i am going in for a rhinoplasty, surgeon stated takes 5 seconds to crush them. if no issue, take them out or keep?
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to remove turbinates or not
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2 UpVoted this answer
Turbinates help to warm and moisten the nasal air. The inferior turbinate can be a source of nasal airway obstruction and in a functional rhinoplasty to help open the nasal airway, reduction can help. Reduction can take the form of simple out-fracture, crush, or remove the bone (SMR). It should be done selectively because despite helping it can be a source of peri-operative bleeding and long term nasal dryness.
1 UpVoted this answer
If your surgeon is experienced, then there is a potential significant upside in reducing the size of the turbinates as it will likely improve your breathing and may even allow your surgeon to be a little more aggressive achieving your desired aesthetic result because he can worry a little less about obstructing your breathing. There are 2 potential downsides: 1) there is a slightly higher risk of significant bleeding in the first week after surgery if the turbinates are reduced and 2) if they are reduced too much, you can develop a condition called empty nose syndrome where you don't feel air hitting your turbinates so feel like you can't breathe but in fact your airway is very open. This is very annoying to patients and very difficult to fix, but fortunately it is quite rare. Best of luck with the surgery!
1 UpVoted this answer
I find that reducing the size of turbinates by cautery and out-fracture helps breathing with very minimal risk. If your are second guessing your surgeon;s recommendations, then you should meet with them again to make sure you are on the same page and have a good feeling going into the procedure.
As the nose becomes smaller with a rhinoplasty ( in most cases), it is important to address any breathing issues. The little bones that project from the side wall of the nose help to filter, humify and warm the air we breathe in. In the old days, many doctors were very aggressive in how they managed enlarged turbinates-often removing large parts. This often led to noses feeling very dry- a terrible problem. If you have allergy symptoms, your ENT or allergist may want to do some testing, as allergies can make the turbinates more swollen. A simple out fracture may help and is generally a safe procedure.
The turbinates should be addressed if they are causing airway obstruction. There are several ways to decrease their size. They may be cauterized, partially removed or almost completely removed. Removing them completely may cause permanent dryness of the nose. Talk to your surgeon about the different options.
It is very reasonable to reduce the turbinate by crushing them or cauterization. Both work and preserve the functional aspect of moistening and warming the air that you breath. Having your turbinates addressed during your surgery (in addition to some other procedures) can improve your nasal breathing especially if the turbinates are large in the first place. Complete turbinate removal is less in favor these days because it is more likely to cause bleeding, scabbing, and dryness.
I often reduce the inferior turbinates during rhinoplasty in order to improve breathing after surgery. It is simple to perform and doesn't take very long. It carries with it a risk of post surgical bleeding, but the risk is small.
Turbinate removal does have some increase risk of bleeding but for an individual who suffer from chronic airway issues related to their turbinate, this procedure is more effective and worth the initial risk.still you should be having a second opinion before you decide what to do i would sugest to get an appoitment with another surgeon and find out what other options you have taking in consideration your expectations.
Because Rhinoplasty has both functional and aesthetic components to it, the decision on whether to have your turbinate removed vs. out-fractured hinges on the degree of airway obstruction you are experiencing now and the functional changes that the aesthetic component of your rhinoplasty surgery may create on the airway. Therefore, it is important to provide your surgeon with leverage on this type of decision making intra-operatively.
In addition out-fracturing is a much more simple and safer procedure because it has minimal risk of bleeding. Turbinate removal does have some increase risk of bleeding but for an individual who suffer from chronic airway issues related to their turbinate, this procedure is more effective and worth the initial risk.
In addition out-fracturing is a much more simple and safer procedure because it has minimal risk of bleeding. Turbinate removal does have some increase risk of bleeding but for an individual who suffer from chronic airway issues related to their turbinate, this procedure is more effective and worth the initial risk.