Uncategorized – Page 26 – Rhinoplasty Blog

Septoplasty is one of the most successful operations when used for the right indication.

Septoplasty is a nose surgery that is aimed at plastic repair of nasal septum … the party wall between the two sides of the nose. It is performed either on its own or as a part of other functional and cosmetic nasal or sinus surgeries.

In adequately evaluated cases its results are very gratifying.

Failure of Septoplasty in improving the airway and improving the perceived comfort of breathing can result from :

1. Inadequate correction (very common). Posterior obstructive spurs are often left behind and use of endoscopic Septoplasty allows excellent visualization to tackle such problems.
2. Allergic Rhinitis (if its role is not established early)
3. Nasal valve compromise (failure of identification or failure to address it)
4. Physical obstruction from nasal mass or polyps
5. Septal adhesions / synechiae

Septoplasty failure: The common causes Septoplasty failure: The common causes

Rhinoplasty Consultation: Digital Morphing of pictures is useful even when Rhinoplasty surgery in not advisable

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“Dear Dr Shandilya,

Thank you for the consultation on 20th January.

I appreciate your honest opinion as to why it would not be wise to carry out the procedure.

Your verbal and visual explanation as to why it would be unwise to do so is appreciated.

Had I been a suitable candidate for the procedure I would have trusted you 100 per cent to carry out same.

Ms K. “

KERRY,IRELAND. 2012

Successful operation is not the only satisfying outcome for all parties involved.

Successful guidance is a goal in itself …

Rhinoplasty Consultation: Digital Morphing of pictures is useful even when Rhinoplasty surgery in not advisable Rhinoplasty Consultation: Digital Morphing of pictures is useful even when Rhinoplasty surgery in not advisable

Understanding Septoplasty: Nasal Septum anatomy as seen in the Sagittal section of a CTScan

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Red line showing the area of quadrilateral cartilage

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Green lines showing the overlapping nasal tip cartilages

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The area between the Anterior nasal spine and the anterior extent of nasal bones, shown by the grey vertical line, is a common fracture line through the septal cartilage, causing nasal obstruction.

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Inferior and obliquely placed area of the nasal septum, shown by the oblique grey line, is a common site for fractures and spurs

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The white line shows the septal cartilage and bone which can be safely harvested as a graft material.

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Understanding Septoplasty: Nasal Septum anatomy as seen in the Sagittal section of a CTScan Understanding Septoplasty: Nasal Septum anatomy as seen in the Sagittal section of a CTScan

Nose reshaping with hump reduction & trans-cutaneous osteotomies. No tip work.

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A seemingly simple Primary Rhinoplasty for isolated hump reduction still carries a potential of leaving an open roof deformity, Inverted V deformity, Dorsal irregularities and Asymmetrical osteotomies with consequent dorsal deviation.

There is no easy Rhinoplasty.

With experience the surgeon aims to minimize surprises and seeks more predictable results.

The Above composite picture shows the result at the end of the procedure with a degree of swelling. The shadow of preoperative profile picture is superimposed to demonstrate the change.

Nose reshaping with hump reduction & trans-cutaneous osteotomies. No tip work. Nose reshaping with hump reduction & trans-cutaneous osteotomies. No tip work.