Enjoyed the video production which led to a relaxing presentation of information!

Amazing doctor.

What is your opinion on new techniques that reduce a septoplasty to a 20 minute in-office visit or the use of balloons? Why do some ENT doctors opt not to use nasal support strips at all post-op?

@snotdoctx8742

13 күн бұрын

I’ve seen septoplasty balloons a few times and attempted to use them a few years ago in simple cases. I wasn’t a fan because without an incision you’re just fracturing bone and/or cartilage and hoping they heal in a good position and don’t have any access to remove bulky spurs, apply support sutures, etc. I’m sure fracturing over a deviation will help some patients, but it’s the lack of control over the eventual outcome I didn’t view as acceptable. If a patient only has a posterior septal problem such as a spur and the front of the septum is relatively straight, a limited incision just large enough to remove the spur or posterior deviation can be done in 5-10 min using the endoscopic equipment. The length of a septoplasty procedure depends on how challenging the front of the septum is (where structural support is needed) and how easy it is to raise the skin off the bone or cartilage (can be stuck down after trauma, prior surgery, etc). I use splints applied to the septum for 1-2 weeks when the front portion of the septum is worked on and needs help staying midline while initially healing, but only 20-30% of my patients end up needing those splints. The rest without splints have a slightly easier recovery as the splints can cause pressure and discomfort while in place. Nasal support strips (I’m guessing you’re referring to Breath-right strips on the outside of the nose) might open the nostrils better while the nose is swollen and improve airflow temporarily, but they’re completely optional and would not be advised if a Rhinoplasty was performed and the nasal bones are covered with tape/support already.