Is it necessary to have a septoplasty and a SMR turbs surgery? Why do I need the SMR turbs done?

Question

Hit in the nose when I was 14. I had surgery to straighten my nose shortly after the incident. When I was 29, I was hit in the nose again, causing deviated septum and hard to breathe out of one nostril. I had my first consultation today with an ENT doctor who has specializations in facial plastic and reconstructive surgery. The operations I will be having are as follows: nasal reconstruction with osteotomies, bilateral spreader grafts, septoplasty, and a submucosal resection of turbinates.

Ronald J. Edelson, MD · Answer

If you have breathing problems but don’t need anything done for the appearance. Septoplasty and turbs should suffice. If you need external work done to improve the appearance  you likely need those other Items done as well.

Jeffrey Joseph, MD, FACS · Answer

From what you’ve written, it appears you have significant nasal obstruction.  The septoplasty, spreader grafts, and turbinates are all procedures done to improve your nasal airway.

William Portuese, MD · Answer

There are many issues that can cause nasal obstruction on the inside of the nose.  The turbinates are enlarged usually from allergies, so it is best to try  medical management first with nasal sprays and antihistamines  and decongestants before making them surgically smaller. a septoplasty is performed to straighten a deviated septum which is usually the result of trauma.  The septum is usually pushed over to one side causing unilateral nasal obstruction.  Turbinate hypertrophy usually causes bilateral nasal obstruction.  Osteotomies  are performed to straighten the  Nasal bones. Bilateral spreader grafts are placed for valve collapse in the  midportion of the nose where there are concave upper lateral cartilages.    If you are trying to change the shape of your nose, that is considered a rhinoplasty which is cosmetic and must be paid for by the patient.  Functional breathing related surgeries are billed to the patient's medical insurance once medical necessity has been documented at the time of the examination.

Is it necessary to have a septoplasty and a SMR turbs surgery? Why do I need the SMR turbs done?

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Is it necessary to have a septoplasty and a SMR turbs surgery? Why do I need the SMR turbs done?

Answers (3)

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Recommended reading

Everything you need to know about Septoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.