Do all surgeons put splints into a nose after rhinoplasty that consisted of breaking bones, removing a bump from the top of the nose, making the nose narrower, and straighten the nose? Why would you and why would you not put splints and/or packing after rhinoplasty? I see that some people don’t get packing but a lot have splints after rhinoplasty. I would like to understand the benefit and reasons why some surgeons put them in while others don't.
Answer: Reason for splints after septal surgery
Surgeons typically will use splints or packing whenever work is done on the septum. If no work is done on the septum, then neither of those two things is necessary. The benefit is the same benefit as the splint or cast that goes on the top of your nose after rhinoplasty - it limits the amount of swelling and it provides some support to the septum as it is healing. The question of packing vs. splints relates more to the surgeon's personal preference.
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Answer: Reason for splints after septal surgery
Surgeons typically will use splints or packing whenever work is done on the septum. If no work is done on the septum, then neither of those two things is necessary. The benefit is the same benefit as the splint or cast that goes on the top of your nose after rhinoplasty - it limits the amount of swelling and it provides some support to the septum as it is healing. The question of packing vs. splints relates more to the surgeon's personal preference.
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Answer: Splints and Packing Post Rhinoplasty To answer your question: no, not all surgeons will use splints and packing when performing a rhinoplasty. It all depends on the circumstances and how invasive the nose job is. As you suggested, a rhinoplasty often involves breaking the nasal bones. A splint is useful in making sure that the re-molding of the bones is in line with the cosmetic intentions of the nose job. In a sense, the splint and packing serves to protect the new nose from harm as it can be very sensitive during recovery time. However, there is also increased swelling with the use of packing and for this reason, I do not usually use packing after surgery.
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Answer: Splints and Packing Post Rhinoplasty To answer your question: no, not all surgeons will use splints and packing when performing a rhinoplasty. It all depends on the circumstances and how invasive the nose job is. As you suggested, a rhinoplasty often involves breaking the nasal bones. A splint is useful in making sure that the re-molding of the bones is in line with the cosmetic intentions of the nose job. In a sense, the splint and packing serves to protect the new nose from harm as it can be very sensitive during recovery time. However, there is also increased swelling with the use of packing and for this reason, I do not usually use packing after surgery.
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January 4, 2013
Answer: Rhinoplasty without Septum Work - Splint without Packing
If a rhinoplasty is performed and the bones are broken, a splint is placed for presumed stabilization. If the septum is altered, packing or internal nasal splints can be used to prevent bleeding and septal hematoma.
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January 4, 2013
Answer: Rhinoplasty without Septum Work - Splint without Packing
If a rhinoplasty is performed and the bones are broken, a splint is placed for presumed stabilization. If the septum is altered, packing or internal nasal splints can be used to prevent bleeding and septal hematoma.
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December 26, 2012
Answer: Splints and packing during Rhinoplasty
It is rarely necessary to utilize packing following rhinoplasty. Bleeding after rhinoplasty is exceedingly rare, and internal sutures are sufficiently effective in preventing hematoma (blood clot) formation.
Internal splints serve several purposes and are especially useful when turbinate reduction is concomitantly performed during rhinoplasty. They prevent formation of adhesions and scars between the septum and the lateral nasal wall by acting as a physical barrier. It is unclear whether splints can help stabilize the septum in the midline post-operatively. Lastly, internal nasal splitnts with built-in conduits for air can help patients breathe through swollen nasal tissues.
In summary, i never pack, but use splints about half the time. Hope this helps,
Grigoriy Mashkevich MD
New York Facial Plastic Surgeon
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December 26, 2012
Answer: Splints and packing during Rhinoplasty
It is rarely necessary to utilize packing following rhinoplasty. Bleeding after rhinoplasty is exceedingly rare, and internal sutures are sufficiently effective in preventing hematoma (blood clot) formation.
Internal splints serve several purposes and are especially useful when turbinate reduction is concomitantly performed during rhinoplasty. They prevent formation of adhesions and scars between the septum and the lateral nasal wall by acting as a physical barrier. It is unclear whether splints can help stabilize the septum in the midline post-operatively. Lastly, internal nasal splitnts with built-in conduits for air can help patients breathe through swollen nasal tissues.
In summary, i never pack, but use splints about half the time. Hope this helps,
Grigoriy Mashkevich MD
New York Facial Plastic Surgeon
Helpful
December 20, 2012
Answer: Splints and Nasal Packing Following Rhinoplasty
Not all surgeons use packing after rhinoplasty surgery. For instance, I don't typically place anything in the nose when I finish performing rhinoplasty surgery. On rare occasion I will place a small packing inside that is removed within a few days. But, by avoiding nasal packing, my patients are much more comfortable following surgery. Instead of packing, I use more absorbable suture inside of the nose to close the lining together.
Helpful
December 20, 2012
Answer: Splints and Nasal Packing Following Rhinoplasty
Not all surgeons use packing after rhinoplasty surgery. For instance, I don't typically place anything in the nose when I finish performing rhinoplasty surgery. On rare occasion I will place a small packing inside that is removed within a few days. But, by avoiding nasal packing, my patients are much more comfortable following surgery. Instead of packing, I use more absorbable suture inside of the nose to close the lining together.
Helpful
December 17, 2012
Answer: Splints and packing after rhinoplasty
After rhinoplasty surgery (or septoplasty surgery), packing is generally used to help prevent any bleeding after the procedure. Some surgeons may prefer to use packing, while others may not. The decision is somewhat individualized as well, depending on the amount of bleeding during the procedure. Splints are generally used to help prevent any adhesions from developing after the septum (middle of the nose) is straightened. Again, this may be dependent on the individual preference of the surgeon as well as the circumstances involved with performing the surgery on the individual.
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December 17, 2012
Answer: Splints and packing after rhinoplasty
After rhinoplasty surgery (or septoplasty surgery), packing is generally used to help prevent any bleeding after the procedure. Some surgeons may prefer to use packing, while others may not. The decision is somewhat individualized as well, depending on the amount of bleeding during the procedure. Splints are generally used to help prevent any adhesions from developing after the septum (middle of the nose) is straightened. Again, this may be dependent on the individual preference of the surgeon as well as the circumstances involved with performing the surgery on the individual.
Helpful 1 person found this helpful