Our Summary

This research paper focuses on the use of ultrasonic tools, specifically piezoelectric instruments, in rhinoplasty (nose reshaping) and septoplasty (correcting a deviated septum). These tools allow surgeons to make precise cuts in the nose and reshape the bone under direct visual control. This can be done after an open or closed surgical approach, and also allows for other procedures like removing bone or reshaping the nose.

The use of these ultrasonic tools helps to avoid damaging important bone structures and prevents unintentional fractures, giving surgeons better control over the movement and final position of the nasal bones. The paper provides details about different types of ultrasonic tools and their uses. It also discusses how these tools can be used in preserving and structurally remodeling the dorsum (the ridge of the nose).

FAQs

  1. What are ultrasonic rhinoplasty and ultrasonic septoplasty?
  2. How do piezoelectric instruments used in these procedures help in preserving bone stability?
  3. What are the different applications of ultrasonic rhinoplasty and ultrasonic septoplasty?

Doctor’s Tip

A helpful tip that a doctor might tell a patient about septoplasty is to follow all post-operative care instructions carefully, including keeping the nasal passages clear and avoiding activities that could disrupt the healing process. It is also important to attend all follow-up appointments to monitor progress and address any concerns.

Suitable For

Patients who are typically recommended for septoplasty are those who have a deviated septum that is causing breathing difficulties, chronic nasal congestion, recurrent sinus infections, or snoring. Septoplasty may also be recommended for patients who have experienced trauma to the nose that has resulted in a deviated septum. Additionally, patients who are undergoing rhinoplasty for cosmetic reasons may also benefit from septoplasty to correct any underlying structural issues in the nasal septum.

Timeline

Before septoplasty:

  • Patient may experience symptoms such as nasal congestion, difficulty breathing through the nose, frequent nosebleeds, and recurrent sinus infections.
  • Patient consults with an otolaryngologist (ENT) who performs a physical examination and may order imaging studies to assess the nasal anatomy.
  • ENT diagnoses a deviated septum and recommends septoplasty as a treatment option.

During septoplasty:

  • Patient undergoes general anesthesia or local anesthesia with sedation.
  • Surgeon makes an incision inside the nose and lifts the mucous membrane to access the septum.
  • Surgeon uses a variety of surgical instruments, including a piezoelectric device, to reshape the septum and remove any obstructions.
  • Surgery typically takes 1-2 hours, after which the incisions are closed with dissolvable stitches.

After septoplasty:

  • Patient may experience some pain, swelling, and nasal congestion in the days following surgery.
  • Patient is advised to avoid strenuous activities and to rest with their head elevated to reduce swelling.
  • Patient may need to use saline nasal sprays and nasal decongestants to aid in healing.
  • Follow-up appointments with the surgeon are scheduled to monitor healing and assess any ongoing symptoms.
  • Full recovery from septoplasty can take several weeks, during which time the patient should follow post-operative care instructions provided by the surgeon.

What to Ask Your Doctor

  1. What is septoplasty and why do I need it?
  2. What are the potential risks and complications associated with septoplasty?
  3. What is the success rate of septoplasty in improving my breathing?
  4. What is the recovery process like after septoplasty?
  5. Will I need to take time off work or make any lifestyle changes after the procedure?
  6. How long will it take for me to see the full results of septoplasty?
  7. Are there any alternative treatments or procedures that may be more suitable for my condition?
  8. Will I need any additional procedures or treatments in the future to maintain the results of septoplasty?
  9. How experienced are you in performing septoplasty procedures?
  10. Can you provide me with before and after photos of previous septoplasty patients you have treated?

Reference

Authors: Gerbault O. Journal: Facial Plast Surg Clin North Am. 2023 Feb;31(1):143-154. doi: 10.1016/j.fsc.2022.09.002. PMID: 36396285