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How Nose Surgery is Performed - Tubinoplasty - Reduce Nasal Obstruction

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Uploaded by on Feb 12, 2009

http://www.rhinoplastyspecialist.com
Enter the operating room and see first-hand how nose surgery is performed and learn about each specific procedure with Beverly Hills Rhinoplasty Specialist Dr. Paul S. Nassif, a distinguished facial plastic and reconstructive surgeon internationally known for his innovative surgical techniques and expertise in revision & ethnic rhinoplasty.

In this video you'll discover how a Tubinoplasty procedure, or Turbinate Surgery, is performed and learn why it is an important part of an overall rhinoplasty plastic surgery procedure.

Turbinoplasty is the operation performed to reduce the size of the turbinate. Usually, only the inferior turbinates need correction.

Large turbinates can cause nasal obstruction. In some cases where a deviated septum is present, compensatory hypertrophy of the turbinate occurs on the side opposite the deviation. The nose does its job of filtering, warming and humidifying when the oncoming airstream is about 2-3 millimeters wide. If the airway is too large on one side, the turbinates compensate by getting bigger. That is why turbinate surgery is sometimes necessary when the septum is straightened. Sometimes your doctor will recommend turbinate surgery if medication is not effective in opening your air passages.

Most turbinate surgery is performed under general anesthesia in the operating room. Special instruments are used to remove bone inside the turbinate or the fleshy outer portion is removed. Since the surgical area is not closed with sutures, temporary packing mad of absorbable collagen is placed. This packing will either disintegrate or fall out after a few days. Most patients go home the same day. The typical operation usually takes less than an hour.

Watch the experience of the patient who underwent this and many other procedures during her ethnic, or westernization, rhinoplasty at...
http://www.youtube.com/watch?v=QobQdRapPfs

Dr. Nassif's practice, Spalding Drive Cosmetic Surgery, is located in Beverly Hills, CA.
http://www.spaldingplasticsurgery.com

OPERATIVE TECHNIQUE:
The anterior aspects of the turbinates were infiltrated with 1 cc of local. A Joseph elevator was used to outfracture the inferior turbinates. Next, the bipolar cauterizing instrument was placed through the incision along the length of the turbinate. The turbinates were cauterized upon withdrawing the unit (3 passes in each inferior turbinate). The bone was lateralized while fracturing it simultaneously with a Joseph elevator. A Goldman elevator was finally used to lateralize the bone.

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Uploader Comments (drpaulnassif)

  • dont know why you cauterize the turbinates, people who go in with this problem get the same enlarged turbinates a year or two years later....and then what can you do...can you get the cauterization again and again....i dont think so.

  • @ChilloutSessionZ

    Hello,

    It is also necessary to fracture the turbinate bone, which will help as well.

  • Hi Dr Paul! I have allergic Rhinti as I am allergic to house dust/house mite. What operation could be done and how much?

  • Hello,

    It would be best to talk to an ENT, as he/she may give you the best advice. Thank you, and best of luck to you.

    Dr. Nassif

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  • @drpaulnassif yes your exactly right in the resection.  forgot about that baba.

  • WISH I HAD A VIDEO OF MY SURGERY!!! *jealous* haha

  • @drpaulnassif

    Thank you Doctor I have contacted my ENT surgeon

  • Hello Doctor. I've noticed lately that I only breath through my mouth. I thought this was normal until now. What could be the problem? If I force hard, I can get air from one nostril.

  • Thank you Dr Paul!

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