Intubation during rhynoplasty. Is it necessary?

Rhinoplasty can be performed with local anesthetic supplemented by IV sedation. This does not require intubation. In those patients who prefer to be "put to sleep" with General Anesthetic then some form of airway needs to be used be it and endotracheal tube or laryngeal mask.In my practice most patients choose IV sedation which does not require any intubation as patients are relaxed and breathing on their own. For me this is preferable as there are no tubes coming out of the mouth and getting in the way of this fairly delicate procedure.Some surgeons prefer general anesthetic for this surgery but its just a preference.

Anesthesia for rhinoplasty can be done in a variety of ways. It can even be done under sedation and local anesthesia.  Intubation is usually the best way to protect the airway during the surgery and prevents blood from draining down your throat as well.  I use intubation on almost all rhinoplasties.

This depends upon both the plastic surgeon and the anesthesiologist experience and comfort zone. The key is safety. In the vast majority of practices rhinoplasty is performed under general anesthesia with an endotracheal tube to protect your airway. If your chosen surgeon performs rhinoplasty under sedation without intubation and has a skilled anesthesiologist that provides the anesthesia you are likely in good hands. The other important safety indicator is that your procedure (regardless of tube or no tube) is performed in an accredited surgical facility which has the most up to date and extensive equipment to keep you safe during surgery. I hope this information is helpful.Stephen Weber MD, FACSDenver Facial Plastic Surgeon