Nasal adhesions after rhinoplasty is one of the most common complications of rhinoplasty, which causes respiratory problems on one or both sides of the nose. The important cause of this complication after surgery is removal of the nasal mucosa or severe damage to it during surgery and failure to repair surgical incisions and wounds.
The nasal mucosa, which covers the inside of the nose and sinuses, regulates the amount of moisture inside the surface of the nose and sinuses by secreting certain substances. Therefore, nasal mucosa has a very important and special role in improving nasal function.
Nasal adhesions are not a permanent complication and will be removed with reconstructive nasal surgery.
What causes nasal adhesions after rhinoplasty?
1- If the surgeon over-manipulates the inside of the nose during rhinoplasty, the nasal mucosa will be damaged and injured, as a result of which the injured nasal mucosa will stick together during repair and cause obstruction or congestion of the nose and the person will suffer. Problems with nasal adhesions. In this complication, the middle septum of the nose sticks to the side walls of the nose and the person feels short of breath.
2- If a person does not use the drugs prescribed by a nasal surgeon (especially antibiotics), the nose becomes infected and this infection also causes this complication in the nose.
What are the symptoms of nasal adhesions?
Shortness of breath
Treatment of nasal adhesions
Removal of nasal adhesions is a procedure to separate scar tissue within the nose that has become connected, or fused. Fused tissue is called an adhesion. Adhesions in the nose are also called synechiae. Adhesions are a common, usually minor, complication of nasal or sinus surgery and nasal packing.
The doctor orders a CT scan to diagnose the cause of this complication after surgery and performs reconstructive surgery to treat it. In rhinoplasty to remove this complication, the surgeon inserts a systolic layer inside the nose, which prevents the two sides of the nose from coming close to each other and cuts the adhesion. The systolic layer should remain in the nose for a week. During this time, the nasal mucosa and its inner lining are repaired, and after the patient’s respiratory problems improve, the silastic layer is removed from inside the nose.
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