Nose: Functional rhinoplasty, inflammation/polyps, skin changes
If non-cosmetic, health-related considerations are paramount, functional surgical rhinoplasty is the preferred procedure. Functional nasal surgery is covered by health insurance. A distortion in the nasal septum may be the cause of cumulative inflammation in the nose/sinuses and can restrict nasal breathing. Functional rhinoplasty also covers the straightening of the nasal pyramid if the patient has sustained a fall or blow.
PROCEDURE /FOLLOW-UP TREATMENT
The operation is performed under general anaesthetic and takes about an hour. A fine incision is made inside the nose. The cartilage causing the imperfection is exposed and straightened. The inferior nasal concha (erectile tissue) may also be reduced at the same time.
A broken nose is corrected surgically only when bone fragments have been moved. The procedure should be performed as soon as possible after the injury has happened. The nose is stabilised using a splint made of plaster or metal.
No particular follow-up treatment is required. However, in the first 6 to 8 weeks following surgery, the patient should avoid physical activity (sport) and ensure that his/her nose is not impacted in any way.
Following surgery, pain is usually limited to a dull throb and is bearable without the use of painkillers. If a rhinoplasty procedure is performed following a bone fracture, the patient should expect swelling and slight bruising for several days. General anaesthesia entails some risks (cardiovascular problems, intolerance to medication, breathing problems, nausea, vomiting and post-surgical hoarseness). In rare instances, the patient may experience bleeding, but this can be effectively controlled using nasal packs. In rare instances, the olfactory function of the nose may be temporarily impaired.
NOSE: SKIN CHANGES
If changes take place to the skin layers of the nose, we first need to determine whether there are benign, semi-malignant or malignant tumours. Tumours are usually removed surgically, and a course of radiotherapy may also be necessary.
Prof. Dr. med. Gericke has many years of experience in removing complex and simple skin tumours, and has state-of-the-art technology at her disposal.
The surgical removal of skin tumours on the external nose is performed under local anaesthetic. Follow-up treatment and any risks depend on the type of tumour, its extent and the treatment method used.
Entzündungen der Nasennebenhöhlen/ Polypen
Apart from a deviated nasal septum, polyps can also cause inflammation and breathing problems in the nasal cavity system. Frequent colds, a nasalised voice and disturbances to the olfactory function may indicate the presence of polyps. Polyps are mucosal growths that contribute to the symptoms of chronic sinusitis.
PROCEDURE /FOLLOW-UP TREATMENT
If cortisone nasal sprays and tablets do not help, a surgical procedure may be an option. In the case of minimally invasive endoscopic sinus surgery, an endoscope (a very thin tube with a magnifying glass and an illuminated tip) is used to remove the polyps and, where appropriate, expand any constrictions. Depending on the extent of the polyps and seriousness of the procedure, the patient is operated under a general anaesthetic or local anaesthetic.
Following the procedure, special nasal sprays and antibiotics must be used to prevent any re-growth.
A recurrence of the polyps cannot be ruled out entirely. Local anaesthesia and general anaesthesia also entail some risks (cardiovascular problems, intolerance to medication, breathing problems, nausea, vomiting and post-surgical hoarseness).