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Is It Common With Septoplasty To Also Have Bilateral Turbinectomy?

asked 1 year ago by sahra007 in ohio
Latest answer by Babak Larian, MD
Question viewed 249 times
Tags: consultation, normal, turbinectomy

Hi doctor, I am a 23 year old women from Ohio who under went orthognathic surgery ( osteotomy lefort 1 impaction) 3 months ago, and i have a little question, is it frequent that surgeons preform a septoplasty and a bilateral turbinectomy during the surgery without discussing it with the concerned patient prior to performing the procedure? i mean, i found that i had it done on the surgery discharge paper i received prior to leaving the hospital? Just found a little weird that's all. Thanks

4 answers to Is It Common With Septoplasty To Also Have Bilateral Turbinectomy?

+2

Very common to perform both at the same time

The turbinates play an equally important role in blocking your breathing passage as the septum does. In a great majority of cases I perform a turbinate reduction at the same time as the septoplasty. The patients are always told of that possibility prior to surgery. It's possible that after moving your upper jaw (Lefort 1) they found your passages where being blocked at the new jaw position and felt obligated to do e other procedures to allow you to breath. You should... more
Babak Larian, MD

Los Angeles Facial Plastic Surgeon
+2

Septoplasty with Turbinectomy

It is very common to have these two procedures performed concomitantly to improve the nasal airway. However, it is somewhat surprising to have had them together with a maxillary osteotomy without having it discussed by your surgeon ahead of time. If the procedures were done to facilitate the osteotomy, it makes sense, but usually this possibility is mentioned preoperatively. Hopefully, your result was good, but you might want to ask your surgeon about it at your next visit... more
James Bartels, MD

Manchester Facial Plastic Surgeon
+2

Procedures without consent

Although most consent forms usually allow for surgeons to do what they think is necessary during a procedure if it is the patient's best interest. I am surprised that your surgeon did not discuss the possibility of this occurring prior to your procedure. A surgeon usually will tell their patient about all possible adjunct procedures that might be necessary and the associated risks and benefits of those additional procedures prior to the surgery. You might wish to ask... more
Adam D. Stein, MD

Raleigh-Durham Facial Plastic Surgeon
+2

Septoplasty and turbinate surgery with maxillary osteotomy

Usually these are done as a separate procedure from the maxillary osteotomy. But if the maxilla is moved upward, sometimes the turbinates and septum have to be reduced to allow for the movement needed. Usually this is part of the maxillary osteotomy and not coded separately. Hopefully this answers your question. Donald R. Nunn MD, DDS Atlanta Plastic Surgeon.
Donald Nunn, MD, DDS

Atlanta Plastic Surgeon

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