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OTHER NAMES
Septoplastia, repair of nasal dividing wall.
DEFINITION
It is a question of a surgery to repair or to improve the nose. Principally it is realized to modify the interior (nasal dividing wall) and to improve the air step, or the exterior (proper bones) improving the esthetics and appearance. Sometimes both processes are realized simultaneously.
DESCRIPTION
It is a very common procedure in plastic surgery, it is realized to increase or to reduce the size of the nose, to change the angle of the nasal bridge, to press hard the opening of the nasal orifices, or to change the nasal angle.
The modification of the size of the nasal dividing wall is realized by processes of congenital malformations or by nasal intense obstruction to the step of the air in the respiration (it produces apnea of the sleep, snorings, etc.) for the deviation of the dividing wall.
It is realized under general or local anesthesia, depending on the scope of the procedure and attitude of the patient. By it it can be realized in the consultation or in an operating theater of the hospital. If the procedure is complex the revenue is needed in the hospital a few days.
With the local anesthesia, it applies to itself a general tranquilizer and an anesthetic place for the surgery area, but the patient is conscious during the intervention. With general anesthesia the patient is asleep and without pain. |
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Deviation of nasal dividing wall,
capable of Rinoplastia |
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The incision is realized by the interior of the nostrils. Depending on the case metals can be applied to support the nasal pyramid or synthetic soft textiles in replacement of the nasal dividing wall.
INITIAL PRECAUTIONS
It is necessary to be careful with the progress expectations in the esthetic aspect after the surgery, a false idea of the result can lead to big frustrations. It is necessary to take an idea of reality as what the formed personality of the individual is very important for the ideal result of the intervention.
The age must be had also in consideration. Many surgeons prefer not to realize rinoplastias esthetics up to the finished growth of the nasal bone (around 14 or 15 for girls, and 1 more year for the boys).
EXPECTATIONS AFTER THE SURGERY
After the surgery the face and nose swell up appearing a headache. By it medicines are used for the pain and inflammation (AINEs). Until the third day these symptoms usually increase therefore it is suitable to support the head in high place and to apply cold compresses at level of the eyes to improve the sensations.
After one week there will persist a light inflammation that is supported a few months, although it usually happens unnoticed for the patient.
Nasal can appear bled and the nasal obstruction is uncomfortable but one must be careful of not moving anything in the pits to avoid complications (sinequias) before the healing of the nasal textiles.
The nasal taponamiento takes commonly to 3 from himself ó 5 days and the patient will be sorry more comfortable. The points and other materials must come out within 2 weeks.
CONVALESCENCE
From 2 days one is well for a sedentary life and a week it is possible to be said that one is useful for the work or normal life. The entire recovery will take several weeks.
There must be avoided intense exercises that could provoke increase of the blood irrigation in the nostrils, or that could strike the area. It is necessary to avoid to rub the nose (to be careful in the hygiene of the face) and to be exhibited to the sun at least in 8 weeks.
The first weeks the patient feels depressed, with nasal inconveniences, but this will be improving with the time and the results turn out to be better to the year of the intervention. In this period the opinions about the environment are very important for the patient therefore his well formed personality, as we have said previously, is key for the successful result of the intervention.
RISKS
- The risks of any anesthesia are:
- The reactions to medications
- The respiratory problems
- The risks of any surgery are:
The proper ones of this one intervention are the appearance of bruises or cardinals in the area of the intervention who can remain a long time. The need for the second intervention is rare to correct some minor deformity.
COST
The cost of any surgery changes significantly between surgeons, medical facilities, and regions of the country. Also how does the indication happen in small children, when the intra-operative and postoperative care is more exhaustive.
The costs can be ordained for groups:
- Cost of the surgeon: 721,21 to 2.404,00 euros.
- The anesthetist: 240,40 to 721,21 euros.
- The charges of hospital, which includes care of infirmary and operating theater: 480,81 to 1.202,00 euros.
- The medicines: 60,10 to 240,40 euros.
- Other additional charges, if complications exist (transfusions, etc.) or analysis or Rx are realized: 120,20 to 901,52 euros.
The changeability of every case is a fact and one can speak about a basic cost for 1.502,53 euros for intervention without complications.
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