I have a deviation in my septum and a fracture in my nose bridge. All this due a car accident. I was told by a ENT that I can’t do local. I’m really worried about getting general anesthesia and I’ll like to do local. Mostly because I have a son and the recovery will be faster. I don’t want to risk myself.
Answer: Nasal surgery can be performed under local anesthetic if the patient is motivated. While the majority of the 400 plus nasal surgeries I perform each year are done with patients under general anesthetic it is definitely possible to use local anesthetic. To do that you will need to be tolerant of full awareness of the surgery and some discomfort while the local anesthetic is injected into your nose and cheeks to numb the area before starting the surgery. Packing will be placed in the back of your nose to prevent anything dripping down your throat during the surgery so will need to breath through your mouth. Most people will require and appreciate some form of sedation drugs such as versed, or valium and IV medications such as fentanyl and propofol to reduce discomfort and increase relaxation as well helping you disconnect from the somewhat uncomfortable process. In conclusion if you are motivated and can tolerate the above issues you are a candidate for nasal surgery under local anesthesia.
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Answer: Nasal surgery can be performed under local anesthetic if the patient is motivated. While the majority of the 400 plus nasal surgeries I perform each year are done with patients under general anesthetic it is definitely possible to use local anesthetic. To do that you will need to be tolerant of full awareness of the surgery and some discomfort while the local anesthetic is injected into your nose and cheeks to numb the area before starting the surgery. Packing will be placed in the back of your nose to prevent anything dripping down your throat during the surgery so will need to breath through your mouth. Most people will require and appreciate some form of sedation drugs such as versed, or valium and IV medications such as fentanyl and propofol to reduce discomfort and increase relaxation as well helping you disconnect from the somewhat uncomfortable process. In conclusion if you are motivated and can tolerate the above issues you are a candidate for nasal surgery under local anesthesia.
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January 29, 2019
Answer: Septoplasty under local? A good option for nasal surgery without general endotracheal anesthesia is with IV sedation. I perform the majority of my rhinoplasty and septoplasty surgeries this way. This allows patients to continue to breathe on their own, but sleep through the majority of the procedure. We use local anesthesia to numb the nose. This method allows patients to bounce back quickly after surgery, yet keeps them very comfortable during the procedure. Be sure to see a nasal surgery expert who can perform both external (rhinoplasty) and internal (septoplasty) surgery comfortably. All the best,
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January 29, 2019
Answer: Septoplasty under local? A good option for nasal surgery without general endotracheal anesthesia is with IV sedation. I perform the majority of my rhinoplasty and septoplasty surgeries this way. This allows patients to continue to breathe on their own, but sleep through the majority of the procedure. We use local anesthesia to numb the nose. This method allows patients to bounce back quickly after surgery, yet keeps them very comfortable during the procedure. Be sure to see a nasal surgery expert who can perform both external (rhinoplasty) and internal (septoplasty) surgery comfortably. All the best,
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December 5, 2018
Answer: Septoplasty Hello and thank you for the question. I would not recommend having septo-rhinoplasty under local anesthesia. Having it done by an experienced team of doctors (surgeon and anesthesiologist) is safer, will give you a better result and recovery should not be significantly longer. Best,Pejman Aflaki, M.D.Johns Hopkins-trained plastic surgeon
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December 5, 2018
Answer: Septoplasty Hello and thank you for the question. I would not recommend having septo-rhinoplasty under local anesthesia. Having it done by an experienced team of doctors (surgeon and anesthesiologist) is safer, will give you a better result and recovery should not be significantly longer. Best,Pejman Aflaki, M.D.Johns Hopkins-trained plastic surgeon
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Answer: Septoplasty Under Local Anesthesia Hello and thank you for your question. I’m sorry to hear about your car accident. Septoplasty procedures are generally completed under general anesthesia or local anesthesia with intravenous sedation. Which options are available to you are ultimately determined by the extent of your procedure, your surgeon’s recommendation and your personal preference. Before moving forward with your procedure, schedule a consultation with a board-certified plastic surgeon who specializes in septorhinoplasty to receive a second opinion. Best of luck with your procedure! Michael Eisemann M.D. Plastic Surgeon Houston, Texas
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Answer: Septoplasty Under Local Anesthesia Hello and thank you for your question. I’m sorry to hear about your car accident. Septoplasty procedures are generally completed under general anesthesia or local anesthesia with intravenous sedation. Which options are available to you are ultimately determined by the extent of your procedure, your surgeon’s recommendation and your personal preference. Before moving forward with your procedure, schedule a consultation with a board-certified plastic surgeon who specializes in septorhinoplasty to receive a second opinion. Best of luck with your procedure! Michael Eisemann M.D. Plastic Surgeon Houston, Texas
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December 2, 2018
Answer: Septoplasty under local anesthesia?? The last 25 years, we have performed all septoplasty and rhinoplasty procedures under general anesthesia with a board-certified physician anesthesiologist for patient safety and comfort. Trying to perform a rhinoplasty and a septoplasty under local anesthesia is a very bad idea. It will be extremely painful, uncomfortable, and you could risk aspirating blood into your lungs.
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December 2, 2018
Answer: Septoplasty under local anesthesia?? The last 25 years, we have performed all septoplasty and rhinoplasty procedures under general anesthesia with a board-certified physician anesthesiologist for patient safety and comfort. Trying to perform a rhinoplasty and a septoplasty under local anesthesia is a very bad idea. It will be extremely painful, uncomfortable, and you could risk aspirating blood into your lungs.
Helpful