Sinus Surgery: Q&A
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Corrective Surgery and Rhinoplasty for my Broken Sinus Cavity?
I recently broke my sinus cavity and it has resulted to constant sinus infections. My surgeon (who is a top plastic surgeon) says he can fix this while also giving me a cosmetic Rhinoplasty. How does he do this? Is this done often? Could you give me more helpful information about this "dual" procedure?
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15 Doctor Answers |
Asked by
tbarn
in Florida
+2
Sinus surgery and rhinoplasty at the same time
Many surgeons perform sinus surgery and rhinoplasty at the same time. If you "broke your sinus cavity", then you may have also suffered a LeFort fracture (fracture of the maxillary bone), a trimalar fracture (fracture of the zygoma bone), ethmoid fracture, and/or frontal fracture. A CT scan would have been required to decide the nature of the injury, and the correct surgery. Constant sinus infections after an injury are rare, so it might only feel like...
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Manhattan Facial Plastic Surgeon
+2
Cosmetic Rhinoplasty and Sinus Surgery
Yes. You can have both sinus surgery and rhinoplasty performed at the same time. Sinus surgery can correct blockage of sinus drainage system. It is performed using endoscopes and there are no external incisions required.
Polyps, cysts and blockages can be removed during sinus surgery. Chronic sinus infection can be troublesome and either fractured sinus, fractured septum or fractured sinus architecture can cause recurrent or persistent sinusitis.
Both procedures of rhinoplasty...
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Second opinion
The septum may or may not have anything to do with your sinus (maxillary?) infection.
I would recommend that you get the opinion of an ENT surgeon for a complete perspective, and possible other options.
sek
+1
Get a CT scan, may need ENT
You need to be sure you can see where the fracture is first. It sounds like the fracture is in the drainage pathway for it to be causing sinus infections. Therefore you should have a CT scan of the sinuses to make sure the opening to the sinus isn't also fractured or closed, because if it is a plastic surgeon cannot fix this you need a board-certified ENT.
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Make sure you truly have sinus infections
Unless you had previous inflammatory sinusitis, it is very uncommon for facial trauma to lead to recurrent sinusitis. The most common problem that is frequently misinterpreted as sinus infection after facial trauma is a neuralgia (inflammation of the nerve) that results in recurrent facial pain. If you have this, surgery will not make it better and may in fact worsen your symptoms.
As to the specific issue of whether rhinoplasty and sinus surgery can be done together,...
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Concurrent endoscopic sinus surgery and rhinoplasty
We wrote a paper on this topic and the short answer is yes, you can perform endoscopic sinus surgery (to improve breathing and improve the drainage of your sinuses) and rhinoplasty (change the appearance of your nose) simultaneously.
As far your "broken sinus" I'm not clear. Did you get a CT scan? Is your "plastic surgeon" an otolaryngologist (ENT specialist) too? The ideal person to treat you is a surgeon double board certified in...
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Sinus surgery and rhinoplasty
Did you see the plastic surgeon for rhinoplasty or sinus infection.? First you have to figure out what is your main concern ? If you have chronic sinus infection needing extensive sinus surgery I would not recommend cosmetic rhinoplasty with that . It is possible but the healing will be prolonged and the risks for complications are higher.. You should have your medical problem(Broken sinus with infection) fixed first.
Los Angeles Facial Plastic Surgeon
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Sinus Surgery combined with Cosmetic Rhinoplasty
Yes, sinus surgery is commonly combined with rhinoplasty. Sinus surgery is typically performed with endoscopic cameras without external incisions. Sinus surgery opens and drains the sinuses, removing any blockage, chronic infection, or polyps. A broken sinus cavity from trauma may result in a chronic sinus condition, which sinus surgery may help. Corrective nasal surgery can be many things, largely dependent on your nasal anatomy and personal goals. Only after a comprehensive...
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Sinus surgery and rhinoplasty is possible at the same time
Sinus surgery and rhinoplasty during the same procedure is performed quite often. Unfortunately, I am not sure what your surgeon means by a 'broken sinus'. This can refer to many conditions with several varied treatments. A plastic surgeon is not generally trained in endoscopic sinus surgery and a combined procedure with an ears, nose, and throat surgeon would be necessary to obtain optimal sinus results. If your surgeon did not provide adequate explanation, I would suggest visiting a...
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Sinus surgery and a rhinoplasty can be performed at the same time
Sinus surgery and a rhinoplasty can be performed at the same time without any difficulty. Chronic sinus infections are caused by allergic nasal polyps located in the internal portion of the sinuses. It is these polyps that create repetitive sinus infections and is addressed through functional endoscopic sinus surgery whereby the polyps are removed. The fractured sinus cavity could be repaired at the same time. The rhinoplasty is performed on the external portion of the cartilage...
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Repair of a sinus fracture with a rhinoplasty
Both of these procedures can definitely be done at the same time. Facial fractures commonly involve a broken nose along with a sinus fracture because of their close proximity. The sinus will most likely be repaired through an incision inside your mouth to hide the incision. For you rhinoplasty, this can be done in an "open" or "closed" approach depending on what your desires are and what your surgeon is comfortable with. Good luck with your procedures!...
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It depends on the surgeon and the surgery.
If he is a top surgeon he should have answered these questions without you asking. You may want to get a second opinion to see if they agree.
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Broken sinus? Or broken septum?
Sinus infections can, rarely, be the result of fractures involving the sinuses (maxillary, presumably, but ethmoid possibly). But this is an issue very separate from the external shape of the nose.
I suspect, though, that you're referring to a fractured septum, which can also affect the maxillary sinuses, rather than a fractured sinus. You really should seek the opinion of someone also well trained in sinus surgery, too, though. This will be a surgeon who trained in ENT (a residency in Ear,...
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Ask the surgeon, their treatment of choice.
There are many ways to achieve this which may involve different techniques. Some involve enlarging the natural openings while other techniques create new openings.
Sometimes this involves a combination of medical and surgical treatments.
Your surgeon may use a combination of approaches. Ask them which approach they are employing.
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Ask your surgeon
The problem you describe is a very complex one. A "broken" sinus can mean many different things. There are several sinus cavities in the face so we would need to know which one was broken. Also, each cavity has several different surfaces so we would need to know which parts were broken. Also, we would need to know if any additional structures were injured, which would influence the kind of procedures done.
Without personally examining you and reviewing your CAT scans, it is...
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