Enter the operating room and see first-hand how nose surgery is performed and learn about each specific procedure with Beverly Hills...
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 world-renowned expert in revision & ethnic rhinoplasty./nIn this video you'll discover how a Septoplasty procedure is performed and learn why it is an important part of an overall rhinoplasty plastic surgery procedure./nThe nasal cavity is divided into two halves by a partition made of cartilage and bone, called the nasal septum. The two halves are the nostrils. In as many as 80% of all people, the nasal cavity is not divided equally. When this occurs, it is called a deviated septum. For most people, this imperfection does not cause any problems, but for some, it can lead to difficulty in breathing and even chronic sinus infections./nSymptoms vary from person to person, depending upon the severity of the deviation. Some only experience symptoms when they have a cold or other respiratory infection, and symptoms are usually worse on one side of the nose than the other. Symptoms include:
1. Blockage of one or both nostrils
2. Nasal congestion
3. Frequent nosebleeds
4. Frequent or chronic sinus infections
5. Sinus pain/nThe only way to correct a deviated septum is through surgery. A septoplasty is usually performed on an out-patient basis, with either general or local anesthesia, and usually takes 1-1 1/2 hours. This procedure is performed entirely through the nostrils, and if it is the only procedure performed, it does not cause any bruising or swelling following surgery. A septoplasty can also be performed in conjunction with rhinoplasty./nWatch 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/nDr. Nassif's practice, Spalding Drive Cosmetic Surgery, is located in Beverly Hills, CA.
The septum was infiltrated with 3.0 cc of 1% lidocaine with 1:100,000 Epinephrine. Pledgets soaked in pontocaine and 1:1,000 Epinephrine were placed in the nasal cavity. A left hemi-transfixion incision was made and the mucoperichondrium was elevated on the left side of the incision and extended to beyond the junction of the bony & cartilaginous septum and the mucoperiosteum was elevated. The septum was disarticulated from the bony septum and the contralateral mucoperiosteal flap was then elevated off the bony septum. Takahashi forceps were then used to remove the deviated bony septum. For the spur, a 4 mm osteotome was used to remove it. A strip of cartilage along the floor up to the anterior nasal spine was removed allowing a swinging door septum to be created. The septum was midline after this maneuver. No opposing bilateral perforations were identified. Septal cartilage was harvested for grafting for the rhinoplasty leaving approximately 10 mm of septal support at the anterior and caudal septum. The incision was then closed with a running 4-0 chromic.