Thank You Plastic Surgery
Oh! It feels so fresh!!
I can breath so much better!
Thank You Plastic Surgery
Hello, this is plastic surgery specialist Dr. Kim Hyung-seok
(Today's topic will be regarding functional nasal surgery (for allergic rhinitis) Today we'll look into functional nasal surgery
You may have heard that most patients will consider functional rhinoplasty
when they are getting their cosmetic procedures
There are three typical types of functional nasal surgery
The first functional nasal surgery that can be done during surgery
(Septoplasty) There is a cartilage between the nostrils
called the nasal septum
And by straightening this part,
we can correct this crooked area
When the deviated septum causes difficulty in breathing,
or worsen allergic rhinitis
We perform this procedure called septoplasty to straighten the septum
Also, centered around the nasal septum
(Inferior turbinate reduction surgery) descending on either side,
there is a tissue called the inferior turbinate
This tissue is centered around the septum
and occupies the walls of both sides of the nose
(Nasal Septum/ Inferior Turbinate) If you look at this nasal endoscopy, you can see a little bit better
The nasal septum is in the center like this
and the part called the inferior turbinate is down here like this
Even if the nasal septum is crooked, it could touch the inferior turbinate
(Nasal Septum/ Inferior Turbinate) and cause difficulty in breathing , and even if the nasal septum is straight,
a large inferior turbinate can cause difficulty in breathing
Like this case, the left turbinate is so large
and you can see the nasal septum is curved to match it
In these cases, we often perform surgery to reduce the size of the inferior turbinate
(Inferior turbinate surgery = Rhinitis Surgery) People usually call this the Rhinitis surgery
(But!) Depending on the cause, rhinitis can also take a form of allergic rhinitis, and
various reasons cause rhinitis
For example, seasonal hay fever
and house dust mites, rhinitis with these causes
are hard to treat with surgeries
So because of this, after rhinitis surgeries,
There is a misconception that there are a lot of recurrences
Surgically treated rhinitis can treat
enlarged turbinates causing difficulty breathing,
and runny nose due to overly reactive mucous membranes
It can treat these cases physically
But when my constitution itself is when exposed to an allergen,
the mucous membranes react, and I get a runny nose, and sneeze
things like that cannot be solved
So functional nasal surgeries straighten up the nasal septum
and reduce the size of the inferior turbinate, and these are things called functional nasal surgeries
A thing called nasal valve reconstruction can be included in functional nasal surgeries
This concept can be a bit difficult,
But if nostril reduction was overdone
or if the skin itself is very thin, and the cartilage is weak,
when you breathe in, the airway is blocked
and if it's difficult to inhale
We would express that as blocked nasal valve
It retreats like this
Like this for example
(Normal nasal valve/ Narrow nasal valve) The valve called the nasal valve is supposed to stand like a tent,
but when it gets sucked inside
it causes the blocking
(Stuffed narrow nasal valve/ widened nasal valve after surgery) So after surgery, when breathing in,
if you experience nasal congestion
we often perform a nasal valve reconstruction surgery
I too actually have rhinitis
because of seasonal hay fever
I have used nose sprays when it feels really congested
and endured one or two weeks
Speaking of functional rhinoplasty and rhinitis treatment,
I was thinking of getting a rhinitis treatment
You can check out the video a bit later
Experiencing rhinitis surgery
We will get help from Dr. Hwang Soong-oh
(Dr. Hwang Soong-oh, Plastic Surgery Specialist) who does a lot of nasal surgery in our clinic
(I believe in you)
Through the nasal endoscope, we will see Dr. Kim
inner nostril and proceed
My nose is quite congested right now
so I expect the turbinates to be very large
Shall we see?
Yes, let's
Checking the insides of the nostril with a nasal endoscope
(Right Nostril) (Septum/ Inferior Turbinate) We can see the septum on the left,
and the enlarged inferior turbinate on the right side
Today, we will make the structure on the right
shrink using coblation
That we'll be out goal for today's procedure
We will see the other side, so breathe
(Left nostril) (Inferior Turbinate/ Septum) You can also see the Septum on the right as well
and the enlarged inferior turbinate on the left
Starting the procedure
Now, the coblation is done
A nosebleed can often happen after coblation, so
I will stuff the nose for a while
(Q. Does it hurt?) This is a numbing spray with lidocaine
If you numb the area using this, there is no pain in the mucus membrane
We'll spray this before going any further
Self-numbing
Dr. Choi Yo-an is performing the procedure on the right side
Three minutes after the procedure
Oh! It feels fresh
I can breath so much better!
Yes! to actually review from the patients perspective
I have just received rhinitis surgery
(under 30 minutes since surgery) Since i just received it, my nose is a bit stuffy
with a little nosebleed
and my nose feels a bit weird
But the actual time only took about 5 minutes
so it is a relatively simple treatment
As seen from nasal endoscopy
Before the treatment there was no space
(Before / After) but after the treatment, you can see the changes
So as seen from Endoscopy
Nasal space has expanded right after treatment
Although there's a bit of runny nose
you will immediately feel much clearer
So instead of going under a local anesthesia
There's a numbing spray
So I just sprayed about two or three times inside my nose
And the treatment itself involves
poking coblators 2 or 3 times
it takes about 30 seconds each
So the actual time would be
A minute each for both sides
Some uncomfortableness or pain might occur
However there is no problem living daily lives
as I can even film a video right after the treatment
With the help of Dr. Hwang and Dr. Choi
I've received treatment on each of my nose
I will compare whose treatment lasts longer
and provides more comfort
and I'll come back with the updates
Thank you!
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