Nose Aesthetic (Rhinoplasty, Nose Job) in Turkey

Open or Closed Technique Nose Aesthetic Surgery!

What are the advantages and disadvantages of open technique and closed technique rhinoplasty?

In the open technique, after the skin incision in the columella, the nose skin is dissected from front to back and the procedure is performed and a visible incision is seen. Complaints such as nasal edema, bleeding under the nose, numbness and pain can be expected more. However; open technique allows easy access and repair of all problem areas present in the nose. The open technique is more suitable, especially in patients with advanced cartilage curvature or nasal curvature. The experience and preferences of the surgeon and the patient's expectations are also important in the selection of the technique. Both techniques are safely applied in experienced hands.

Rhinoplasty is the most common aesthetic procedure performed today to improve the external appearance of the nose and to eliminate breathing difficulties. The operation performed in the surgery is basically the shaping of the bone …

Why Five Corner Columellar Incision is Used in Open Technique Rhinoplasty

Mid-columellar W-shaped incision
In rhinoplasty operations, the cartilage structure of the nose is revealed by lifting the nasal skin from front to back. When viewed from the outside, the middle section that separates both nostrils is called “columella.. In the nose aesthetic techniques in medical history books, the incisions made to the skin of the columella have been modified and the reverse V or reverse W-shaped incision (columellar inverted-V incision) has become the most commonly used open technique rhinoplasty incision today.

In addition, incisions in the form of "Z" and "V" and other forms may also be used.
As the number of corners in the incision increases, fewer scars occur! It was found that as the number of vertices found in the incision to the columella increased, the formation of hypertrophic scarring decreased and fewer scars were left. Therefore, this incision, which has 5 corners in the picture, has become widely used in open technique rhinoplasty a…

Two Months After Endoscopic Eardrum Repair

Second month follow-up after endoscopic myringoplasty operation
Control hearing test (audiometry test) of a patient who had undergone endoscopic eardrum surgery to his right ear 2 months ago. When the eardrum was closed, the hearing was almost normal. Endoscopic ear surgery does not usually require an externally visible skin incision. The procedure is performed completely through the external ear canal. We also planned endoscopic membrane surgery in the other ear of our patient.

The reddish color of castellani solution, an antiseptic dye dripped into the patient's ear, can be seen in the cartilage graft placed at the site of the closed eardrum.

In endoscopic eardrum surgeries, there are advantages such as making the eardrum visible directly by the endovision prompt and not requiring additional skin incision except the incision in the cartilage graft area. Particularly in incisions made behind the auricle, there are disadvantages such as the need to press the auricle for several w…

Turbinate Reduction Procedures

Techniques For Reduce The Size of Inferior Turbinates
Some terminological information Before starting the article, I would like to share some terminological information:

The growth of nasal turbinates (turbinate hypertrophy) is a condition in which the meats inside the nose become larger than normal and cause nasal congestion.

The lower turbinate (inferior turbinate) is the turbinate at the bottom of the nasal cavity. Generally, reduction operations are performed for this turbinate.

Nasal hyperventilation, turbinate resections, which have recently been brought to the fore, may cause loss of permanent nasal function and is not a recommended method!

Abnormal reduction of the turbinate of the nose or an increase in the rate of intranasal airflow, such as in patients with holes in the nasal septum, and associated symptoms such as dryness of the nose, crusting of the nose and feeling of air hunger.

Empty nose syndrome, which occurs when partial or complete removal of the turbinate of the …

Dix Hallpike Maneuver: Evaluation of Balance Stones (Ear Rocks / Small Crystals / Otoconia)) in Inner Ear

Gold Standard Test For Diagnosis of Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
Dizziness - assessing the causes of vertigo and making the diagnosis is not always easy. "Dix Hallpike Maneuver" can, when used appropriately, identify a common cause of benign vertigo (BPPV) that can be treated with treatment maneuvers that provide immediate relief to patients.
Posterior canal benign paroxysmal positional vertigo Guidelines on BPPV from AAO-HNS (American Academy of Otorhinolaryngology and Head and Neck Surgery) state that posterior canal BPPV diagnosis was made with a history of episodic positional vertigo and a characteristic nystagmus finding revealed by Dix-Hallpike test. The use of the Dix-Hallpike test as a diagnostic maneuver for posterior canal BPPV was described in 1952.38 The patient was moved to a supine position with the head tilted 45 degrees and the neck extended with the tested ear extended down. . It should be done on both sides, especially if the …

Patient Care Suggestions After Adenoidectomy

Postoperative Care For Adenoid Removal Surgery
Adenoid is a lymphoid tissue located at the back of the nasal cavity. In children with adenoid hypertrophy, mouth open sleep and various ear problems may occur.
How is adenoidectomy performed? Adenoidectomy is performed under general anesthesia. When the patient is lying on his back, the head is moved backwards, and after the automatic mouth retractor is placed, a thin probe is inserted through the nose into the oral cavity. By stretching the catheter, the soft palate moves forward and upward. The nasal flesh is scraped with tools called adenotom. In addition, adenoidectomy (shaver-adenoidectomy) can be performed with endoscopic method and shaver. Unlike other surgical procedures, most of the techniques used in adenoidectomy operations are similar.
Adenoid Removal Surgery (Adenoidectomy Operation) Video
What to do after adenoidectomy During the adenoidectomy operation, the pressure of the automatic mouth retractors placed, the soft palat…

Functional Rhinoplasty Operation in Istanbul

Functional Nose Aesthetic Surgery
Functional rhinoplasty operation are among the aesthetic interventions that have benefited many more people in recent years. The nose is one of both complex and multifunctional organs. For this reason, surgery planning should be carried out considering the anatomy and physiology of the airway. Rhinoplasty provides a more aesthetically pleasing appearance to the nose area while at the same time providing a form that can provide a healthier breathing in order to improve the quality of life of the patient.
At this point, functional rhinoplasty operations come into play. When a problem occurs in the nose function due to a previous nose surgery operation, a nose surgery operation can be performed to eliminate this problem. However, if the patient has respiratory problems due to congenital deformations, functional nose aesthetic surgeries are utilized and the patient is given a nose shape where he can breathe more easily.
Benefits of Functional Rhinoplasty …

Complicated Revision Rhinoplasty With Temporal Fascia and Rib Cartilage

Revision Nose Job in Turkey
We performed a revision rhinoplasty operation on a patient who had previously undergone recurrent nasal surgery and then underwent a nose filler injection. During the operation, "Cartilage and temporal fascia were kept in sterile serum supplemented with Rifocin antibiotic." That's the reason for the orange-brown color :)

At the beginning of the operation, local anesthetic infiltrations were performed. Of course the temporal region and the nose ...

In the pre-operative photographs, you can see severe arch and curve in the dorsum of the nose, asymmetry in the tip of the nose, and retraction of the columella.
Removal of Nose Filler During Revision Rhinoplasty Operation
Subcutaneous nose filler materials were surgically removed in the supratip area after skin dissection after columellar incision.

The volume of nose filler materials may mislead the surgeon prior to revision rhinoplasty operation, and this should be taken into account when informin…