septoplasty without packings or splints - super absorbent sponge
One of the most uncomfortable things you can do to another person is to put the nose bag in their nose after the nose surgery.
What's worse is when you have to take it out.
I know what it feels like because I had a nose bag after my nose broke when I was six.
I still remember waking up after surgery when my nose was completely stuffed and my sleep was terrible.
Unfortunately, ENT surgeons still use nasal congestion frequently after nasal surgery, especially during interval plastic surgery.
The reason for the use of the package is due to the combination of surgery and tradition: the mucosal layer on both sides of the midline cartilage is stripped and the departure part of the cartilage or bone is removed.
Next, put the mucosal layer back together in the middle line. Packs (
Place a long gauge strip or expandable absorbent sponge on both sides of the diaphragm to compress the mucosal layer together.
Since cartilage has no nutrient vessels, it must receive the nutrient supply from the diffusion and penetration of the inner wall of the mucosa.
If you have a blood clot that separates the two mucosal layers, the nutrient stream of the remaining cartilage will be closed and the cartilage will die, causing your nose tip to sag.
So if you don't have a stuffy nose, what else can you do?
Some surgeons place two pieces of plastic or tape in the nose next to the partition, and then tie the two splints in front through the partition.
You still need to put something in your nose to press the silicone sheets together.
Some use rolled up Telfa pads (
The non-stick surface you see on the Band Aid)
, Others put the package around the splint.
Most surgeons remove splints or packs after 2-
3 days, but some people left at most 7 days.
Many years ago, I saw a paper saying that if you stuck the nose of healthy college students and let them go through sleep research, you would see apneas.
Another study showed that in patients without sleep apnea, AHI in nasal congestion patients undergoing nasal or sinus surgery increased from 11 to 37, and for patients with sleep apnea, AHI from
Interestingly, patients who do not have a sleep pause need to undergo nasal surgery and they have a slight potential blocking sleep pause.
This is in line with a study I conducted many years ago that showed that up to 80% of people who underwent nasal or sinus surgery and had recurrent or persistent symptoms suffer from severe blocked sleep pauses.
When I began to realize how important nasal congestion breathing was to sleep quality, I came to the conclusion that nasal congestion would definitely lead to apneas.
By definition, you will be at a higher risk if your diaphragm deviates, with the possibility of having blocked sleep apnea.
The stuffy nose will only make the situation worse.
This is also why even if you are "normal" and a cold or allergy causes a nasal congestion, it will make you toss more at night --
This is because you stop breathing more often.
These obstacles don't even have to be apneas or hypopneas-
They can be obstacles for a short period of time and will still wake you up multiple times per hour.
You may be wondering now how I got away without using any nose bags or splints.
Very simple: After removing the crooked cartilage or bone, I used a 1/2 needle and a soluble Chrome suture (stitch)
And do quilting stitching, back and forth from one side of the nose to the other, at zig-
The manner of Zag until all areas of the separated mucosa are closed together.
In most cases, I had a very conservative contraction operation on the nose nail, so there was little risk of scar tissue connecting the diaphragm and the original surface of the nose nail.
Some people also need to reinforce their fragile nostrils.
When you wake up from anesthesia, your breathing is very good.
But a few days later, as all the blood, mucus and secretions will clog your nose, it is expected to get hot again.
You can go home a few hours after surgery.
Two to three days later, I will see the patient in the office and do a 2 minute "clean" after which you can breathe better again.
Most people can be in 2-
About 2/3 of patients did not even take any prescription painkillers.
Contrary to the traditional perception of the pain of receiving a mastectomy, there are now ways to minimize pain and discomfort.
Surgery has never been a walk in the park, but the ability to breathe clearly through the nose again is worth it.