The No Packing Rhinoplasty
One of the greatest fears of many patients who are considering rhinoplasty surgery is that their nose will be packed during surgery, subsequently requiring removal sometime after surgery.
That thought is one of significant uncomfortability at best and outright pain at the worst.
I have found that many potential rhinoplasty patients often ask..
..
are you going to pack my nose? The good news is that the need for packing a rhinoplasty surgery patient is very infrequent.
If you are having a cosmetic rhinoplasty, where only the external nose is being operated on (hence the concept of a cosmetic rhinoplasty), then there is absolutely no reason to have to pack the nose after surgery.
If you having a 'rhinoplasty' for breathing purposes only, other wise known as functional nasal airway surgery or septoplasty and/or turbinate surgery, then that possibility exists but it is still in my practice a very low possibility.
The purpose of nasal packing is only two-fold, to stop bleeding and to help adapt the lining of the nose back in its place against the cartilage or bone so no bleeding occurs underneath it.
When performing septal straightening, a very important component of airway surgery, you must first lift the lining off of both sides of the cartilage before straightening it.
(lest you tear a lot of holes in the lining) Once straightened, the lining must be put back in its original place.
Historically, packing the nose with gauze squeezed this lining back into place against the cartilage.
(septum) The use of packing has been replaced by many surgeons with sewing the nasal lining back into place through a suturing technique known as quilting.
In this inside the nose sewing technique, a suture is back and forth through both sides of the lining 'quilting' it back into place.
This has virtually replaced the need for packing, much to the applause of patients and plastic surgeons alike.
Only in cases where there is too much bleeding at the end of surgery will packing be used to control it, much like the way it is used to stop difficult nose bleeds.
So to those patients considering most forms of rhinoplasty surgery, this is one issue that you need not concern yourself with! Packing of the nose after rhinoplasty surgery is a thing of the past!
That thought is one of significant uncomfortability at best and outright pain at the worst.
I have found that many potential rhinoplasty patients often ask..
..
are you going to pack my nose? The good news is that the need for packing a rhinoplasty surgery patient is very infrequent.
If you are having a cosmetic rhinoplasty, where only the external nose is being operated on (hence the concept of a cosmetic rhinoplasty), then there is absolutely no reason to have to pack the nose after surgery.
If you having a 'rhinoplasty' for breathing purposes only, other wise known as functional nasal airway surgery or septoplasty and/or turbinate surgery, then that possibility exists but it is still in my practice a very low possibility.
The purpose of nasal packing is only two-fold, to stop bleeding and to help adapt the lining of the nose back in its place against the cartilage or bone so no bleeding occurs underneath it.
When performing septal straightening, a very important component of airway surgery, you must first lift the lining off of both sides of the cartilage before straightening it.
(lest you tear a lot of holes in the lining) Once straightened, the lining must be put back in its original place.
Historically, packing the nose with gauze squeezed this lining back into place against the cartilage.
(septum) The use of packing has been replaced by many surgeons with sewing the nasal lining back into place through a suturing technique known as quilting.
In this inside the nose sewing technique, a suture is back and forth through both sides of the lining 'quilting' it back into place.
This has virtually replaced the need for packing, much to the applause of patients and plastic surgeons alike.
Only in cases where there is too much bleeding at the end of surgery will packing be used to control it, much like the way it is used to stop difficult nose bleeds.
So to those patients considering most forms of rhinoplasty surgery, this is one issue that you need not concern yourself with! Packing of the nose after rhinoplasty surgery is a thing of the past!
Source...