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Thank You Plastic Surgery

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Oh! It feels so fresh!!

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I can breath so much better!

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Thank You Plastic Surgery

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Hello, this is plastic surgery specialist Dr. Kim Hyung-seok

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(Today's topic will be regarding functional nasal surgery (for allergic rhinitis)
Today we'll look into functional nasal surgery

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You may have heard that most patients will consider functional rhinoplasty

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when they are getting their cosmetic procedures

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There are three typical types of functional nasal surgery

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The first functional nasal surgery that can be done during surgery

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(Septoplasty)
There is a cartilage between the nostrils

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called the nasal septum

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And by straightening this part,

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we can correct this crooked area

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When the deviated septum causes difficulty in breathing,

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or worsen allergic rhinitis 

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We perform this procedure called septoplasty to straighten the septum

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Also, centered around the nasal septum

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(Inferior turbinate reduction surgery)
descending on either side,

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there is a tissue called the inferior turbinate

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This tissue is centered around the septum

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and occupies the walls of both sides of the nose

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(Nasal Septum/ Inferior Turbinate)
If you look at this nasal endoscopy, you can see a little bit better

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The nasal septum is in the center like this

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and the part called the inferior turbinate is down here like this

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Even if the nasal septum is crooked, it could touch the inferior turbinate

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(Nasal Septum/ Inferior Turbinate)
and cause difficulty in breathing , and even if the nasal septum is straight,

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a large inferior turbinate can cause difficulty in breathing

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Like this case, the left turbinate is so large

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and you can see the nasal septum is curved to match it

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In these cases, we often perform surgery to reduce the size of the inferior turbinate

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(Inferior turbinate surgery = Rhinitis Surgery)
People usually call this the Rhinitis surgery

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(But!)
Depending on the cause, rhinitis can also take a form of allergic rhinitis, and

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various reasons cause rhinitis

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For example, seasonal hay fever

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and house dust mites, rhinitis with these causes

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are hard to treat with surgeries

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So because of this, after rhinitis surgeries,

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There is a misconception that there are a lot of recurrences

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Surgically treated rhinitis can treat

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enlarged turbinates causing difficulty breathing,

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and runny nose due to overly reactive mucous membranes

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It can treat these cases physically

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But when my constitution itself is when exposed to an allergen,

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the mucous membranes react, and I get a runny nose, and sneeze

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things like that cannot be solved

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So functional nasal surgeries straighten up the nasal septum

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and reduce the size of the inferior turbinate, and these are things called functional nasal surgeries

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A thing called nasal valve reconstruction can be included in functional nasal surgeries

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This concept can be a bit difficult,

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But if nostril reduction was overdone

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or if the skin itself is very thin, and the cartilage is weak,

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when you breathe in, the airway is blocked

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and if it's difficult to inhale

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We would express that as blocked nasal valve


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It retreats like this

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Like this for example

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(Normal nasal valve/ Narrow nasal valve)
The valve called the nasal valve is supposed to stand like a tent,

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but when it gets sucked inside

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it causes the blocking

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(Stuffed narrow nasal valve/ widened nasal valve after surgery)
So after surgery, when breathing in,

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if you experience nasal congestion 

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we often perform a nasal valve reconstruction surgery

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I too actually have rhinitis

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because of seasonal hay fever

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I have used nose sprays when it feels really congested 

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and endured one or two weeks

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Speaking of functional rhinoplasty and rhinitis treatment,

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I was thinking of getting a rhinitis treatment

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You can check out the video a bit later 

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Experiencing rhinitis surgery 

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We will get help from Dr. Hwang Soong-oh


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(Dr. Hwang Soong-oh, Plastic Surgery Specialist)
who does a lot of nasal surgery in our clinic

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(I believe in you)

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Through the nasal endoscope, we will see Dr. Kim

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inner nostril and proceed

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My nose is quite congested right now

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so I expect the turbinates to be very large

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Shall we see?

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Yes, let's

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Checking the insides of the nostril with a nasal endoscope

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(Right Nostril)
(Septum/ Inferior Turbinate)
We can see the septum on the left,

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and the enlarged inferior turbinate on the right side

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Today, we will make the structure on the right

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shrink using coblation

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That we'll be out goal for today's procedure

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We will see the other side, so breathe

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(Left nostril)
(Inferior Turbinate/ Septum)
You can also see the Septum on the right as well

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and the enlarged inferior turbinate on the left

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Starting the procedure

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Now, the coblation is done

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A nosebleed can often happen after coblation, so

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I will stuff the nose for a while

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(Q. Does it hurt?)
This is a numbing spray with lidocaine 

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If you numb the area using this, there is no pain in the mucus membrane

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We'll spray this before going any further

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Self-numbing

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Dr. Choi Yo-an is performing the procedure on the right side

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Three minutes after the procedure

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Oh! It feels fresh

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I can breath so much better!

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Yes! to actually review from the patients perspective 

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I have just received rhinitis surgery

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(under 30 minutes since surgery)
Since i just received it, my nose is a bit stuffy 

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with a little nosebleed

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and my nose feels a bit weird

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But the actual time only took about 5 minutes

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so it is a relatively simple treatment

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As seen from nasal endoscopy

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Before the treatment there was no space

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(Before / After)
but after the treatment, you can see the changes

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So as seen from Endoscopy

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Nasal space has expanded right after  treatment

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Although there's a bit of runny nose

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you will immediately feel much clearer 

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So instead of going under a local anesthesia 

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There's a numbing spray

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So I just sprayed about two or three times inside my nose

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And the treatment itself involves

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poking coblators 2 or 3 times

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it takes about 30 seconds each

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So the actual time would be

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A minute each for both sides

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Some uncomfortableness or pain might occur

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However there is no problem living daily lives

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as I can even film a video right after the treatment

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With the help of Dr. Hwang and Dr. Choi

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I've received treatment on each of my nose 

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I will compare whose treatment lasts longer

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and provides more comfort

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and I'll come back with the updates

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Thank you!

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Thank You Plastic Surgery 
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