Dr. Nassif: Most of the time when you’re performing a septoplasty you want to perform a conservative turbinoplasty, and with Luisa we fractured her nasal bones and we heat the tissue up and shrink the tissue, shrink the mucosa. So on her it’s going to help her breathe better.
This is the bipolar cauteryI’m going to use this to cauterize the turbinets. We just inserted the little bipolar forceps intoturbinets and now we’re cauterizing them. The turbinets inside the nose, on each side there’s a turbinet, and they add humidity to the air going in your nose and they also control the amount of air going into your nose. You don’t want to have too much air going in your nose. You could have something called an empty nose syndrome or atrophic rhinitis when everything is very dry. And this is something you have to be very careful about so you want to do something very conservative.
It’s really important to go to a surgeon that’s well-versed in nasal anatomy and physiology because you really have to know what you’re doing. Because if you do one little wrong thing you can really make the breathing pretty bad. I’m looking in the left nasal airway right now and it’s absolutely perfectly open. She really should be able to breathe beautifully out of this side.
Today I saw Luisa she’s about seven weeks following a closed rhinoplasty, septoplasty, and turbinoplasty. We performed multiple procedures on her to take down her hump, make the middle part of the nose more symmetric and fix her deviated septum to help open up her airway. The surgery went very smooth and it was exactly what I expected. At this point she’s very early in her healing phase, but she’s fine everything looks great and she’s healing beautifully.