A variety of rhinoplasty procedures
The purpose of rhinoplasty is to improve the condition of the nose and its function. The surgeon tries to transplant the cartilage or remove the cartilage from an area of the nose, depending on the condition of the nose.. The doctor removes the required cartilage from the patient's nasal septum (سپتوم), Takes the ear or gear. Rhinoplasty can be performed with both open and closed methods, like primary surgery. In the following, we will examine each of these methods. Rhinoplasty surgical procedures :
Rhinoplasty using open surgery technique
When the surgeon uses the open method for secondary rhinoplasty, he first places the patient under general anesthesia and then achieves the structure of the nose completely by making an incision in the columella and lifting the skin of the nose. Changes are made according to the patient's nasal needs. The internal sutures and sutures are then applied to the columella. The surgeon uses a tampon after the operation to prevent adhesions inside the nose. Finally the splint (Plaster) It is placed on the nose.
What are the advantages and disadvantages of open restorative surgery?
Nasal repair is more difficult and complicated than the initial operation. In open surgery, the rhinoplasty surgeon has a wider field of view and can easily make the necessary changes to the nose.. Other benefits of this technique include::
Possibility of less error due to wide field of view
Possibility of making more changes due to easier access of the doctor to the nasal structure
Some people may think that suturing on a columella is open to surgical problems; But it must be said that if the surgeon acts delicately and carefully, no trace of the suture will remain.
Rhinoplasty using closed technique
In closed nasal retouching surgery, the surgeon performs the surgery without any external incisions or external sutures. At the time, the doctor makes changes to the structure of the nose through the holes, which is more difficult than open surgery. Cutting and suturing are the two main differences between open and closed reconstructive nose surgery. In closed operation, tampons and splints are used.
Is closed nasal surgery better than open surgery?
The answer is that closed surgery has several major problems:
The surgeon's field of vision is very limited and therefore does not have full access to the nasal structure;
Because the surgeon does not have full access to the nasal structure, the possibility of changes is limited;
Due to the limited field of view, the doctor is more likely to make mistakes.
Although closed rhinoplasty is less invasive than the open technique, does less damage to the nasal tissue, and has a shorter recovery period, it is usually a good reconstructive rhinoplasty surgeon because reconstructive surgery is more complex and more difficult than initial surgery. Performs this operation with the open surgery technique. The error rate in open surgery is much lower and the possibility of fundamental changes is higher.
How many hours does reconstructive rhinoplasty take?
This cosmetic procedure is performed under general anesthesia and takes longer than the initial nasal operation. Secondary surgery may be between due to the complexity of the operation 3 until the 4 Take hours; This is while the initial operation of the nose 1 An hour and a half 2 It takes hours.
Dr Behnam khorami
Isfahan nose surgeon
Click to view the Instagram page of Dr. Behnam Khorami, a specialist and rhinosurgeon in Isfahan.
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