Showing posts from January, 2020

Open or Closed Technique Nose Aesthetic Surgery!

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

Why Five Corner Columellar Incision is Used in Open Technique Rhinoplasty

Mid-columellar W-shaped incision 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

Two Months After Endoscopic Eardrum Repair

Second month follow-up after endoscopic myringoplasty operation Endoscopic Eardrum Repair, Transcanal endoscopic myringoplasty 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. Endoscopic Eardrum Repair, Transcanal endoscopic myringoplasty Endoscopic Eardrum Repair, Transcanal endoscopic myringoplasty Endoscopic Eardrum Repair, Transcanal endoscopic myringoplasty In endoscopic eardrum surgeries, there are advantages such as mak

Turbinate Reduction Procedures

Techniques For Reduce The Size of Inferior Turbinates Turbinate Reduction Procedures 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 w

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