Comprehensive review

Introduction

Combined surgery involves performing several surgeries at one session that can meet functional and aesthetic goals at the same time.. Due to technical complexity, these surgeries need careful planning and thorough consultation with the patient.. Determining goals, evaluation of expectations, and pre -operation planning play a key role in the success of these surgeries.. In this article from the site of Dr. Behnam Khorrami (Isfahan nose surgeon _ Jaw surgeon of Isfahan)Examines the importance of planning and consulting in combined surgeries, optimizing this process, and how to manage patients' expectations..

The importance of careful planning in hybrid surgery

1.. Investigating the patient's medical condition

Before any combined surgery, the doctor should carefully examine the patient's general health status. This review includes the following:

Patient Medical History (Heart disease, diabetes, pulmonary problems, etc.)

Consumable drugs

Allergies

The patient's mental state

2.. Evaluation of patient's needs and goals

Combined surgeries usually include a combination of various methods such as cosmetic surgery, structural modification and performance improvement.. For this reason, the doctor should talk to the patient about the following goals:

Improve performance (Such as improvement of breathing in rhinoplasty)

Beauty correction (Like Change the shape of the nose Or correction of symmetry)

Reduce recovery time (A combination of multiple acts to reduce the recovery period)

۳. Careful anatomical analysis

To perform combined surgeries, the physician must evaluate the patient's anatomy in full detail. This includes the following:

Using CT scans and MRI to investigate the structure of bones and soft tissue

Assessing the quality of the skin and underlying tissues

Simulation of results using 3D models

The role of complete counseling with the patient

1.. Management of patient expectations

Unrealistic expectations are one of the causes of post -surgical dissatisfaction. The doctor should talk to the patient clearly about the real results:

Explanation of surgical limitations

The probability of the need for restorative surgery

The difference between ideal results and real results

2.. Patient mental preparation

Combined surgeries have mental effects in addition to physical effects. Psychological preparation includes the following:

Explanation about the steps of recovery

Anatomical process of pain, bruising and post -operative swelling

Provide psychological solutions to reduce anxiety

۳. Post -operative care training

Post -operative care play an important role in the end result of surgery. The doctor should teach the patient thoroughly about these care:

How to use medications (Housing, antibiotics)

Motor restrictions

Proper nutrition for faster recovery

How to clean and care for wounds

Surgical design design

1.. Step -by -step planning

Combined surgery planning must be done step by step:

Determination of priorities: Which surgeries are a priority?

Surgery timing: How much time is needed for any surgery?

Anesthesia management: The duration of anesthesia and its possible complications

2.. Coordination of the surgical team

Combined surgery requires the cooperation of several specialists:

plastic surgeon

Otolaryngologist (For nose surgery)

Anesthesiologist

Experienced nurses

۳. Risk management

In combined surgeries, more likely complications are more likely. Careful Planning for Risk Management includes the following:

Prevention of severe bleeding

Pain management

Swelling and bruising

Planning challenges in hybrid surgery

1.. The duration of surgery

Long -term surgery can lead to:

Increased risk of complications caused by anesthesia

Low blood pressure

Increased risk of infection

2.. Anatomical constraints

Some anatomical restrictions may make all the goals in one surgical session met. In these cases, surgery is recommended.

۳. Postoperative complications

The combination of multiple surgeries increases the risk of swelling, bruising and postoperative pain. The doctor should have a precise plan to manage these complications.

The benefits of careful planning and full consultation

Improve the final results: Better functional and aesthetic results
Recovery Recovery: The combination of surgeries reduces the number of recovery periods
Increased patient satisfaction: Better match between the actual result and expectations
Reduce complications: Predicting problems and preparing them to manage them

Conclusion

Careful planning and full consultation, the basis of success in Combined surgery are. Full assessment of patient condition, expectation management and coordination between the surgical team play a key role in improving the results and reducing complications.. The physician can achieve successful and satisfying results by providing accurate information to the patient and preparing them physically and mentally..

Useful links:

Isfahan nose surgeon _ Jaw surgeon of Isfahan

Dr. Behnam Khorrami's page in the clinic 24 | Maxillofacial surgeon in Isfahan clinic 24 | Nose surgeon in Isfahan clinic 24

Dr. Behnam Khorrami, nose surgeon in Isfahan at Dr. Af | Maxillofacial surgeon in Isfahan at Dr. Af | Isfahan nose surgeon at Dr. Af

A combination to improve respiratory function and nose aesthetic function

Introduction

رینوپلاستی (Rhinoplasty) Or a cosmetic surgery is one of the most common cosmetic surgery aimed at modifying the form and size of the nose.. On the other hand, sinus surgery (Sinus Surgery) Usually for the treatment of respiratory problems caused by obstruction of sinus or chronic sinusitis (Chronic Sinusitis) Done. In cases where sinus problems have causing the nasal form or serious respiratory problems, simultaneous rhinoplasty and sinus surgery. (It is also called rhinocinoplasty or functional rhinoplasty) Can be the best therapeutic and cosmetic solution. In this article from the site of Dr. Behnam Khorrami (Isfahan nose surgeon _ Jaw surgeon of Isfahan), A full examination of this combined approach, benefits, surgical process, recovery period and expected results.

Anatomy of the nose and sinuses

Nose and Sinus Are relevant to each other in terms of performance and structure. Key structures involved in respiratory function and nasal aesthetic function are:

nasal septum (Septum): The middle wall of the nose that divides it into two parts. Septum deviation (Septum Doment) Can cause airflow obstruction.

Turbines (Turbinates): Three layers of tissue on each side of the nose that adjust the air flow and maintain moisture. Large or inflamed turbines cause nasal blockage.

Paranazal sinuses: Hollow spaces around the nose that are covered with mucosa and help ventilate, regulate pressure and mucosal production.. Chronic sinusitis (Inflammation of the sinuses) Causes disruption to these functions.

The outer walls of the nose: Includes bones and cartilage that form the overall shape of the nose and, if deformed, can cause respiratory problems and asymmetry problems..

Chronic sinusitis and its effect on the nose

1.. Definition of chronic sinusitis

Chronic sinusitis (Chronic Rhinosinusitis) Long -term inflammation of sinuses (Usually over 6 weeks) Is said to cause the following:

Chronic nasal obstruction

Mucosal secretion

Pressure or pain in the face area

Decreased sense of smell

2.. Causes of chronic sinusitis

Repeated infections

Severe allergies (allergic rhinitis)

Septum deviation

Nasal polyps (Nasal Polyps)

Growing turbines

۳. Impact on the structure of the nose

Chronic sinusitis if left untreated can cause:
Chronic swelling of the mucus and internal deformation of the nose
Chronic obstruction that causes oral breathing and sleep problems
Changing the external form of the nose due to continuous sinusoidal pressure
Structural weakness due to bone erosion and cartilage

Rhinoplasty and sinus surgery: Why are they done simultaneously?

Medical and cosmetic reasons to combine these two surgeries:

Nasal obstruction: In case of deviation of septum or large turbines, the surgeon can correct these problems during rhinoplasty..

Treatment of chronic sinusitis: Removing sinus obstruction, discharge of sinuses and modifying polyps improves respiratory function..

The structure of the structural and beauty: Nasal deformity After resolving sinus problems, it creates fit and improves the overall appearance of the face..

Functional problems: Treatment of sinus and respiratory problems helps reduce headaches, improve sleep and improve quality of life.

Rhinoplasty and sinus synthetic surgery

🔎 ۱. Endoscopic sinus surgery (Endoscopic Sinus Surgery)

Using an endoscope (The narrow tube with the camera) Enters the nose and open the sinuses.

Inflamed tissues, polyps and overcrowded mucosa.

The air flow in the sinuses improves and the respiratory function improves.

🔎 ۲. سپتوپلاستی (Septoplasty)

Correction

Removing or regenerating parts of the cartilage and septum bone

Improve respiratory path

🔎 ۳. Reduce turbines (Turbinate Reduction)

Reducing the size of swollen turbines through:

Burning extra mucosa (Radiofrequency)

Removing part of the turbine tissue

🔎 ۴. رینوپلاستی Beauty (Cosmetic Rhinoplasty)

Change the nose form (Reduce horses, raise nose, correction of asymmetry)

Consolidating the nasal structure using cartilage graft

Adjusting nasal angles to improve appearance and functionality

Combined surgical process

• Anesthesia: Usually performed under general anesthesia.
• Sinus stage: Sinus problems are first treated with endoscopy.
• Septum and turbines: Correction of septum and turbines to improve the respiratory path.
• Beauty stage: Bone deformation and nasal cartilage to improve appearance.
• Suture and dressing: Put internal and external splints to stabilize the nose.

Expected Benefits and Results

Improve respiratory function: Increasing airflow and decreasing congestion
Remove chronic sinusitis: Reducing the frequency and severity of sinus infections
Natural and beautiful appearance: Correction of nose form in harmony with other facial components
Reduce secondary complications: Such as headaches, snoring and sleep problems

recovery period

The first week: Swelling

1 to 2 weeks: Gradual reduction of inflation and improvement of respiratory function

1 to 6 months: The final shape of the nose appears

1 to 2 months: Complete improvement of sinuses

Possible side effects

Bleeding
The infection
The remaining respiratory problems (In case of incomplete correction)
Dissatisfaction with the outcome of beauty

Who is a good candidate for this surgery?

Patients with chronic sinusitis associated with respiratory problems
People with severe septum deviation
Those who are unhappy with their nose form
People with cosmetic and functional problems at the same time in the nose

Conclusion

Performing the simultaneous rhinoplasty and sinus surgery (Renosynoplasty) An effective therapeutic and beauty strategy that helps improve breathing, relieves chronic sinusitis, and nose appearance.. This hybrid surgery can improve one's quality of life and confidence by resolving structural and cosmetic problems simultaneously..

Useful links:

Isfahan nose surgeon _ Jaw surgeon of Isfahan

Dr. Behnam Khorrami's page in the clinic 24 | Maxillofacial surgeon in Isfahan clinic 24 | Nose surgeon in Isfahan clinic 24

Dr. Behnam Khorrami, nose surgeon in Isfahan at Dr. Af | Maxillofacial surgeon in Isfahan at Dr. Af | Isfahan nose surgeon at Dr. Af

A solution to correct nose form and improve respiratory function

Introduction

رینوپلاستی (Rhinoplasty), Also known as nasal cosmetic surgery, is one of the most used cosmetic and reconstructive procedures in the world.. In some cases, especially when the nasal structure requires more strength and support, from the cartilage bonding technique (Cartilage Graft) Used to be. In addition to improving the appearance of the nose, this method also helps to solve functional problems such as air duct obstruction..

In this article from the site of Dr. Behnam Khorrami (Isfahan nose surgeon _ Jaw surgeon of Isfahan)We will investigate the details of the cartilage transplant in rhinoplasty, all types of cartilage used, its applications in surgery, and the advantages and disadvantages of this method..

Why is cartilage bonding in rhinoplasty?

The cartilage transplant is performed in rhinoplasty with the following goals:

Correction of the tip of the nose: In people with weak, fallen or unbalanced nose tip, cartilage can help create a solid and natural structure..

Strengthening the nose bridge: In cases where the nasal bridge is too smooth, dipped or unbalanced, the cartilage transplant helps increase its height and improve its proportionality..

Post -Failed Surgery: In nasal reconstructive surgeries (Revision Rhinoplasty), Cartilage used to rebuild the damaged structure.

The removal of air ducts: In patients who are due to structural problems such as Deviated septum (Septal Deviation) They have respiratory problems, cartilage transplantation can help open the air ducts.

Increased structural strength: In noses with thick skin or in people with fleshy noses, Cartilage plays an important role in maintaining shape and preventing drooping.

Types of cartilage used in rhinoplasty

1. Ghazarov Hospital (Septal Cartilage)

Source: From the middle blade of the nose (سپتوم) It is removed.

Advantages: Septal cartilage is an ideal choice to support the tip of the nose and nose bridge because of its firmness and strength..

Limit: In people who have previously performed septoplasty surgery or their septal cartilage is small, this option is limited..

2. Ear cartilage (Auricular Cartilage)

Source: From the back of the ear (Unchanged in the shape of the ear.) It is harvested.

Advantages: High flexibility and suitable for delicate corrections at the tip of the nose.

Limit: It has less strength than septal cartilage and is not very suitable in cases of stronger structure..

3. Gear cartilage (Costal Cartilage)

Source: From the ribs of the chest (Usually eighth or ninth gear) It is harvested.

Advantages: High resistance to extensive repair or nose that requires extensive regeneration.

Limit: The harvest of gear cartilage requires a shear in the chest and this method is slightly more aggressive than other options..

Cartilage transplant applications in rhinoplasty

Increasing the height of the nose bridge (Dorsal Augmentation): To remove smooth or dipped nose.

Correction of the tip of the nose (Tip Refinement): To create a more elegant and good -looking form at the tip of the nose.

Strengthen the nasal valves (Nasal Valve Support): In patients with severe respiratory obstruction.

Repair of unsuccessful surgeries: Ear or ear cartilage can be used to modify undesirable changes caused by previous surgeries.

Reconstruction of structural defects: In cases such as traumatic injuries or congenital defects.

Steps to perform cartilage transplantation in rhinoplasty

1. Counseling and evaluation

The surgeon examines the nasal structure, the skin's properties and the functional and beauty needs of the patient.

Sometimes 3D imaging is used to predict results.

2. Harvesting cartilage

Depending on the patient's need, the cartilage is removed from septum, ear or ribs.

3. Cartilage formation

The surgeon carefully cuts the cartilage to arbitrarily and proportional to the patient's nose structure.

4. Putting the cartilage in the nose

The cartilage is in the right position and fastened with delicate sutures.

5. Closing cuts and dressings

The nose is protected by a special splint or plaster to fix the new structure.

The benefits of cartilage transplantation in rhinoplasty

The creation of strength and stability in the nasal structure
Reduce the possibility of drooping or deformity of the nose over time
Simultaneous improvement of respiratory function and nose appearance
Natural and sustainable results in the long run

Disadvantages and possible complications of cartilage transplantation

The possibility of partial cartilage absorption in rare cases
Increase surgical time due to the harvesting process and shaping the cartilage
In the ribic cartilage transplant, the cut on the chest requires more care
More swelling and bruising. In some cases

Post -Rhinoplasty with cartilage transplantation

Avoid heavy activities in the first 1 to 2 weeks
Sleeping back with a slightly high head to reduce swelling
Regular use of prescribed drugs
Refusing to hit or pressure to the nose
Surgeon's visit to the surgeon to check the recovery process

Who is a good option for cartilage transplantation in rhinoplasty?

People who need to modify the nose structure
Patients who have had previous nose surgery and need repair
People with respiratory problems caused by nasal obstruction
Patients with traumatic nasal injuries

summary

رینوپلاستی With cartilage transplantation is an effective and safe method for improving the form and function of the nose. Select type Cartilage (Septum, ear or gear) Depends on the patient's individual condition and surgical needs. This technique, especially in complex cases or reconstructive surgeries, can have natural and sustainable results..

Useful links:

Isfahan nose surgeon _ Jaw surgeon of Isfahan

Dr. Behnam Khorrami's page in the clinic 24 | Maxillofacial surgeon in Isfahan clinic 24 | Nose surgeon in Isfahan clinic 24

Dr. Behnam Khorrami, nose surgeon in Isfahan at Dr. Af | Maxillofacial surgeon in Isfahan at Dr. Af | Isfahan nose surgeon at Dr. Af

Modify the form of appearance and repair of old or new injuries

Introduction

رینوپلاستی (Rhinoplasty) One of the most common and popular cosmetic and reconstructive surgeries is aimed at modifying the shape and function of the nose.. This surgery can be cosmetic reasons (Correction of asymmetry, shrinking or deforming the nose) Or for functional reasons (Such as resolving respiratory problems caused by nasal septum deflection or fracture injuries) be done. Nasal fracture is one of the most common facial damage that can lead to appearance, respiratory obstruction and even chronic pain.. In this article from the site of Dr. Behnam Khorrami (Isfahan nose surgeon _ Jaw surgeon of Isfahan)We fully address the rhinoplasty and its role in modifying the form of the nose and repairing old or new fractures..

Rhinoplasty

The nose consists of complex structures including bone, cartilage, soft tissue and skin. These structures are an important role in respiratory function, sound production (Sound intensification) And have the overall appearance of the face. Nasal anatomy is divided into three main sections:

Bone section: Includes nose bones that form the upper part of the nose.

The cartilage section: Includes lateral cartilage and nasal tip that are in the middle and lower nose.

Septum (سپتوم): The central structure of the nose consisting of cartilage and bone and plays an important role in maintaining the symmetry and openness of the airway..

Fractures of the nose

Causes of nasal fractures

Nasal fractures usually occur due to direct impact, which can be caused by the following:

Traffic accidents

Sports injuries

Falling

Conflict and conflict

Occupational damage

Symptoms of a broken nose

Swelling and bruising: Especially around the eyes (appearance “Panda eye”)

nose bleeding

Pain and sensitivity to touch

Change the shape of the nose: Bend, indentation or bump

Respiratory disorders: Due to the deflection of the nasal septum or mucosal swelling

Calling when touching the nose

The complications of untreated fracture

The following problems may occur if left untreated nasal fracture time:

Septum deviation: That leads to respiratory disorders.

Adhesion: Chronic nasal cramps.

Permanent deformity: That changes the appearance of the nose permanently.

Damage to the cartilage: That can disrupt the function and structure of the nose.

رینوپلاستی (Cosmetic surgery and restorative nose)

types رینوپلاستی

Beauty rhinoplasty (Cosmetic Rhinoplasty):

Correction of hump nose

Change the tip of the nose

Shrinking or narrowing the nose blades

Improving nose symmetry

Before we go into this care, we must say that dizziness and nausea after surgery is completely normal and this issue will gradually disappear with the disappearance of the effects of anesthesia. (Reconstructive Rhinoplasty):

Correction of fracture injuries

The regeneration of cartilage and bone

Eliminate respiratory obstacles

Repair of septum deviation (سپتوپلاستی)

Secondary rhinoplasty (Revision Rhinoplasty):

Correction of problems caused by previous surgeries

Improve respiratory function and appearance of beauty

Rhinoplasty surgery

1. Open rhinoplasty (Open Rhinoplasty):

In this way, a small cut in the clomella area (Middle part between nostrils) is created. This technique gives the surgeon accurate access to the internal structures of the nose.

Advantages:

Precise control over the structure of the nose

Suitable for correcting complex changes

Disadvantages:

More inflation

Small Oscar Remaining

2. Closed rhinoplasty (Closed Rhinoplasty):

In this way, all cuts are done in the nostrils.

Advantages:

Non -observing external scarring

Reduced recovery time

Disadvantages:

Limit access to internal nasal structures

correction Fractures of the nose With rhinoplasty

Restoration of new fractures

In new fractures (Less than 2 weeks), Usually manual modification (Closed Reduction) It is possible.

If manual correction is not possible, open rhinoplasty is performed.

Repair of old fractures

In old fractures, repair is usually using cartilage grafts (Of the nose blade, ear or ribs) Done.

Reconstruction of nasal septums and side walls is done with advanced rhinoplasty techniques.

Recovery period after rhinoplasty and nasal fracture repair

Primary care

Use cold compresses for 4 hours to reduce swelling

Inaccation of heavy physical activity for 2 weeks

Sleeping with a head above the body surface to reduce inflammation

Avoid hitting the nose until the full boiling of the bone

recovery time

Primary inflation: 1 to 2 weeks

Completely reducing inflation: 2 months to 5 years

The final appearance of the nose: After 6 months

Possible complications of rhinoplasty

Bleeding

The infection

Asymmetry

Breathing problems

Staircase

Need secondary surgery

Rhinoplasty results

The successful results of rhinoplasty depend on the following factors:

Experience and skill of the surgeon

Quality of nasal tissues

Postoperative care

Patient realism about expectations of the outcome of the action

Conclusion

Rhinoplasty and repair of nasal fractures not only help improve appearance and fitness, but also improve the respiratory function by modifying structural problems.. Restoration of new and old nose fractures requires careful evaluation, proper planning and implementation of advanced surgical techniques.

Useful links:

Isfahan nose surgeon _ Jaw surgeon of Isfahan

Dr. Behnam Khorrami's page in the clinic 24 | Maxillofacial surgeon in Isfahan clinic 24 | Nose surgeon in Isfahan clinic 24

Dr. Behnam Khorrami, nose surgeon in Isfahan at Dr. Af | Maxillofacial surgeon in Isfahan at Dr. Af | Isfahan nose surgeon at Dr. Af

Improving the appearance and fixing nasal structural problems to improve breathing

Introduction

رینوپلاستی (Rhinoplasty) That as “عمل زیبایی بینی” It is known, one of the most common and popular cosmetic surgeries aims to improve the appearance of the nose and improve respiratory function.. But many people, in addition to modifying the external form of the nose, also have internal structural problems that disrupt breathing.. Nasal blade tilting (Septum deviation), Problems related to nasal tentacles (Turbines) And the narrowing of the airways are among these problems. In this article from the site of Dr. Behnam Khorrami (Isfahan nose surgeon _ Jaw surgeon of Isfahan), Fully examining rhinoplasty, focusing on the correction of the internal tilt of the nose and its impact on the improvement of respiratory function and appearance..

Anatomy of the nose and the importance of its performance

The nose consists of complex structures including bone, cartilage, soft tissue and mucous membranes that play important roles in breathing, temperature regulation and humidity, filtering particles, and feeling smell.. The most important parts of the nose that contribute to breathing and proper functioning are:

سپتوم (Septum): The cartilage and bone wall that divides the nasal holes into two parts left and right.

Nasal tentacles (Turbines): Meat structures in the nasal side walls that have the task of adjusting airflow, filtering particles and warm and moisturizing inlet air.

Nasal valves: Narrow and sensitive parts in front of the nose that are responsible for controlling the inlet air flow.

Deviation, narrowing or swelling of these parts can block airways and difficulty breathing..

The internal tilt of the nose and its effect on breathing

1.. Septum deviation (Nasal blade tilting)

Nasal blade tilting (Deviated Septum) One of the most common structural problems of the nose is usually congenital or by impact.. In this case, the nasal septum diverts from its straight path and blocks one or both nose ducts..

Symptoms:

Continuous cramps of one side of the nose

Repeated nasal bleeding

Headache and facial pain

Vowel breathing while sleeping

Nose dryness and decreased sense of smell

2.. Hypertrophy nasal tentacles (Growing turbines)

Nasal tentacles May cause swelling for various reasons such as chronic allergies, chronic inflammation or sinusitis.. This reduces the internal space of the nose and difficulty in breathing.

Symptoms of turbine hypertrophy:

Permanent nasal congestion

Reduce air flow

Increased mucus and nasal secretions

Sleep in the sleep

۳. The narrowing of the nose

The narrowing of the nasal valves, especially the inner valve, can limit the inlet air flow.. This problem may occur as congenital or caused by injury.

The symptoms of:

Difficulty in breathing during exercise

Whistle sound when breathing

Feeling pressure and suffocation in the nose

Rhinoplasty and correction of internal tilt

1.. Rhinoplasty surgical goals

Rhinoplasty may be done with two main goals:
Correction: Change in shape, size, angle and nose harmony with other facial components
Improve respiratory function: Remove aerial route blockage, deflected septum correction and improvement of nasal valves function

2.. سپتوپلاستی (Septoplasty);; Nosebleed

Septoplasty is a surgical in which Deviated septum Correct. This surgery is usually performed with rhinoplasty to improve both function and nose appearance..

Septoplasty steps:

Internal cutting in the nose mucous membrane

Removal or deformity of cartilage and deflected bone

Sleeping the nose blade and fixing it with suture

۳. Engineer (Turbinate Reduction);; Nasal tentacles modification

If the nasal tentacles are enlarged, the surgeon can create more space for air flow by reducing their volume.. This is done in the following ways:

Reduce size by using laser

Removing part of the tentacles

Burning or frozen additional tissue

4.. Reconstruction of nasal valves

If the narrow valves cause difficulty breathing, the surgeon uses the graft (Rather, it is enlarging the nose by creating a bridge over the nose) Or re -open the nose structure, open the respiratory trails.

Post-rhinoplasty care + سپتوپلاستی

✅ Primary care:

Rest in a semi -sitting mode to reduce swelling

Use cold compresses in the first 1 to 2 hours

Taking analgesic and antibiotics as directed by your doctor

✅ Ability:

Refusing to finish or push the nose

Avoid heavy sports activities for 1 to 2 weeks

Avoid exposure to direct sunlight

✅ Follow -up:

Sutures and splint removal after 1 to 2 days

Final assessment after 1 to 6 months to view the final result

Results and improvement after surgery

Improve the appearance of the nose: The nose will look more natural and harmonious after surgery..
Improve breathing: After shaving the nose and tentacles, it becomes easier to breathing through the nose.
Reduce sleep problems: Reduce the snack and improve the quality of sleep
Reducing sensitivity and dryness of the nose: Improves nasal mucosal function and reduces inflammation

Possible side effects

Although rhinoplasty and septoplasty are safe surgery, complications may occur:

Bleeding

The infection

Unintended deformation of the nose

Decreased sense of smell (Temporary)

summary

Rhinoplasty associated with correction of internal tilt of the nose (Septoplasty and turbine) An effective way to improve the appearance and respiratory function. In addition to improving beauty, this surgery improves the quality of life by removing the obstruction of the airways and improving breathing flow..

Useful links:

Isfahan nose surgeon _ Jaw surgeon of Isfahan

Dr. Behnam Khorrami's page in the clinic 24 | Maxillofacial surgeon in Isfahan clinic 24 | Nose surgeon in Isfahan clinic 24

Dr. Behnam Khorrami, nose surgeon in Isfahan at Dr. Af | Maxillofacial surgeon in Isfahan at Dr. Af | Isfahan nose surgeon at Dr. Af

Correction of nasal appearance and valve problems (Improve breathing)

Introduction

• رینوپلاستی (Rhinoplasty) One of the most common cosmetic and functional surgeries is to modify the appearance of the nose and improve respiratory function.. In many cases, respiratory problems caused by nasal obstruction due to structural abnormalities such as nasal blade deviation (سپتوم), The size of the nose's tentacles (Turbines) Or problems related to nasal valves. In such circumstances, in addition to rhinoplasty, valloplasty (Valve Surgery) It is also performed as a supplement to improve respiratory function. In this article from the site of Dr. Behnam Khorrami (Isfahan nose surgeon _ Jaw surgeon of Isfahan), Follow these two surgical methods, applications, techniques and expected results.

1.. Anatomy

(A)) The overall nose structure

The nose consists of three main parts:

• Bone section: Includes the nasal bones and the upper part of the septum
• The cartilage section: Includes upper and lower lateral cartilage
• Soft section: Includes the skin, mucosa and soft tissue

(B)) Nasal valves

Nasal valves are divided into two parts:

Inner valve (Internal Nasal Valve):

The crossing of the upper lateral cartilage and the nasal septum

The thinnest part of the airflow in the nose

Key role in adjusting airflow

External valve (External Nasal Valve):

Communication Tip of the nose And nose blades

Its function depends on the strength and position of the lower lateral cartilage

Any defects or weaknesses in these structures will cause air route blocking, reduced air flow and respiratory problems..

2.. رینوپلاستی (Rhinoplasty)

(A)) Definition and application

Rhinoplasty is a surgery aimed at modifying the form and function of the nose. This surgery can include nasal resize, nasal remedies, nasal tip correction, narrowing nose width, and improving it with other facial components..

(B)) Types of rhinoplasty

Open rhinoplasty (Open Rhinoplasty):

Creating a cut in the clomella area (Tissue)

Suitable for sophisticated reforms

The possibility of direct viewing of the internal structures of the nose

Closed rhinoplasty (Closed Rhinoplasty):

Creating internal cuts without external cuts

The shorter recovery period

Suitable for minor reforms to average

ج) Rhinoplasty surgery

Anesthesia: Commonly used in general anesthesia.

Cutting: Depending on the type of surgery, appropriate incisions occur.

Structure correction:

Shaving or strengthening the bone and cartilage

Reconstruction or change of position of nasal valves

Close cutting: The cuts are closed with delicate sutures.

Plastering or splint: To fix the new nose structure

د) Rhinoplasty goals

Improving the appearance of the nose
The removal of the horses
Nostril
Correction of the tip of the nose
Improve respiratory function

۳. Varotolasty (Valve Surgery)

(A)) Definition and application

Valoplasty is a surgery to regenerate and enhance the structure of nasal valves. This is usually performed as part of rhinoplasty or independently to treat nasal obstruction..

(B)) The common problems of the nasal valve

Reduce the strength of the upper side cartilage

Tailgate

Weakness at the tip of the nose and its drooping

Granular stenosis or acquired

ج) Valoplasty surgical techniques

Graft Sprider (Spreader Graft):

Putting the cartilage between the upper side cartilage and the septum

Increased angle of the inner valve

Improvement of nasal air flow

Graf the Allar Baton (Alar Batten Graft):

The use of cartilage (Usually of septum or ear)

Reinforce the outer wall of the nose

Prevent the external valve collapse

Suture the lateral cartilage:

Deformity and position of lateral cartilage

Improve the strength of the valves

Strengthening nasal blades with cartilage:

The use of nasal or earblage cartilage

Increased valve resistance

4.. Rhinoplasty and valloplasty

In many cases, rhinoplasty and valloplasty are performed simultaneously. This will improve both the appearance of the nose and its functional problems..

✳️ Suitable for combining these two surgeries:

Chronic nasal obstruction

Structural problems of internal and external valves

Deviated septum (سپتوم)

Congenital abnormalities or previous impacts

Nose

The Benefits of Rhinoplasty and Valoplasty.:

Improvement of breathing through aerial modification
Increase the beauty and proportion of the nose
Prevent the need for subsequent restorative surgeries
Improves long -term performance of nasal valves

5. Post-surgery care

✅ Primary care:

Use cold compresses to reduce swelling

Avoid hitting the nose

Abstaining from severe drainage

Keeping the head up while sleeping

✅ Long -term care:

Avoid heavy exercise for up to 6 weeks

The use of nasal salt sprays

Avoid glasses for up to 1-2 weeks

Follow the surgeon's examination sessions by the surgeon

۶. Outcomes and possible complications

✅ Expected results:

Improving the beauty of the nose
Increase the ability of breathing through the nose
increasing the self confiedence

ب possible complications:

Bleeding

The infection

Temporary or permanent anesthesia

Beauty problems (Asymmetry)

Respiratory obstruction in case of incorrect correction

۷. Conclusion

Rhinoplasty and Valoplasty as two supplement surgery methods play an important role in improving nasal function and cosmetic. Correction of nasal valves through valloplasty increases nasal air flow and reduces respiratory problems.. The combination of these two methods ensures simultaneous improvement of function and nasal form and helps the patient achieve the desired result both appearance and functionality..

Useful links:

Isfahan nose surgeon _ Jaw surgeon of Isfahan

Dr. Behnam Khorrami's page in the clinic 24 | Maxillofacial surgeon in Isfahan clinic 24 | Nose surgeon in Isfahan clinic 24

Dr. Behnam Khorrami, nose surgeon in Isfahan at Dr. Af | Maxillofacial surgeon in Isfahan at Dr. Af | Isfahan nose surgeon at Dr. Af

Improves respiratory function and correction of nose appearance

Introduction

The nose is one of the main components of the face that, in addition to its direct impact on beauty, plays a vital role in respiratory function.. Structural problems of the nose, such as deflection of the nose blade (سپتوم), Too large (Turbines) Or congressive abnormalities and physical trauma can cause nasal cramps, sleep problems, reduced sense of smell and even headaches..
Two turbine surgery (Reducing the size of nasal tentacles) and rhinoplasty (Correction of the shape of the nose) They are usually performed in combination to improve both respiratory function and nasal appearance.. In this article from the site of Dr. Behnam Khorrami (Isfahan nose surgeon _ Jaw surgeon of Isfahan), Full examination of these two procedures, benefits, steps, potential complications, and their results..

Nasal anatomy and the role of nose

The nose consists of bone, cartilage, soft tissue and mucosa. Its main structures containing:

سپتوم (Septum): The middle wall that divides the nose into two parts left and right.

Turbines (Nasal tentacles): Three bone structures on the lateral walls of the nasal cavity (Upper, middle and lower turbines) That are covered with mucus.

Cartilage and soft tissue: Determine the shape and strength of the nose.

The role of nasal tentacles

Nasal tentacles have important tasks in adjusting the air flow to the nose:
Moisturizing inlet air
Filtering of suspended particles and contaminants
Heat the inlet air to the lungs
Adjusting airflow through turbulence (The rotation of the air)

Excess (Hypertens of turbines) It may cause air route blockage that results in respiratory problems, sleep apnea, decreased smell and oral breathing..

Engineer (Turbinoplasty)

Definition and goals

Problem is a surgical procedure to reduce the size of the nasal tentacles that are maintained by maintaining their normal function.. The purpose of this surgery is to improve air flow in the nose without impaired mucosal function and sense of smell.

Causes of turbine

Hypertrophy (Big) Nasal tentacles

Chronic nasal cramps

Non -response to drug treatment (Such as anti -congestion sprays)

Sleep disruption (Like sleep apnea)

Repeated sinus infections

Procedures for turbine

Berine with radiofrequency (RF):

Use radio waves to reduce the size of the tentacles

The least amount of bleeding and short recovery period

Turbine with surgical incision:

Removing part of the tissue tissue

Suitable for severe hypertrophy items

Laser turbine:

Use laser to evaporate excess tissue

Less bleeding and faster recovery

Sub -i -Bermocosal Berine:

Reducing the size of the tentacle through cutting under the mucosa

Maintenance of mucosal cover to prevent dry nose

Benefits of turbine

Rapid breathing recovery
Reduction of dry nose
Preserving nasal mucosa function
Reducing symptoms of sinusitis and chronic nasal cramps

رینوپلاستی (Rhinoplasty)

Definition and goals

رینوپلاستی It is a type of cosmetic and restorative nose surgery aimed at modifying the shape, size and function of the nose. This may be combined with turbineoplasty to make nasal structural problems (Such as septum deviation) Also resolve.

Reasons for doing rhinoplasty

Correction of deviated nasal septum

Shrinking or enlargement of the nose

Correction of asymmetry

Remove a hunch or recess on the bridge of the nose

Improve respiratory function

Rhinoplasty methods

Open rhinoplasty:

Creating a cut in collumla (The middle part of the nose)

Access to internal nasal structures for more accurate modification

Suitable for complex changes

Closed rhinoplasty:

Creating internal cuts without external cuts

Inflation and bruising

Suitable for minor reforms

Rhinoplasty steps

General anesthesia
Creating a cut inside or outside the nose
Modification of bone and cartilage structure
Suture and dressing

Benefits of rhinoplasty

Improve the appearance of the nose
Improve respiratory function
Fixed structural problems (Such as septum deviation)
increasing the self confiedence

Turbine and rhinoplasty composition

The combination of these two surgeries is recommended when:

In addition to cosmetic problems, the patient has respiratory problems caused by the enlargement of nasal tentacles.

Complete breathing problems without improving the appearance of the nose.

Nasal blade deviation with hypertrophy turbines.

Benefits of performing the simultaneousblasty and rhinoplasty

Reduced recovery time
Perform anesthesia only in one session
Simultaneous correction of the function and appearance of the nose
Reduce overall costs

Recovery and post -operative care period

Rest in the first days:

Holding the head to reduce inflation

Taking anti -inflammatory and analgesic drugs

Nasal wash With salt

Avoid intense physical activity for up to 3 weeks

Failure to use glasses up to 6 weeks (In case of rhinoplasty)

Review of the final results after 1 to 6 months

Possible side effects

Bleeding
The infection
Temporary numbness
Damage to the nose mucosa
Re -blocking airways

The results and success of the surgical

Significant improvement in breathing quality

Increased satisfaction from the appearance of the nose

Reduce symptoms of sinusitis and sleep apnea

Sustainable beauty and functionality after 1 to 2 months

Conclusion

Both turbine and rhinoplasty can play an important role in improving respiratory function and nasal aesthetic modification, both separately and in combination.. Performing these two operations simultaneously, in addition to reducing the cost and recovery time, increases the patient's satisfaction and respiratory function..

Useful links:

Isfahan nose surgeon _ Jaw surgeon of Isfahan

Dr. Behnam Khorrami's page in the clinic 24 | Maxillofacial surgeon in Isfahan clinic 24 | Nose surgeon in Isfahan clinic 24

Dr. Behnam Khorrami, nose surgeon in Isfahan at Dr. Af | Maxillofacial surgeon in Isfahan at Dr. Af | Isfahan nose surgeon at Dr. Af

Simultaneous correction

Introduction

رینوپلاستی (Rhinoplasty) And septoplasty (Septoplasty) Two important nasal surgeries that focus on improving the appearance and respiratory function of the nose. In many cases, these two operations are performed simultaneously to modify the internal structural problems of the nose, in addition to creating a fit and beautiful appearance.. The combination of these two surgeries under the heading “Functional rhinoplasty” It is known and has become one of the most popular methods of nasal surgery because.

In this article from the site of Dr. Behnam Khorrami (Isfahan nose surgeon _ Jaw surgeon of Isfahan), We will carefully examine the process, benefits, challenges and results from simultaneous rhinoplasty and septoplasty.

1. Rhinoplasty and septoplasty

(A)) What is rhinoplasty?

Rhinoplasty is a cosmetic surgery aimed at deformity, size and proportion of the nose. This surgery can correct the following:

The hump

Symmetry

High width of the nose

Drooping tip of nose

Large or small nose

The angle between the nose and the upper lip

Rhinoplasty is performed in two main methods:

• Open rhinoplasty: Creating a cut in the clomella area (Peel) And lift the nose skin to access the internal structureClosed rhinoplasty: Creating internal cuts without damage to the outer skin

(B)) What is Septoplasty?

سپتوپلاستی A functional surgery that aims to modify the deviation Septum (سپتوم) Done. Septum (سپتوم) Is a structure of bone and cartilage that divides the nose into two separate holes. Deviation of this blade may cause the following problems:

Nasal congestion (Respiratory obstruction)

Sinusitis Repeated

Nasal bleeding

Puffy or sleep apnea

Sophistication

In septoplasty, the surgeon opens air paths by removing or deforming the nasal septum to improve the natural air flow..

2. Why are rhinoplasty and septoplasty performed simultaneously?

It is recommended to perform these two acts simultaneously for the following reasons:
Fixing cosmetic and functional problems simultaneously: Many patients who work to modify nasal form also have respiratory problems caused by nasal blade deflection..
Reduced recovery time: Performing two acts simultaneously eliminates the need for two separate recovery periods.
Coordination between the internal structure and the external appearance of the nose: Correction of nose without fixing functional problems may make respiratory function worse.
Reduce cost: Simultaneously two operations reduce hospital costs, anesthesia and post -operative care.

3. Suitable candidate for rhinoplasty + سپتوپلاستی

Suitable people for this action are:

People who are unhappy with their appearance because of the nose or nasal tip.

Patients with nasal cramps, puffs or respiratory problems.

People who have a nasal septum deflection and nasal deflection due to a trauma or accident.

People with congenital nose abnormalities (Like the lips of the sugar) are.

Patients who have previously performed rhinoplasty but their respiratory function has difficulty.

4. The process of performing rhinoplasty + سپتوپلاستی

Step 1: Patient preparation

Investigating General Health Status

Conducting blood tests and imaging (Like CT scans)

Consultation with the surgeon to check for patient expectations

Step 2: Anesthesia

Commonly used in general anesthesia.

In more detailed cases, topical anesthesia may be used with relaxation.

Step 3: سپتوپلاستی

Inner cutting inside the nostril

Access to the nose blade (سپتوم)

Removal of deviant or extra blades

Nasal septum fixing using internal suture or spleint

Step 4: رینوپلاستی

Open cut (Cut collumla) Or closed (Internal cut)

Bone deformation and nasal cartilage

Shrinking or increasing the height of the nasal bridge

Adjust the tip of the nose

Nasal blades correction (If needed)

Stabilization of nose structure using suture and splint

Step 5: Closing cuts and dressings

Putting internal and external splints

Use tampons to prevent bleeding

5. Postoperative care

Using a cold compress to reduce swelling

Use of painkillers and antibiotics

Failure to do heavy activity for 1 to 2 weeks

Avoid hitting the nose

Refer to the doctor to remove the splint and review the results

6. The benefits of performing rhinoplasty simultaneously + سپتوپلاستی

Simultaneous improvement of aesthetic and nasal function
Reduce the cost and time of recovery
Reduce the possibility of respiratory problems after cosmetic surgery
Improve the appearance and function of the normal nose
Creating coordination between nasal form and breathing

7. Possible side effects

Bleeding
The infection
Respiratory problems after surgery
Asymmetry of the nose
Damage to the cartilage tissue or bone

8. Results and extent of success

The results of this procedure are usually fully identified after 1 to 2 months. The degree of success depends on the following factors:

The skill of the surgeon

The amount of complexity of the problem

Post-operative care

The patient's overall health status

9. Conclusion

رینوپلاستی + Septoplasty is one of the most effective and functional nasal surgery that not only helps improve the appearance of the nose, but also improves the respiratory function by correcting the nasal septum..

Useful links:

Isfahan nose surgeon _ Jaw surgeon of Isfahan

Dr. Behnam Khorrami's page in the clinic 24 | Maxillofacial surgeon in Isfahan clinic 24 | Nose surgeon in Isfahan clinic 24

Dr. Behnam Khorrami, nose surgeon in Isfahan at Dr. Af | Maxillofacial surgeon in Isfahan at Dr. Af | Isfahan nose surgeon at Dr. Af