Rhinoplasty

Primary Rhinoplasty

The nose, which is the most aesthetically attractive structure of the face, has important duties such as heating, cleaning and humidifying the air we breathe in addition to the sense of smell.The operations that improve the aesthetic appearance of the nose are called “Rhinoplasty” and the operations performed for health reasons are called “Septorinoplasty”.

In aesthetic nose surgeries, it is not possible to achieve a perfect result in terms of correcting the appearance because each patient’s tissue responds differently to the surgery.Although the nose is a single organ, it is located in the midline of the face and it has a structure with two sides. A symmetrically similar appearance of the nose makes it difficult to achieve excellent success.

Revision Rhinoplasty

In rhinoplasty operation, even small errors can be seen as irregularities such as significant asymmetries, respiratory dysfunctions, protrusions on the nasal ridge and tip.

Nose revision surgery is most commonly performed as a result of the nose being reduced too much.Because too small nose causes narrowing of the air ducts and consequently breathing complaints. It also causes the nasal skin to be unable to adapt to the new structure, resulting in downward sagging of the nasal skin.In addition, asymmetries caused by different interventions in both parts of the nose are also common deformations. This and many other aesthetic and functional defects can be removed by secondary surgery.

• Piezo Rhinoplasty 

A piezo rhinoplasty is simply the technical name for an ultrasonic rhinoplasty. This is a new form of rhinoplasty which avoids a hammer and chisel technique to reshape the nasal bones. It provides more precision and reduces the inadvertent trauma and soft tissue damage which can occur in traditional rhinoplasty techniques 

• How does Piezo rhinoplasty work ?

This form of rhinoplasty avoids hammers and chisels which are a relatively crude from of instrumentation. Instead a piezotome is used to reshape and reduce the nasal bones. A piezotome is a specialized instrument which transmits ultrasonic energy to the bone without damaging any surrounding soft tissue. Since the energy is transmitted specifically to the bone there is no collateral damage which means soft tissue swelling and bruising is reduced. The piezotome device comes with various attachments shaped in the form of sculpting tools which are used to reshape the bone.

Septoplasty

In the case of the deviation of the septum which is the name given to the compartment that separates both nostrils is called septoplasty 

Cartilage forms the anterior part of the septum and bone tissue forms the posterior part.If the cartilage and / or bones are displaced to one side of the nasal passage growth is observed across the side of the slope, called the concha.This structure has the function of heating and humidifying the air.Unilateral or bilateral disorders which are usually related to trauma can be resolved by septoplasty. These include nasal obstruction, unilateral discharge, nosebleeds, frequent recurrent attacks of sinusitis, headache, discharge from the nasal passages, snoring, and apnea in sleep.

The sinuses, which moisturize the air we breathe and help to remove germs also lighten our head bones and play an important role in the characteristic formation of our voice.As a result of nasal obstruction, if the sinuses are not properly ventilated, bacteria or viruses will accumulate in them, which can cause bacterial sinusitis.Sinusitis may become chronic and surgical intervention may be necessary as a result of this increase especially in autumn and winter months.

Sore throat, dryness and crusting of the nose, halitosis, snoring, nasal congestion, loss of smell, constant fatigue, dry cough, voice change, nasal discharge and upper respiratory tract complaints lasting more than 3 weeks are the precursor of chronic sinusitis. In these cases, seeing the doctor is the most appropriate option.

Endoscopic examination can be used to diagnose intranasal causes before sinusitis surgery, which is a very sensitive operation. In acute sinusitis, patients can recover with antibiotics, nasal drops and antipyretics / analgesics in 10-14 days. In patients with chronic rhinosinusitis, endoscopic sinus surgery can be applied when there is no response to medical treatment lasting 1-2 months.Approximately 80 percent of chronic rhinosinusitis patients recover completely by surgery. The balloon synuplasty technique, which has been applied in recent years, provides early recovery with a lighter intervention. However, this technique can be applied to only 10 percent of patients.

The tonsils which are located in the oral cavity on both sides of the tongue root and collecting germs that enter the body from outside, also provide the defense substances in the body.This function of the tonsils, which are more important in early childhood, especially when children recognize germs and where the immune system responds to germs, decreases with age.

In some children, around the age of 4 to 5, the tonsils grow excessively and become a source of infection due to frequent infection.Sometimes, because of their large size, they prevent breathing and eating, and cause nighttime respiratory arrest. In this and the following cases, tonsils should be removed by surgery.

• Tonsillitis, which recurrences more than 3 or 5 times in children per year and more than 2 times in adults,
• Sleep apnea,
• Tonsil abscess,
• Suspected of malignant tonsil tumor,
• Excessive tonsil growth which causes respiratory and swallowing difficulties,
• Chronic tonsillitis, which causes bad breath and swelling of the lymph nodes,
• Chronic tonsillitis in people with heart rheumatism, heart valve inflammation or kidney inflammation,
• Nasal flesh and tonsil growths that disrupt the jaw structure.

Tonsils, removed from the muscle and the cover under general anesthesia, which is opened with a special tool around the mouth.Then, bleeding control is performed and the operation is terminated. Classical techniques such as scissors, scalpel can be used for the removal of tonsils, as well as electrical incineration or similar technologies.

If fluid accumulation in the ear does not respond to treatments, your doctor may need to perform surgical treatment to remove fluid from the middle ear, that is, insert a tube.

In patients with recurrent acute otitis media, middle ear fluids that do not heal themselves or with medical treatment, eardrum collapses, barotrauma during flight or diving, in patients with down syndrome, such as cleft palate or eustachian tube, the insertion of small tubes into a hole in the eardrum is called tubulation.Thanks to this procedure, the accumulation of fluid in the middle ear is prevented and both the hearing status of the child is improved and long-term problems related to this fluid accumulation are prevented.

In this process, microsurgical techniques are advanced and the liquid in the middle ear is pulled out of the hole through a vacuum in the scratched eardrum.Then, by means of special instruments, the tube is placed with one end on the outer ear and the other end on the middle ear. There can be no external changes to the person’s ear after this procedure. There is no need to make an incision in the skin in this operation performed under general anesthesia.

The ear tube usually remains in the eardrum for 6-12 months. It then falls into the ear canal spontaneously and the hole closes in the eardrum in which the tube is inserted.

The lung transmits air to the larynx and produces air noise through the larynx vocal cords so that the breathing air can turn into sound and speech.This voice is accompanied by the oral cavity, teeth, tongue and sinuses. The hoarseness includes not only low sound, but also bifurcations, vibrations, and muffled sound.

The causes of hoarseness are generally inflammation of the larynx, nodules or polyps that may occur in vocal cords, paralysis of nerves that cause vocal cords to move, nasal discharge, reflux, laryngeal tumors, throat blows, diabetes or nervous system diseases and psychological causes.

Adenoid tissue or nasal flesh is a lymphoid tissue, which is located on the upper part of the soft palate at the back of the nose and protects the body from germs.It is normally found in all children and is not seen by open mouth. Nasal problems, one of the most common problems in childhood, increase in parallel with upper respiratory tract infections, especially in winter.