Nose Problems Can Be Congenital!

Nose Problems Can Be Congenital!
Nose Problems Can Be Congenital!

Problems with the nose are enough to bother many people. Some nasal problems can come from congenital or childhood traumas affecting the nose. Otorhinolaryngology and Head and Neck Surgery Specialist Op Dr Bahadır Baykal gave information about the subject.

Otorhinolaryngology and Head and Neck Surgery Specialist Op Dr Bahadır Baykal, who is a surgeon who is very interested in nasal diseases and surgery, said, “The causes of nasal congestion are different. Sometimes a simple bone curvature and sometimes nasal flesh swelling can cause this situation. We frequently encounter mass formations (polyps) that should not be in the nose. Of course, we should not forget about allergies and air pollution.”

Op.Dr.Bahadır Baykal said, “Nasal bone curvature is caused by congenital retraction due to different development of facial bones. Sometimes it may develop as a result of traumas affecting the nose during birth or early childhood. If the curvature causes headache, pressure sensation in the face, recurrent nosebleeds, sinusitis and middle ear infections, it is useful to correct it surgically. I have not included snoring and sleep apnea in this category because snoring and A curvature severe enough to cause sleep apnea also causes nasal congestion.”

Op.Dr.Bahadır Baykal said, “For deviation surgery, the surgery is usually done through the nose. The cartilage and bone curvature that narrows the nasal canal is removed, reshaped and the middle part of the nose is corrected. From time to time, we need an open technique approach in severe curvatures, especially in cases where the cartilage and bone axis in the middle roof of the nose are displaced or partially weakened, we also perform rhinoplasty. Functional rhinoplasty is essential in many nasal obstruction surgeries for healthy breathing. Since the nose is a dynamic structure, it would be wrong to think that only the curvature of the inner part causes nasal congestion. Nasal wings, nasal roof, nasal root and axis curvatures are structures that should be evaluated together with the deviation problem. said.

Op.Dr.Bahadır Baykal said, “Now, nose surgeries can be performed without tampons. In simple interventions, nothing may be placed in the nose. In complex surgeries, we may have to keep the corrugated apparatus, which we call silicone, in the nose for a few days. Silicones are materials that are very comfortable and do not feel uncomfortable compared to tampons, and that we can breathe at the same time. The recovery process is very fast. Even in the most severe surgeries, one can return to social life on the seventh day at the latest. There is a pain that is relieved by painkillers. Anyone over the age of 17 is suitable for this surgery. There is no upper age limit," he said.

Finally, Op.Dr.Bahadır Baykal said, “I think the most important point here is choosing the right doctor. In experienced hands, correction surgery is rarely needed after nasal curvature. Sometimes revision surgery may be required for reasons arising from the patient's own cartilage, bone or tissue structure. If it is a problem that can be solved with small interventions of 15-20 minutes, this can be considered reasonable, but we often encounter correction surgeries where we need to take additional cartilage from the ear area or ribs; This is a very distressing situation for the patient. I think the first pre-operative diagnosis is very important. Most of the time, the problems in the middle roof, nose tip and nose wings are overlooked. Even if the deviation of the patient is corrected, these problems are not resolved, so he cannot breathe. Be sure, many patients who applied for inner part curvature surgery and did not improve despite the surgery, even if functional rhinoplasty was performed in the first surgery. There will probably be no need for correction surgery.”

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