SEPTORHINOPLASTY / CORRECTION OF CROOKED NOSE DEFORMITY
As is apparent from the term, SEPTORHINOPLASTY refers to cases where a rhinoplasty and septoplasty are combined. Meaning that the patient desires an aesthetic improvement in the appearance of the nose and also has obstructive problems related to a deviated septum which require surgical correction.
In most cases, the best approach for this type of procedure is an extended open approach allowing complete access to all structures, under direct vision, and, as is Dr. Abrams’ preference, under magnification. This enables the surgeon to precisely determine what needs to be done both in terms of the airways and in terms of aesthetics, and carry out the plan as precisely as possible.
After the surgery, there are usually silicone intranasal splints that are placed for one week to keep the septal structures inappropriate position and there is an external splint that keeps the external structures stable. Both the intranasal and external splints are removed in one week. Individuals vary in terms of how much bruising and swelling they have after surgery. Dr. Abrams has developed an extensive protocol which he asks his patients to follow and this has significantly reduced the amount of bruising and swelling. Such that in most cases by the time patients return in one week to have their splints removed there is virtually no bruising. However, swelling after nasal surgery is inevitable, but most of the swelling subsides within 6 weeks. A small amount of swelling remains which takes up to one year to subside completely. It is for this reason that any assessment of the final outcome of nasal surgery before one year is somewhat premature.