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Functional Rhinoplasty

Restoring Nasal Function and Improving Quality of Life

Functional rhinoplasty is a surgical procedure that focuses on correcting structural issues within the nose that impact breathing and overall nasal function. While cosmetic rhinoplasty primarily aims to enhance the appearance of the nose, functional rhinoplasty addresses medical concerns, such as nasal obstruction or difficulty breathing. In many cases, functional rhinoplasty can significantly improve a patient’s quality of life by restoring proper airflow and nasal function.

Causes of Nasal Dysfunction

Nasal dysfunction, characterised by symptoms such as nasal obstruction, difficulty breathing, and impaired nasal function, can arise from various underlying causes. Understanding these factors is crucial in determining whether functional rhinoplasty is an appropriate solution for improving nasal function and quality of life.

Congenital
Factors

Some individuals may experience nasal dysfunction due to congenital abnormalities or developmental issues affecting the nasal structures. These may include congenital nasal septal deviations, nasal valve abnormalities, or craniofacial syndromes impacting nasal airflow.

Trauma and
Injury

Trauma to the nose, whether from sports injuries, accidents, or physical altercations, can lead to structural damage within the nasal passages. Fractures of the nasal bones or septum, as well as soft tissue injuries, may result in nasal obstruction and functional impairment.

Chronic Conditions

Chronic conditions such as allergic rhinitis, chronic sinusitis, or nasal polyps can contribute to nasal dysfunction by causing inflammation, congestion, and obstruction of the nasal passages.

Aging and Structural Changes

As individuals age, changes in nasal anatomy and tissue laxity can affect nasal function. This may include weakening of the nasal valve, enlargement of the turbinates, or alterations in nasal septal alignment, leading to symptoms of nasal obstruction and impaired breathing.

Previous Nasal Surgeries

Complications from previous nasal surgeries, such as inadequate septoplasty, over-resection of nasal structures, or nasal valve collapse secondary to rhinoplasty, can contribute to ongoing nasal dysfunction.

Environmental Factors

Environmental factors, including exposure to airborne pollutants, irritants, or occupational hazards, can exacerbate nasal symptoms and contribute to nasal dysfunction.

How Functional Rhinoplasty Can Help

Functional rhinoplasty is a specialized form of nasal surgery that targets internal nasal structures to correct breathing problems or other functional impairments. This procedure can address various issues arising from the conditions discussed here
  1. Deviated Septum: A septum is the cartilage and bone that separates the two nasal passages. When the septum is crooked or off-center, it can cause breathing difficulties and increase the risk of sinus infections. Functional rhinoplasty, in this case, is called septoplasty and aims to straighten the septum.
  2. Enlarged Turbinates: Turbinates are structures within the nose that help filter, warm, and humidify the air we breathe. Swollen or enlarged turbinates, often due to allergies or chronic inflammation, can obstruct airflow. Functional rhinoplasty can involve reducing the size of the turbinates to restore proper breathing.
  3. Nasal Valve Collapse: The nasal valve is a narrow area within the nose that can become weakened or collapse, resulting in restricted airflow. Functional rhinoplasty can reinforce or widen the nasal valve to improve breathing.
  4. Correction of Previous Surgeries: In some cases, functional rhinoplasty may be necessary to address complications or unsatisfactory outcomes from previous nasal surgeries.

Techniques Used in Functional Rhinoplasty:

The specific techniques used in functional rhinoplasty will depend on the patient’s unique needs and the issues being addressed. Some common techniques include:
  1. Septoplasty: This procedure involves repositioning or reshaping the septum to create a more open nasal passage.
  2. Turbinate Reduction: This involves removing a portion of the turbinate tissue or repositioning the turbinates to allow for better airflow.
  3. Nasal Valve Repair: This can involve cartilage grafting, suture techniques, or the use of implants to support and stabilize the nasal valve.
  4. Revision Rhinoplasty: This procedure aims to correct issues resulting from previous nasal surgeries, such as over-resection of cartilage or scarring.
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Techniques Used in Functional Rhinoplasty:

The specific techniques used in functional rhinoplasty will depend on the patient’s unique needs and the issues being addressed. Some common techniques include:
  1. Septoplasty: This procedure involves repositioning or reshaping the septum to create a more open nasal passage.
  2. Turbinate Reduction: This involves removing a portion of the turbinate tissue or repositioning the turbinates to allow for better airflow.
  3. Nasal Valve Repair: This can involve cartilage grafting, suture techniques, or the use of implants to support and stabilize the nasal valve.
  4. Revision Rhinoplasty: This procedure aims to correct issues resulting from previous nasal surgeries, such as over-resection of cartilage or scarring.
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Recovery and Results:

Recovery from functional rhinoplasty typically takes about 2 to 3 weeks, with most patients returning to daily activities within 1 to 2 weeks. Swelling, bruising, and discomfort are common during the initial healing process, and patients may need to wear a nasal splint for support.

The results of functional rhinoplasty can be life-changing for patients who have experienced chronic breathing difficulties or other functional impairments. Improved airflow and nasal function can lead to better sleep, increased exercise tolerance, and an overall enhanced quality of life.

Functional rhinoplasty is a specialized surgical procedure that targets and corrects internal nasal issues to restore proper breathing and nasal function. By carefully assessing each patient’s unique needs, Dr Tan can provide lasting relief from breathing difficulties and improve overall quality of life.

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