Nasal Silicone Splint Removal

Intranasal Silicone Splint Removal

The video above shows how the intranasal nasal silicone splints were removed in a patient who had rhinoplasty 6 days ago. 

About internal nasal silicone splint

A nasal silicone splint is a medical device designed to provide support and protection to the nasal passages after surgery or trauma. It is commonly used in rhinoplasty procedures, septoplasty, or to address nasal fractures. The splint is made of soft, flexible silicone material that conforms to the shape of the nose, providing stability and ensuring proper healing.

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One of the primary purposes of a nasal silicone splint is to maintain the structural integrity of the nasal framework during the healing process. It helps to immobilize the nasal bones and cartilage, preventing any potential displacement or misalignment. By keeping the nasal structures in the correct position, the splint aids in achieving the desired aesthetic outcome and functional improvement.

The splint is typically placed internally within the nasal passages and is held in position with the help of sutures or adhesive strips. Its design allows for adequate airflow through the nose, ensuring that patients can breathe comfortably while the splint is in place. Additionally, the silicone material used in the splint is hypoallergenic, which minimizes the risk of adverse reactions or skin irritation.

Nasal silicone splints also play a vital role in reducing postoperative swelling and bruising. They help to control edema and prevent the formation of excessive scar tissue by exerting gentle pressure on the nasal tissues. This pressure aids in minimizing the accumulation of fluid and promoting proper lymphatic drainage, ultimately leading to faster healing and a smoother recovery process.

Another benefit of nasal silicone splints is their ability to provide protection to the nasal structures. The splint acts as a barrier, shielding the nose from accidental bumps or external trauma that may occur during the healing phase. This protective function is particularly crucial in cases of nasal fractures or when the patient is engaged in activities that pose a risk of nasal injury.

After a period of approximately one to two weeks, the nasal silicone splint is typically removed by a healthcare professional. The removal process is generally straightforward and painless. Once the splint is taken out, patients may experience some temporary nasal congestion or discomfort, but these symptoms typically resolve quickly.

It is important for patients to follow their surgeon's instructions regarding the use and care of nasal silicone splints. This may include avoiding activities that could dislodge the splint, keeping the nasal passages clean and moist, and following a recommended postoperative care regimen.

In summary, nasal silicone splints are valuable devices used in nasal surgery to support, protect, and aid in the healing process of the nasal structures. By providing stability, reducing swelling, and offering protection, these splints contribute to achieving optimal aesthetic and functional outcomes for patients undergoing nasal surgery or recovering from nasal trauma.

Nasal Silicone Splint Removal

How to Remove Silicone Nasal Splints After The Rhinoplasty - 6th. Day?

Internal silicone splints are materials placed in both nasal cavities after nasal surgery and fixed to the nose area with a single suture. The approximately 1 cm in diameter air hole allows the patient to breathe after the operation. Prevention of adhesion - synechia formation in the nose is another important use. They do not cause pressure in the nose, do not adhere and do not have too many bleeding-stop effects, such as classical nasal buffers. The removal of its are almost painless. They are usually kept in the nose for 5-14days postoperatively.

Nasal silicone splint removal is a procedure commonly performed after nasal surgery, particularly in cases involving rhinoplasty or septoplasty. These silicone splints are temporary devices that are inserted into the nasal cavity to provide support, maintain the desired shape, and facilitate healing during the initial stages of recovery.

The purpose of the nasal silicone splint is to protect the delicate nasal structures and prevent them from shifting or getting damaged while they heal. These splints are typically soft and flexible, made of medical-grade silicone, and are designed to be well-tolerated by the patient.

The removal of nasal silicone splints usually takes place approximately one to two weeks after the surgery. The exact timing may vary depending on the surgeon's preferences and the individual patient's healing process. It is essential to follow the specific post-operative instructions given by the surgeon to ensure optimal healing and successful removal.

The removal procedure is generally straightforward and relatively painless. A healthcare professional, often the surgeon or a trained nurse, will perform the removal in a sterile environment such as a clinic or the surgeon's office. Local anesthesia may be applied to minimize any discomfort.

The removal process typically involves the following steps:

1. Evaluation: The healthcare professional will evaluate the patient's healing progress, checking for any signs of complications or issues that may affect the removal process.

2. Softening the splint: If necessary, the healthcare professional may apply a saline solution or a lubricating agent to the nasal splint to help loosen it and make removal easier.

3. Gently pulling the splint: Using specialized instruments or tweezers, the healthcare professional will gently grasp the end of the nasal splint and slowly and carefully remove it from the nasal cavity. The process is typically quick and may cause a slight sensation of pressure or discomfort, but it should not be excessively painful.

4. Nasal examination: Once the splint is removed, the healthcare professional will examine the nasal passages to ensure that the healing is progressing as expected and to address any concerns that may arise.

After the nasal silicone splint removal, it is common for patients to experience some mild discomfort, congestion, or nasal drainage. These symptoms are typically temporary and should improve over time. It is crucial to follow the post-operative care instructions provided by the surgeon, including any prescribed medications or nasal care routines, to promote healing and reduce the risk of complications.

It is essential to note that every individual's healing process may vary, and it is vital to consult with a qualified healthcare professional, such as the surgeon who performed the procedure, for personalized advice and guidance throughout the recovery period.

Can you take nose splint off yourself?

Internal nasal silicone splints were fixed by suturing the anterior part of the nasal septum. Please do not attempt to remove these splints yourself. You can cause bleeding, injury to the septum and damage to the nasal mucosa. It can cause you to feel serious pain when you try to remove it anyway.

Is it painful to have splints removed from nose?

You may experience a small amount of discomfort and pain while the internal nasal silicone splints are removed from the nose. In particular, it is normal to feel pain when cutting the sutures in the anterior part of the nasal septum. Before removal of internal nasal silicone splints, lidocaine spray can be used to reduce contact pain in the nasal mucosa.

How do you remove a Internal nasal silicone splint after surgery?

Your surgeon may first cut the sutures that fix the silicone splints and then cut the splints with the help of forceps. Sprays containing local anesthetics can be applied before the internal nasal silicone splints are removed.

Can I breathe with splints in my nose?

Internal nasal silicone splints have holes that allow you to breathe. The part outside these holes also lateralizes the inferior turbinates and provides the expansion of the intranasal air passage. After the surgery, you can try to keep the hole in the internal nasal silicone splints open by washing it with saline sprays regularly. Sometimes these holes can become clogged with dry clots and crusts and cause you to experience nasal congestion for a few days. After the internal nasal silicone splints are removed, a good breath will be waiting for you, don't worry.

How long after rhinoplasty are internal nasal silicone splints removed?

Splints can be removed 5-7 days after the rhinoplasty operation. In patients with severe septum deviation or crooked nose deformity, it may be appropriate to take them after a longer time. It is ideal that you leave this decision to the operating doctor.

In which situations should internal nasal silicone splints be kept in the nose for a long time?

It is appropriate to keep internal nasal silicone splints in the nose for a longer time after some nose surgeries. For example, after nasal septum perforation repair surgeries, you can keep silicone splints inside the nose for the time required for the epithelialization of the treated area to be completed, that is, sometimes for a few months. Although this situation may vary according to different clinics; In our own patients, we keep nasal silicone splints longer than usual after perforation surgery. For example, in patients with large nasal septum perforation, sometimes it may be recommended to stay in the nose for more than 2 months. In patients with nasal septum perforation smaller than one centimeter, I recommend keeping silicone donuts for 2 or 3 weeks.

What are the harms of removing nasal silicone splints in a shorter time than normal?

There are many benefits of using nasal silicone splints after nasal surgeries. A few of these benefits are related to the prevention of adhesions in the nose and the barrier function of silicone splints. Apart from this, the protruding hole areas of the nasal silicone splints in patients who have undergone turbinate radiofrequency operation can push the turbinatets outward, making the air passage inside the nose wider, and if the splints are kept in the nose for a sufficient time, nasal congestion may occur much more difficult in patients after removal. Other benefits are to fix the nasal septum in the midline with constant pressure from both sides and to support the healing of the cartilages in the nasal septum in the midline. When the nasal silicone splints are removed early, the turbinates may swell and adhesion, ie synergy areas, may arise from the contact areas between the nasal septum and the lateral wall, since they cannot adequately perform the barrier function in the nose. In this case, severe nasal congestion may occur in patients. Another effect is related to pressure on the nasal septum and prevention of septal hematoma. If the nasal silicone splints are removed early, the risk of septal hematoma may be higher, and problems may arise in the midline healing of the cartilages in the nasal septum. Ideally, internal nasal silicone splints should be kept in the nose for at least 5 days. I usually tell my patients that silicone splints will remain in the nose for a week and 10 days.

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Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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