Nasal Dryness After Rhinoplasty Operation

Dry Nose After Nose Aesthetic Surgery

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During the rhinoplasty operation, turbinate reduction with radiofrequency can also be performed for the treatment of nasal septum deviation in patients, for the treatment of septoplasty operation and turbinate hypertrophy. It is inevitable that there will be intranasal mucosal damage in varying amounts according to these procedures and the size of the surgery. Generally, the mucous membrane in the nose heals completely within a few months. The minimal traumatic techniques used, the use of radiofrequency devices that reduce heat damage by measuring tissue resistance, and the use of surgical procedures that respect the tissue and anatomical structure, when possible, can reduce the amount of mucosal damage.

Temporary Dry Nose Can Be Seen Normally?

Generally, it is normal to have a dry nose that lasts for a few weeks after rhinoplasty. Especially after complicated nose operations and after repeated nose surgeries, there may be a feeling of dryness in the nose, which may last longer.

Be Careful If Nose Dryness Is Increasing After Rhinoplasty Operation!

Normally, after the rhinoplasty operation, a feeling of dryness of the nose, which lasts for a few weeks and gradually decreases, can be seen. Generally, after the operation, in case of regular intranasal care, nasal dryness can be seen gradually decreasing within a few weeks and the patients generally do not complain much. However, in case of increasing nasal dryness, the following situations may occur:

- You may not have taken enough care to apply regular salt water to the nose and use moisturizing drops and sprays recommended by your doctor.

- In case of insertion of napkin, finger, cotton swab into the nose, nasal dryness may have increased as a result of traumatizing the mucosa in the nose, please inform your doctor about this.

- Consumption of excessively salty foods, dark-colored tea, coffee that may cause drying of the nasal mucosa, use of cortion, decongestant drugs and diuretic drugs that may cause a decrease in the secretion of the nasal mucosa and cause dryness

- Turbinates are unique tissues in the nose that serve to purify, heat, humidify and pressurize the air taken from the nose. It is recommended that these structures be reduced only in limited amounts and with techniques that reduce mucosal damage. In case of surgical excision or excessive reduction of these tissues, there may be a complaint of increasing nasal dryness. On this website you can find information about "nasal hyperventilation" and "empty nose syndrome". Nasal dryness may increase due to the conversion of rotational airflow in the nose to accelerated linear cava flow.

Video - Nasal Hyperventilation - Dry Nose After Turbinectomy With Septoplasty

Video description: The patient, who had turbinate resection and septoplasty operations in a different clinic, applied to our clinic because of the feeling of dryness, crusting in the nose and not getting enough air while breathing. His complaints increased gradually after the operation performed about 10 years ago. On physical examination of the patient, it was observed that both nasal cavities were wider than normal. It was observed that the inferior tubinate was resected close to the left side. Dry, bleeding and crusted areas were seen in the nasal mucosa. Turbinates are unique structures. These tissues and their mucosa should be protected as much as possible.

- During the operation, nasal septum perforation may occur when there is full-thickness damage to the septum (iatrogenic nasal septal perforation). As the location of the perforation gets closer to the nostrils, the amount of air passing through it may increase. Especially in the anterior and wide perforations, as in the empty nose syndrome, there is an increase in the air flow velocity through the nose, and symptoms such as bleeding, crusting, and whistling while breathing may occur.

Precautions For Dry Nose After Rhinoplasty Operation

After rhinoplasty, I usually recommend our patients to use nasal ocean water sprays and nasal moisturizing drops or ointments. For the first few weeks after the operation, I recommend not to mix the inside of the nose with fingers, napkins, cotton swab or any other object, not to consume cigarettes and alcohol, not to consume salty foods, excessively strong tea and coffee. Please use the medicines recommended by your doctor regularly.

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon

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