Rhinoplasty (RIE-no-plas-tee) is surgery that changes the shape of the nose. The motivation for rhinoplasty may be to change the appearance of the nose, improve breathing or both. The upper portion of the structure of the nose is bone, and the lower portion is cartilage.
The history of this procedure goes back to India and Egypt as there are stories that important operations of nose were done with the intention to repair as early as 2500 years BC, due to the inhuman habit of amputating this organ to enemies and criminals. However, it is not until the end of the nineteenth century, when it starts to practices Rhinoplasty with aesthetic intentions. Initially reductions of large noses with hump were carry out through incisions in the skin of the dorsum of the nose. In this way they withdrew the excesses of bone and nasal cartilages, leaving, in the end, a longitudinal scar. It is clear that the extent of the defect and its implications had to be important enough to compensate for such a scar. Joseph, a German surgeon, describes an intervention capable of modifying the defective structures of the nose through an incision located in the nasal mucosa with the end result of internal scarring in 1904 and, therefore, inaparente. This gives the basis to techniques that are performed today.
Patients with nasal trauma, hypertrophy, congenital malformations or desires of aesthetic modifications should be evaluated by the expert hands of a plastic surgeon. In all the necessary evaluation tomography of the nasal cavity. On many occasions it is necessary the presence of a specialist in Otolaryngology to correct or treat obstructive airway problems.
The techniques depend on the needs of the patient, to adjust these needs may be indicated the use of grafting of autologous tissues such as cartilage of ribs or ears. As well as the use of synthetic implants. The patient should be evaluated objectively, and preserve the anatomical identity of the patient.
There are several types of rhinoplasty, we describe to follow quickly the most; the aesthetic rhinoplasty, in her surgical treatment focuses on the correction of the nasal form for the purpose of improving the appearance of the nose. This structural Rhinoplasty incorporates a series of procedures whose main purpose is the prevent deformities caused by the scar retraction and secure the position of structures modified in the intervention. Open Rhinoplasty; This is a cut in the skin of the lower part of the nose to facilitate the treatment of the nasal tip. Closed Rhinoplasty: preserves the integrity of the skin because the cuts are made on the inside.
The use of a mucous plug as well as a cast is required in the majority of cases. Patients need to use nose drops and breathing through the mouth during the first few days after surgery. The use of ice and keep enough care when in public places are a must. As in all surgical procedure a power adequate rest and follow the recommendations of its galeno are fundamental. Something particularly important in this surgery is the use of moisturizing eye drops. The return to physical activity should be gradual.
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