Is it bad if a surgeon doesn't ask for use a CT scan before revision rhinoplasty / septoplasty surgery?

Question

I need revision rhino & septoplasty for breathing - nasal valve collapse & deviated septum - one surgeon said CT not needed & another said he always does it and used in surgery. Will I get better results by picking a surgeon that refers to CT scan when he operates? Should I be worried if surgeon doesn't use it?

Matthew Bridges, MD, FACS · Answer

There is generally no need for a CT prior to septorhinoplasty.   There is nothing that the CT will show that you can't see with a headlight and/or a scope.  You do need a CT for sinus surgery, but that's a different operation.   Let me guess -the surgeon who wants a CT first owns his own CT scanner...

Jeffrey H. Spiegel, MD · Answer

A CT scan or x-rays is generally not indicated for nose surgery, unless there is something very unusual happening such as prior major trauma, a tumor, etc.  This is also the case for a lot of other facial surgery.

William Portuese, MD · Answer

There's no reason to have a CT scan of the nose prior to septoplasty and rhinoplasty. The CT scan is only done when there's chronic sinusitis present with nasal polyps and you're contemplating undergoing endoscopic sinus surgery.

Is it bad if a surgeon doesn't ask for use a CT scan before revision rhinoplasty / septoplasty surgery?

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