Posted on September 11, 2008 10:53 PM in
Rhinoplasty
I was thinking to have a nose job done for the longest time, and I've had many friends and family members get theirs done, however they all tell me about how after the surgery the dr. has to pull out a stick/swab from the nose that was put in to hold the nose up. I hear this is so painful that it feels like someone is yanking your brains out of your nostrils. Could you elaborate? Thanks
SA
Answer
Hi,
What you're friends had was most likely "packing." Many older surgeons and some "old school trained" surgeons still use packing unfortunately on a routine basis. Packing is completely unnecessary and should be reserved for when it is absolutely needed (cases where there is too much bleeding). Personally I have to pack rhinoplasty patients less than once every other year or so if that. Removal of packing does hurt and when it is placed, it ususally stays in place for 3-7 days and it is very uncomfortable. However, I along with some other surgeons like to use a soft pliable "telfa strip" for the inside of the nose just for over night after surgery (which is removed the very next day) and that is so it "mops" up some of the drainage that first night so that you don't have to keep wiping your nose/lips.
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Posted on June 04, 2008 10:43 PM in
Rhinoplasty
I am a professional opera singer and I was wondering if a rhynoplasty would affect my singing voice. Thanks.
Answer
Hi,
For most patients there are no perceptible changes in voice. But Opera Singers are not most patients! You have to be very careful with your decision as any slight changes in your voice may affect your career. The nose is an important component of the vocal resonance system and although typically surgery of the septum, turbinates, & sinuses is more important in sound quality, even aesthetic rhinoplasty can result in some variation in voice.
Generally, the less that is done during the surgery, the less risk to voice change but I would hesitate to undergo elective nasal surgery if even barely perceptible changes in my voice quality would affect my career.
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Posted on May 14, 2008 10:21 AM in
Rhinoplasty
Dr.l Naderi:
My husband is a chronic snorer, as well as has allergies. He has nose bleeds and complains of being constantly stuffy in his nose. He has been told by many doctors that if he loses weight he'll stop snoring. My question is, could he have a deviated septum?
Debbie
Answer
Hi Debbie,
True allergies are medical issues and not surgical problems. Antihistamine medications, nasal steroid sprays as well as allergy shots are some of the treatment options.
The most common cause of nose bleeds is irritation and trauma by either nose picking or aggressive nose wiping. Nose bleeds could also be related to a deviated septum causing turbilent air flow and irritation of the septum. There are other causes of bleeding as well such as cancer and bleeding disorders.
Stuffy noses can be caused by engorged mucosal lining due to allergies, enlarged turbinates, deviated septum, polyps, masses or tumors just to name a few issues.
Snoring is caused by vibrations and turbilent air flow. It may be related to intra-nasal obstruction or due to soft palate or Uvula issues or tongue base issues or even larynx (voice box) problems such as laryngomalacea.
What I am getting to here is that there are lots of causes of what you are describing from the simple and easy to correct to the complex. Your husband needs to be seen by a good general ENT and evaluated. He also needs a "sleep study." Adults who snore require sleep studies to make sure they do not have sleep apnea. Snoring is easy to fix but sleep apnea is much more difficult to correct surgically and if the snoring which is a possible sign of sleep apnea is corrected then that can give you a false sign of the correction of sleep apnea which may not be the case.
All adults who snore should get sleep studies followed by medical or surgical treatment and then again followed by another sleep study to judge the effectiveness of the treatment.
Weight loss often does improve snoring and even sleep apnea.
Good luck
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