Rhinoplasty and septorhinoplasty
procedures are performed in many centers in Turkey and across the world for aesthetic concerns or functional disorders or for cases involving both.
9% of fractured nasal bones may be combined with septal fractures, (40) and that those identified with septal fractures initially have higher rates of subsequent septorhinoplasty
, as high as 42%, than do those with isolated fractures of the nasal bones.
In septorhinoplasty, control of post operative pain is challenging as most of the surgeons pack the nostrils resulting in blocked nose.
The aim of this study is to find out the effect of increasing the dose of preemptive ketamine on ketoprofen or pethidine requirement in the post operative period in patients undergoing septorhinoplasty.
After taking permission from institutional review board and written informed consent, 120 patients of ASA physical status I and II, age between 18-35 years, scheduled for elective septorhinoplasty were included in the study.
This procedure begins as a typical open septorhinoplasty
, with careful separation of the upper lateral cartilages from the septum and without disruption of the nasal mucosa.
This information allows us to determine which type of surgery--open septorhinoplasty, turbinoplasty, external valve surgery with alar batten grafts, and/or internal valve surgery with spreader grafts with or without composite skin/cartilage grafts--is likely to be most successful.
We performed open septorhinoplasty and placed a batten graft on the left and spreader grafts bilaterally.
In those cases when the swelling did not abate after 8 days (and thus the contour of the nose could not be assessed), reduction was ruled out and the patient instead underwent septoplasty or septorhinoplasty at a later date.
Two of the five unsatisfied patients decided to undergo a second operation; one underwent septorhinoplasty 6 months following the initial trauma, and the other required septoplasty to correct a nasal obstruction.
Septal perforation closure utilizing the external septorhinoplasty
45] The septum is a key area; significant septal deviations can be corrected with septoplasty with good long-term results [43,44,46] Corrective septorhinoplasty
, on the other hand, resulted in unsatisfactory outcomes for patients with severe, gross airflow asymmetry preoperatively, according to McKee et al.