal breathing. Correcting these issues will can involve improving the cosmetic appearance of the nose as well, particularly in the case of a crooked nose. Severe deviations of the septum and bony nasal pyramid can often cause difficulty with nasal breathing as well as an unwanted external appearance. These issues can be either congenital (from birth) or acquired (usually due to trauma). Improvement in both the function (breathing) and cosmetic aspects of the nose are intricately linked and surgeons who don’t routinely do nasal reconstruction often miss one of the two.
One of the most common and popular cosmetic surgeries , rhinoplasty is a procedure performed for the purpose of restoring the functions, correcting & reconstructing the form, and aesthetically enhancing one’s nose. The outpatient procedure is also referred to as nose job and is usually performed under general anesthesia. When performed to restore normal nasal breathing, the surgery is referred to as functional rhinoplasty.
How is a functional rhinoplasty done ?
The procedure can be performed on patients to correct a range of conditions which include but are not limited to.
Nasal injury (trauma) causing difficulties in breathing.Obstructed nasal breathing.Birth defects of the nasal passage therefore impairing function.Narrowing or collapse of the nostrils ( nasal valves.)Eustachian tube dysfunction.Acquired deformity as a result of infection, trauma and tumor.
Various functional rhinoplasty procedures
This procedure aims at correcting deviated septum , a condition that can be caused by different factors such as birth or broken nose and typically affects normal airflow. Patients with a deviated septum may also experience snoring, sleep apnea, allergies, vertigo and chronic sinus. Septoplasty can help provide relief from these conditions.
Turbinate reduction is performed to remedy inferior turbinate hypertrophy, a condition where some of the turbinates (specifically the inferior turbinates) become swollen or enlarged therefore interfering with one’s breathing and, in some cases, blocking airflow entirely. Most surgeons usually performed this procedure along with septoplasty.
How is functional rhinoplasty surgery performed?
Depending on the patient and preference of the surgeon, this type of surgery can be done under local anesthesia, general anesthesia or intravenous sedation (“twilight”). The heath specialist makes incisions on the area of the nose being worked on in order to allow access to the cartilage & bone underneath. If these incisions are performed within the nose and therefore not visible externally, the procedure is known as “closed” functional rhinoplasty. To improve exposure, small incisions may be made at the base of the nose, in which case the procedure would be referred to as “open”.
Your surgeon may graft the bone and cartilage to help improve support, although this largely depends on the needs of the patient. The cartilage grafts are usually obtained from the nasal septum during the “septoplasty” part of the procedure, although they can also be harvested from the ear or rib cartilage if needed. Further reshaping may be done with sutures to the cartilage to achieve a more distinctive profile. Your surgeon may also perform “osteotomies” (the deliberate fracturing of nasal bones) so as to straighten these bones themselves.
At the end of procedure, the physician will tape the outside of your nose and may also apply some kind of external cast. Plastic sheets as well as packing may be placed inside the nose for some time, depending on the surgical procedure performed as well as the surgeon’s preference.
What are the risks of functional rhinoplasty?
Numerous studies show that, if performed correctly, the procedure can heal without any adverse risks and most patients have actually reported being able to breathe better. Despite this, there are several potential complications that you should be aware of before deciding to undergo the procedure. They include:
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