Understanding Septoplasty: Nasal Septum anatomy as seen in the Sagittal section of a CTScan

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Red line showing the area of quadrilateral cartilage

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Green lines showing the overlapping nasal tip cartilages

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 The area between the Anterior nasal spine and the anterior extent of nasal bones, shown by the grey vertical line, is a common fracture line through the septal cartilage, causing nasal obstruction.

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Inferior and obliquely placed area of the nasal septum, shown by the oblique grey line, is a common site for fractures and spurs

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 The white line shows the septal cartilage and bone which can be safely harvested as a graft material.

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Nose reshaping with hump reduction & trans-cutaneous osteotomies. No tip work.

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A seemingly simple Primary Rhinoplasty for isolated hump reduction still carries a potential of leaving an open roof deformity, Inverted V deformity, Dorsal irregularities and Asymmetrical osteotomies with consequent dorsal deviation.
There is no easy Rhinoplasty.
With experience the surgeon aims to minimize surprises and seeks more predictable results.
 
The Above composite picture shows the result at the end of the procedure with a degree of swelling. The shadow of preoperative profile picture is superimposed to demonstrate the change.

WHITFIELD CLINIC DIRECTIONS FROM DUBLINOUR LOCATION

M50
N7       GET A COFFEE AT THE GREEN PUMP
M7
M9 WATERFORD EXIT FROM KILCULLEN
FOLLOW N9(N25) THE BIG TOLLBRIDGE IS VISIBLE

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GO TO N9
GO THROUGH TOLL HAVE €1.80 READY

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AFTER THE TOLL TURN LEFT


GO THROUGH TWO SMALL ROUNDABOUTS TILL YOU COME TO BUTLERSTOWN ROUNDABOUT


B&Q IS TO YOUR LEFT
BMW TO THE LEFT ACROSS THE ROUNDABOUT


TAKE THE THIRD EXIT AT THE BUTLERSTOWN ROUNDABOUT
WHITFIELD CLINIC IS TO THE LEFT IMMEDIATELY AFTER THE PETROL STATION

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YOU MAY USE THE PUBLIC PARK TO THE FRONT OF THE HOSPITAL
SUITE 9 THENOSECLINIC IS ON THE FIRST FLOOR

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Morphing in Rhinoplasty: Hump reduction in nose reshaping.

Reduction Rhinoplasty
Hump reduction alone (depicted through morphing of the picture on the left)blogwowmstamp
Reduction & Augmentation Rhinoplasty
Here instead of depiction of hump reduction alone, supra-tip and Radix area have been shown (through morphing of the picture on the left) as if they have been augmented, along with conservative hump reduction.
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The choice is dictated by which change will be more in harmony with the rest of face and person.
 
Digital Morphing is an invaluable tool in my Consultation process
to describe options, complications, visual impressions to my patients. 

Recovery after Rhinoplasty: 24/7 Direct Line with your Surgeon

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Munish Shandilya

After care of Rhinoplasty surgery in our Clinics


PAIN  Is surprisingly not a common complaint and most patients complain of discomfort of not being able to breath through the nose and a dry sore throat. Approximately 1 in 10 complain of severe pain. 

PACKS are generally avoided or kept very small to make their removal comfortable. These usually come out the morning after.                               

SUTURES in case of an External approach Rhinoplasty will come out from 5-7 days. Prophylactic Antibiotics are given in case of External approach since a skin incision is involved.  
                    
POP CAST is a Plaster of Paris cast that comes off in a week but you are asked to keep it dry.

ANTIBIOTICS are used routinely in case of External or Open Approach / Conchal Cartilage grafts.

BOLSTER DRESSING under your nose To collect ooze and prevent you from dabbing with tissues which can introduce infection.

DIET advised is your normal diet.

EXERCISE is restricted and brisk Walking is allowed in 2 weeks, Running in 6 weeks, Contact sports in 12 wks with protection.

BRUISING is less common with controlled atraumatic technique but most of our patients develop a slight lower lid discoloration of medial half … perhaps from the pressure of the dressing. This usually clears in 8-10 days.

NOSE BLOWING to be avoided for 4 weeks.

MOBILE NUMBER IS MADE AVAILABLE TO TEXT THE SURGEON IN EMERGENCY