Nose

Septoplastia

Septoplasty

Septoplasty is a surgical procedure used to reshape the septum when it is deviated or causes nasal respiratory failure.
Closing perforated septum
Thus surgical procedure has always been a problem to specialists from all the world- Dr Máiz uses a technique he learnt from Dr Julio Stédile (Brazil), one of the most important authorities of this field.
This technique allows closing perforations up to 3cm of diameter with results close to 100%.

What causes it?
In most cases perforation of the septum is an after-effect of a previous nasal surgery, including hypophysis surgery performed through the nose. Other causes may be accidents, cocaine use, clogging caused by nasal bleeding, etc.
Which are its symptoms?
Septum perforation symptoms are frequent nose bleeding, nasal congestion, noisy breathing, foul-smelling scabbing and mucus secretion. When the perforation is bigger than 1cm, the structures that support the nose weaken, which triggers aesthetic alterations of the nose.
How is it corrected?
Dr Stédile method consists in peeling off and rotating the mucosa of the entire nose region to the lateral walls to facilitate closing the perforation, and placing a temporalis fascia graft filled with ear cartilage.
In most cases it is also necessary to perform aesthetic corrections (rhinoplasty).

Turbinate or chronic nasal obstruction surgery
Turbinates are structures located on the external wall of the nose which function is to warm and humidify the air we breathe.
When the nose is inflammated, be it caused by allergies or vasomotor or medicament related problems (abuse of sprays and drops), the turbinates swell making respiration difficult (chronic nasal obstruction).
Enlarged turbinates may be corrected with radiofrequency or laser surgery.
When the hypertrophy is severe, the doctor will advice laser surgery (with general anaesthesia).

Radiofrequency
Radiofrequency is a procedure in which low temperature and low power energy is used to make inferior turbinate tissues smaller. This energy is sent under the superficial coat (or mucosa) of the lower turbinate. The tissue being treated heats enough to create a coagulation area. During the following three to six weeks the treated tissue is eliminated naturally, and the scarring of the turbinate makes decrease, alleviating the obstruction. Radiofrequency is a safe, fast and effective way to alleviate chronic obstruction caused by hypertrophy of the turbinates. This procedure usually lasts less than thirty minutes.

What may be expected from radiofrequency?
Radiofrequency solves chronic nasal obstruction, without the pain associated to conventional and laser surgery. After the procedure, the patient may feel some slight pain and inflammation for some days. During the following three to six weeks the patient will notice an improvement in the amount of air they can breathe through the nose. Most of the patients do not need any kind of pain medicine.

Am I a candidate to radiofrequency?
If you suffer from chronic nasal obstruction, radiofrequency might be the solution. Your doctor may evaluate your particular situation and decide whether you are candidate to such procedure.
The treatment can be repeated when more scarring is desired.
Should radiofrequency not be enough or the hypertrophy of the turbinates too severe, laser surgery (with general anaesthesia) should be performed

Why can't I breathe properly if my septum is straight and my turbinates are normally sized?
It may be due to problems of the nasal valve, obstruction of the side of the nose or too small nostrils. In order to correct any of these problems, functional rhinoplasty is needed

What is a functional rhinoplasty?
Functional rhinoplasty is a group of surgical techniques performed on the nasal pyramid to improve the respiratory function. Using cartilage grafts the opening angle of the nasal valve can be widened and give more rigidity to the tissues of the nostrils and thus prevent an inhaling obstruction. The diameter of the nostrils may also be widened.

La energía por radiofrecuencia se envía por debajo de la capa superficial del cornete.The energy is sent under the mucosa of the lower turbinate. El tejido tratado se calienta a 70° C-75° C para crear una zona de coagulación.
The tissue is heated up to 70º-75º C to create a coagulation area.
Durante las siguientes tres a seis semanas el tejido tratado disminuye.
During the following three to six weeks the treated tissue decreases.

Sinusitis surgery

This surgery consists in opening the natural sinus drainage orifices and removing the affected mucosa. This kind of surgery is practiced inside the nose using endoscopic techniques that lessen the surgery traumatism and improve the post surgery.