In my research, I've seen that while certain surgeons provide the choice of IV sedation during rhinoplasty as well as general anesthesia, other surgeons only offer general anesthesia. I am curious as to why this is the case? Personally, I am inclined towards IV sedation as my preferred option to address my dorsal hump (and I guess my drooping tip). Would this be possible for me and could you shed some light on whether one option holds advantages over the other?
Answer: It probably has to do with the surgeon's attention to the injectable local anesthesia. More... If by "general anesthesia" you mean gas anesthesia with a breathing tube down your throat, I can't stand that for a rhinoplasty and just about won't do one under general. About a million times during a rhinoplasty, I'll close the patient's mouth so I can see what the nose looks like with the face in a natural position. If there is a tube sticking out of the mouth, those judgment calls are impossible, and it gets in my way of a good result. There are lots of places inside the nose that must be numb, though, and if the surgeon isn't 100% sure she can get all those areas numb, she must have general anesthesia. General anesthesia, though, is considered safe, however.
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Answer: It probably has to do with the surgeon's attention to the injectable local anesthesia. More... If by "general anesthesia" you mean gas anesthesia with a breathing tube down your throat, I can't stand that for a rhinoplasty and just about won't do one under general. About a million times during a rhinoplasty, I'll close the patient's mouth so I can see what the nose looks like with the face in a natural position. If there is a tube sticking out of the mouth, those judgment calls are impossible, and it gets in my way of a good result. There are lots of places inside the nose that must be numb, though, and if the surgeon isn't 100% sure she can get all those areas numb, she must have general anesthesia. General anesthesia, though, is considered safe, however.
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Answer: Ultimately surgeon preference- I prefer general anesthesia Hello and thank you for your question. In short- every surgeon's practice is different. Regarding the anesthesia- although most surgeons prefer putting patients fully asleep under general anesthesia for this procedure, some perform it under IV sedation ("twilight sedation") with local anesthesia, or just under straight local sedation. Generally, most patients would not tolerate such an invasive procedure done under local, and most surgeons feel that it is easier to perform such involved and complex procedures with patients at least sedated if not fully asleep so they can assure the patient remains perfectly still to facilitate all the complex maneuvers and super precise work involved in properly doing a rhinoplasty well.
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Answer: Ultimately surgeon preference- I prefer general anesthesia Hello and thank you for your question. In short- every surgeon's practice is different. Regarding the anesthesia- although most surgeons prefer putting patients fully asleep under general anesthesia for this procedure, some perform it under IV sedation ("twilight sedation") with local anesthesia, or just under straight local sedation. Generally, most patients would not tolerate such an invasive procedure done under local, and most surgeons feel that it is easier to perform such involved and complex procedures with patients at least sedated if not fully asleep so they can assure the patient remains perfectly still to facilitate all the complex maneuvers and super precise work involved in properly doing a rhinoplasty well.
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September 18, 2023
Answer: We require general anesthetic for all of our septorhinoplasty patients. The reason we prefer general anesthetic for rhinoplasty procedures is to protect our patients' Airways from inadvertent aspiration of blood and other nasal secretions. With general anesthetic, there is a Balloon at the distal end of the breathing tube that lays in someone's windpipe. That balloon prevents blood and other secretions from getting into the lungs, hence preventing aspiration pneumonia. After 24 years of utilizing general anesthetic for rhinoplasty, I do not see any benefit of using intravenous sedation. I hope this helps! Sincerely, Dr Joseph
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September 18, 2023
Answer: We require general anesthetic for all of our septorhinoplasty patients. The reason we prefer general anesthetic for rhinoplasty procedures is to protect our patients' Airways from inadvertent aspiration of blood and other nasal secretions. With general anesthetic, there is a Balloon at the distal end of the breathing tube that lays in someone's windpipe. That balloon prevents blood and other secretions from getting into the lungs, hence preventing aspiration pneumonia. After 24 years of utilizing general anesthetic for rhinoplasty, I do not see any benefit of using intravenous sedation. I hope this helps! Sincerely, Dr Joseph
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September 17, 2023
Answer: General anesthesia vs. intravenous sedation for rhinoplasty General anesthesia versus intravenous sedation for rhinoplasty. while it is true that decades ago most rhinoplasties were performed with intravenous sedation and a partially conscious patient, today most surgeons prefer general anesthesia. There are several reasons for this. The most important reason is that with general anesthesia there is better control of the airway. The extremely rare catastrophe of an intraoperative death or respiratory arrest could occur with intravenous sedation and no control of the airway. Bleeding drips down the back of the throat and the patient can aspirate. The anesthesia dulls the gag reflexes which makes this more possible. With general anesthesia there is control of the airway.. also, with general anesthesia and the patient fully asleep, the surgeon can do what he hast to do to make the end result the best without being inhibited by causing pain or distress to the patient. A Rhinoplasty, particularly one involving a dorsal hump and bony nasal fracture procedures is potentially difficult for a partially awake patient to endure even if the local anesthesia blocks the pain. ironically general anesthesia is safer as well as being much more comfortable.
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September 17, 2023
Answer: General anesthesia vs. intravenous sedation for rhinoplasty General anesthesia versus intravenous sedation for rhinoplasty. while it is true that decades ago most rhinoplasties were performed with intravenous sedation and a partially conscious patient, today most surgeons prefer general anesthesia. There are several reasons for this. The most important reason is that with general anesthesia there is better control of the airway. The extremely rare catastrophe of an intraoperative death or respiratory arrest could occur with intravenous sedation and no control of the airway. Bleeding drips down the back of the throat and the patient can aspirate. The anesthesia dulls the gag reflexes which makes this more possible. With general anesthesia there is control of the airway.. also, with general anesthesia and the patient fully asleep, the surgeon can do what he hast to do to make the end result the best without being inhibited by causing pain or distress to the patient. A Rhinoplasty, particularly one involving a dorsal hump and bony nasal fracture procedures is potentially difficult for a partially awake patient to endure even if the local anesthesia blocks the pain. ironically general anesthesia is safer as well as being much more comfortable.
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September 11, 2023
Answer: Selection of anesthesia for rhinoplasty Although rhinoplasty without septoplasty may be done in twilight or even local anesthesia, it is very likely that, considering size and shape of your nose, you may need a septoplasty as well. This is done not only to correct underlying septum deformity and obstruction but also as a source for septal cartilage graft which may be needed for tip support. This procedure, septorhinoplasty, is best done in general anesthesia and provides intraoperative safety and comfort for both patient and a surgeon. Hope this helps.
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September 11, 2023
Answer: Selection of anesthesia for rhinoplasty Although rhinoplasty without septoplasty may be done in twilight or even local anesthesia, it is very likely that, considering size and shape of your nose, you may need a septoplasty as well. This is done not only to correct underlying septum deformity and obstruction but also as a source for septal cartilage graft which may be needed for tip support. This procedure, septorhinoplasty, is best done in general anesthesia and provides intraoperative safety and comfort for both patient and a surgeon. Hope this helps.
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